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Anthem, Inc. Advanced Analytics Consultant in Pico Rivera, California


SHIFT: Day Job

SCHEDULE: Full-time

Your Talent. Our Vision. At Anthem, Inc., it’s a powerful combination, and the foundation upon which we’re creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care.

This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health care companies and a Fortune Top 50 Company.

Advanced Analytics Consultant (Enterprise HEDIS Team)

Location: Work from Home or any Anthem Office

The Quality Data Management Team ensures the collection, production, analysis and reporting of HEDIS measures and related data. This team is also responsible for a number of clinical data analytics platforms and accompanying statistical models. The ideal candidate will drive optimizations, expansion, and enhancements of HEDIS reporting, measure improvement, and our clinical analytics platforms.

Responsibilities include (1) targeting improved quality and health outcomes using computational statistics; (2) modeling clinical events from multiple sources of data; (3) synthesizing new information into the larger analytics platform; (4) designing and implementing efficient systems and organizational models; (5) aide other team members and business partners in analytic and report development.

Primary duties may include, but are not limited to:

  • Lead multidisciplinary efforts to design and efficiently implement analytic and reporting stratagems.

  • Leverage algorithmic modeling and statistical learning techniques including linear and logistic modeling, NN, NLP, etc.

  • Perform in-depth analysis on operational and specific clinical issues

  • Write SQL code for data analysis, expansion and maintenance of our clinical data platform and datasets.

  • Communicate clearly with non-technical staff and decision makers in both presentations and through the use of visualization tools.

  • Demonstrate a willingness to problem solve, collaborate, and think creatively to further server our partners.

  • Provides analytical insights to support business solution development based on quality, use, cost and other key drivers; develops and refines analysis templates for problem diagnosis and opportunities assessment

  • Consults on all considerations related to designing and executing tests or pilot programs

  • Contributes to the design of new program/initiative based on test/pilot outcomes

  • Develops targeting criteria or customer segmentation based on analytical insights, clinical inputs, product design and operations considerations

  • Develops predictive models and other tools that help target the right members

  • Develops methodology to measure clinical, utilization and financial outcomes of a program/initiative

  • Conducts in-depth research to address challenging issues in measuring outcomes

  • Addresses limitation of certain data sources and evaluates incremental value of new data sources.


Requires Graduate-level degree with concentration in a quantitative discipline such as Mathematics, Statistics, Economics, Epidemiology, Engineering, Computer Science or Operations Research ; 5-10 years experience in related health care analytics; or any combination of education and experience, which would provide an equivalent background. PhD preferred. Experience with developing expert modeling system for segmentation/stratification that supports customized strategies for different customer segments in a major industry highly desirable - healthcare, financial, database/direct marketing, online retails, consulting, etc. Substantial analytical experience in healthcare industry preferred. 5-10 years of SQL coding expereince. Familiarity with relational database environments such as MS SQLServer, Teradata, Oracle, and experience in distributed environments like Hadoop. Familiarity with probabilistic coding in python or R. Advanced Understanding of data structures, data modeling and software architecture. Deep knowledge of math, probability, statistics and algorithms. Comfortable with strategic decision-making. HEDIS measure experience preferred.


Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and has been named a 2019 Best Employers for Diversity by Forbes. To learn more about our company and apply, please visit us at An Equal Opportunity Employer/Disability/Veteran.