Enterprise Analytics Outcomes Specialist

Your career starts now. We’re looking for the next generation of healthcare leaders.

At AmeriHealth Caritas, we’re passionate about helping people get care, stay well, and build healthy communities. As one of the nation's leaders in healthcare solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services, and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we’d like to hear from you.

Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.

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We are seeking a highly motivated quantitative professional to join our team. The individual will play a key role in evaluating member care and support programs by developing models and conducting associated analytic work. The ideal candidate will have strong analytic and modeling skills and the ability to share findings to inform and guide the business as they improve efficiency and performance. Familiarity with the healthcare domain is a plus. The Outcomes Specialist will contribute to complex data and analytics projects under the guidance of senior team members.

Responsibilities:

• Program Evaluation: Formulate and test hypotheses to evaluate program effectiveness and calculate return on investment (ROI) to support decision-making.

• Comparative Effectiveness: Conduct analyses to determine differential impacts between programs, business segments, and/or populations.

• Predictive Modeling: Develop, validate, and implement predictive models to forecast adverse healthcare outcomes, using various statistical techniques.

• Collaboration: Work closely with cross-functional teams, including clinicians, finance, actuary, compliance, information systems and/or operations, to understand their challenges and provide data-driven insights. Manage multiple large projects and direct small teams of analysts independently.

• Data Management: Cleanse, manipulate, and analyze large datasets. Ensure data integrity and consistency for accurate modeling.

• Visualization: Create intuitive visualizations and reports which help stakeholders make informed decisions.

• Continuous Learning: Stay updated with the latest trends, techniques, and best practices in data science and healthcare analytics.

Education/Experience:

• Master's or PhD in Statistics, Data Science, Operations Research, Biostatistics, Epidemiology, or a related quantitative field. Bachelor’s with extensive relevant experience will also be considered.

• Minimum of one year experience in outcomes research or predictive modeling in the health care field.

• Education and experience in statistical modeling and analysis, data mining, mathematics, and pattern recognition.

• 1 Year of experience programming in Python, R, or SAS. Python experience is strongly preferred.

• Databricks experience preferred.

• Familiarity with healthcare datasets, standards, and terminologies, including claims, authorizations, membership (834/820), and provider/network data.

• Familiarity with data visualization tools such as Power BI and Tableau.

• Healthcare publication experience with reputable journals.

• Strong communication skills, both written and verbal, with the ability to convey complex findings to non-technical stakeholders.

• Detail-oriented with strong problem-solving skills.

• Motivated by delivering a good quality product and ensuring that it meets customer needs. Understands how to ask probing questions and deliver insights rather than just ‘data’.

Diversity, Equity, and Inclusion

At AmeriHealth Caritas, everyone can feel valued, supported, and comfortable being themselves. Our commitment to equity means that all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. We stand together to speak out against injustice and to break down barriers to support a more inclusive and equitable workplace. Celebrating and embracing the diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.

We keep our associates happy so they can focus on keeping our members healthy.

Our Comprehensive Benefits Package

Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more.