EA Outcomes Specialist

For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet connection to support daily job responsibilities. A minimum bandwidth of 50 Mbps download and 5 Mbps upload is required. Those fully remote associates residing in states where service is required by contract, law, or regulation will be allowed to submit for reimbursement.

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.

Discover more about us at www.amerihealthcaritas.com.

Role Overview:

We are seeking a highly motivated quantitative professional to join our team.  The Enterprise Analytics Outcomes Specialist 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.


 Work Arrangement: 

• This is a 100% Remote position 
• Monday through Friday, 8:30 AM EST to 5:00 PM EST 

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 and Experience:

• Bachelor's degree and substantial healthcare experience required.
• Minimum of one (1) year experience in outcomes research or predictive modeling in the healthcare field.
• Education and experience in statistical modeling and analysis, data mining, mathematics, and pattern recognition.
• At least one (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’.
   
   

Preferences:

• Two or more years of experience in outcomes research or predictive modeling in the health care field.
• Four or more years of experience in developing reports or dashboards in Power BI.
• Four or more years of experience in developing scripts in Microsoft SQL Server.
• Master's or PhD in Statistics, Data Science, Operations Research, Biostatistics, Epidemiology, or a related quantitative field.
   

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.