Elevance Health is looking to modernize how emerging cost drivers are detected using real-time data, AI-powered insights, and dynamic tools to support critical decisions for executive, actuarial, and financial audiences.
Requirements
- Proficiency with Python, R, SQL, or similar tools to manipulate large, complex healthcare data sets.
- Experience with data visualization platforms (Power BI, Tableau, or equivalent).
- Design and implement scalable machine learning models and LLM-based solutions.
- Apply NLP techniques and prompt engineering to build conversational and generative AI systems.
- Develop APIs using FastAPI or Flask for model serving and integration.
- Develop and implement predictive models, trend detection algorithms, and statistical analyses
- Apply machine learning and AI techniques
Responsibilities
- Develop and implement predictive models, trend detection algorithms, and statistical analyses using weekly claims, pharmacy, lab, and authorization data to identify emerging cost drivers.
- Apply machine learning and AI techniques to uncover leading indicators of health utilization trends and improve predictive accuracy of actuarial and financial models.
- Build and enhance interactive dashboards and executive tools that translate complex data into actionable insights for business and finance leaders.
- Design and implement scalable machine learning models and LLM-based solutions.
- Apply NLP techniques and prompt engineering to build conversational and generative AI systems.
- Develop APIs using FastAPI or Flask for model serving and integration.
- Execute algorithms to address specific business problems under the direction of team lead or manager.
Other
- Requires a Bachelor’s degree in Statistics, Computer Science, Mathematics, Machine Learning, Econometrics, Physics, Biostatistics or related Quantitative disciplines and 1 or more years’ experience in predictive analytics or equivalent; or any combination of education and experience, which would provide an equivalent background.
- Prior experience in healthcare analytics or trend analysis is a strong advantage.
- Proven ability to communicate technical findings and complex concepts to a non-technical audience and develop compelling visual narratives.
- This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance.
- Elevance Health operates in a Hybrid Workforce Strategy.
