Biostatistician

Elevance Health - Denver, CO

Full-time

Denver, CO

Insurance Carriers and Related Activities

About the position

The Biostatistician role involves developing and implementing clinical prediction models, experimental design, and statistical methodologies to enhance health plan functions. This position focuses on conducting substantive statistical analyses and reporting to improve the company's competitiveness and profitability.

Responsibilities

• Develops and implements prediction models for member and provider-based interventions.
• Conducts competitive analysis of risk stratification models and makes recommendations to management.
• Designs and executes care management program evaluations.
• Develops evaluation methodologies for measuring the effectiveness of clinical programs.
• Researches and analyzes broadly defined business scenarios, trends, and patterns and develops recommendations for management.
• Provides technical/analytical advice to staff.
• Responds to and manages ad hoc client requests to ensure accurate, in-depth results/data are delivered in a timely manner.
• Prepares results for presentation to internal/external clients.
• Presents research findings to management and clients.
• Compiles results of studies for journal publication.

Requirements

• Requires a MS in Biostatistics, Statistics or related field.
• 3 years healthcare and/or consumer data analysis experience.
• 2+ years of experience in the development of predictive models.
• 3 years coding experience with SAS.
• 3 years of experience manipulating and processing large multi-source datasets with SAS and SQL programming tools.

Nice-to-haves

• Experience with industry standard clinical code sets, predictive modeling risk adjustment tools and episode groupers and measures, such as HEDIS, strongly preferred.
• Expertise in Panalgo Instant Health Data (IHD) tool strongly preferred.