Senior Health Economist - Managed Care

Senior Health Economist - Managed Care at Elevance Health

Location: 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. Separate office engagements are combined with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a reasonable commuting distance from an office.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. This position is not eligible for current or future visa sponsorship.

Carelon Health is a proud member of the Elevance Health family of brands, offering clinical programs and primary care options for seniors. We are a team of committed clinicians and business leaders passionate about transforming American healthcare delivery.

Role Overview: The Senior Health Economist measures financial performance of core Carelon products leveraging claims, authorization, and membership data to tell a detailed story to respective business stakeholders. The Senior Health Economist creates statistical models to predict, classify, quantify, and/or forecast business metrics. Design modeling studies to address specific business issues determined by consultation with business partners.

• Prepare analytical data sets in support of modeling studies. Build, test, and validate statistical models.
• Publish results and address constraints/limitations with high‑level business partners.
• Proactively collaborate with business partners to determine identified population segments.
• Develop actionable plans to enable the identification of patterns related to quality, use, cost, and other variables.

• Requires MS, MA, or PhD with concentration in a quantitative discipline such as statistics, computer science, cognitive science, economics, or operations research, and a minimum of 3 years direct experience programming large, multi‑source datasets with SAS. A minimum of 3 years in a health‑care setting (or an equivalent combination of education and experience) is also required.

• Actuarial sciences background highly preferred.
• Utilization Management experience preferred.
• Medical economics, provider finance, healthcare analytics, and/or financial services highly preferred.
• Comprehensive understanding of medical claims data.
• Intermediate to Advanced expertise with SQL, SQL Server, Teradata, or equivalent strongly preferred.
• Proven ability to design modeling studies and experience with data models, addressing data quality issues in study design, and constructing robust and efficient analytical data sets strongly preferred.
• Significant experience in a healthcare‑related field strongly preferred.
• Ability to present meaningful results to a business audience, participate collaboratively in a team tasked to produce complex analyses on a rigorous schedule, and communicate with strong written and verbal skills—and present to large multidisciplinary audiences regularly—strongly preferred.

Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws.

Applicants who require accommodation to participate in the job application process may contact elevancehealthj for assistance.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

• Mid‑Senior level

• Full‑time

• Management

• Business Consulting and Services