Remote Behavioral Health Utilization Review Jobs in Indiana

Data Scientist Analyst

Location: This role requires associates to be in-office 1 day per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Ideal candidates will be able to report to one of our Pulse Point locations in Indianapolis, IN, Louisville, KY or Waukesha, WI. Alternate locations may be considered if candidates reside within a commuting distance from an office.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

As a Data Scientist Analyst, you will support the development of innovative analytics and AI solutions that uncover early signals in cost trends across Medicaid, Medicare, Local Group, and Individual markets. You'll collaborate with actuaries, finance leaders, and business stakeholders to enhance decision-making through advanced modeling, automation, and insight delivery.

In this role, you will help modernize how emerging cost drivers are detected using real-time data, AI-powered insights, and dynamic tools to support critical decisions for executive, actuarial, and financial audiences. Join us to shape the future of health cost forecasting.

How you will make an impact:

• Develop and implement predictive models, trend detection algorithms, and statistical analyses using weekly claims, pharmacy, lab, and authorization data to identify emerging cost drivers.

• Apply machine learning and AI techniques to uncover leading indicators of health utilization trends and improve predictive accuracy of actuarial and financial models.

• Build and enhance interactive dashboards and executive tools that translate complex data into actionable insights for business and finance leaders.

• Design and implement scalable machine learning models and LLM-based solutions.

• Apply NLP techniques and prompt engineering to build conversational and generative AI systems.

• Develop APIs using FastAPI or Flask for model serving and integration.

• Execute algorithms to address specific business problems under the direction of team lead or manager.

• Work with datasets of moderate size and complexity.

• Develop visualization of analysis output for business users and publish results under the direction of team lead or manager.

• Support the evolution of early-warning systems and automation for trend monitoring and reporting across multiple lines of business.

• Translate model outputs and statistical insights into clear business narratives that inform planning, pricing, and strategic actions.

Minimum Requirements:

Requires a Bachelor's degree in Statistics, Computer Science, Mathematics, Machine Learning, Econometrics, Physics, Biostatistics or related Quantitative disciplines and 1 or more years of experience in predictive analytics or equivalent; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities & Experiences:

• Prior experience in healthcare analytics or trend analysis is a strong advantage highly preferred.

• Proven ability to communicate technical findings and complex concepts to a non-technical audience and develop compelling visual narratives highly preferred.

• Proficiency with Python, R, SQL, or similar tools to manipulate large, complex healthcare data sets highly preferred.

• Experience with data visualization platforms (Power BI, Tableau, or equivalent) preferred.

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.

Who We Are

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.

How We Work

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 may contact elevancehealthjobssupport@elevancehealth.com for assistance.

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.