Health Research Scientist

The Health Research Scientist is responsible for managing regional quality improvement and performance measurement projects at regional and cross-regional levels, as well as related analytics.

The Health Research Scientist, under the direction of the AVP of analytics and innovation, provide leadership in the design, implementation, and evaluation of quality and performance improvement projects and other quality-related initiatives from inception through conclusion. This role supports Connecticut HUSKY Health Medicaid behavioral health services, quality measurement and performance improvement, including major initiatives such as Rural Health Transformation, the 1115 Substance Use Waiver, the CCBHC, and the statewide Behavioral Health Homes (BHH).

• Perform data analysis, review and incorporation of relevant literature, collaborative project design, associated data collection activities including extracting and manipulating data, using statistical methods to analyze data and generate useful reports depicting trends in performance measures, conducting statistical analysis, report writing, and presenting results at committee meetings.

• Responsible for understanding and assisting with updating performance measure methodology, including reporting and data requirements, and using quality improvement techniques to improve organizational and/or provider performance.

• Provide leadership, definition, and direction to assigned programs, projects, Performance Targets, and contracts.

• Prepares executive summary reports.

• Analyzes and designs solutions to address varied and highly complex business needs, through constant KPI monitoring.

• Oversees quality and performance improvement projects, measuring clinical quality outcomes using the data warehouse and HEDIS activities within the region.

• Uses QI techniques (PDSA, root cause analysis) to identify opportunities for improvement.

• Develops strategic intervention activities related to HEDIS and other quality measures.

• Designs implementation and measurement plans to meet performance goals, and designs measures to assess effectiveness.

• Key partner to Clinical Management team, leading planning and development of intervention, benchmarking, and monitoring toward goals.

• Offers oversight to all performance management, leads stakeholder teams to define solutions, and drives development of action plans.

• Assesses intervention/ implementation effectiveness in achieving regional quality goals, and against client contractual requirements.

• Provides regular QI and performance measurement reports to leadership.

Requires a MA/MS degree in a healthcare related field; 10 years of analytics, quality improvement experience; or any combination of education and experience, which would provide an equivalent background.

• PhD preferred.

• Lean six sigma preferred.

• Ability to code in R, SAS, or other statistical program in order to evaluate effectiveness of programs and services.

• Data visualization and dashboard development (Power BI, Tableau).

• Expertise in advanced statistical analysis and data mining techniques.

• Strong capability to think critically and synthesize data and information across disparate sources.

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

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 should submit the following form: Accessibility Accommodation Request Form and a member of the team will be in contact. 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.

Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.

NOTE: Workday keeps job postings active through 11:59:59 PM on the day before the listed end date. Example: If the end date is 3/13, the posting will automatically come down on 3/12 at 11:59:59 PM. In other words — the job is posted until 3/13, not through 3/13.