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Anthem, Inc. NGS Biostatistician in Coconut Grove, Florida


SHIFT: Day Job

SCHEDULE: Full-time

Your Talent. Our Vision. At National Government Services (NGS), an independent subsidiary of Anthem, Inc. and one of the largest Medicare contractors in the country, it’s a powerful combination. It’s 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.

National Government Services, Inc. (NGS) will partner with providers within Jurisdiction K (JK) to educate them on benefits within the Medicare program, understand meaningful analytics related to their beneficiary population, and connect them with relevant services to address gaps in care for covered services.

Work Location – US - ET or CT timezone

We have an opening for a Biostatistician that will be responsible for developing and implementing clinical prediction models, experimental design, program evaluation and effectiveness methodologies, and statistical sampling for health plan functions. Performs substantive statistical analyses and reporting to improve company competitiveness, market share, operations, and profitability.

Primary duties may include, but are not limited to:

  • Develops and implements prediction models for member and provider-based interventions.

  • Conducts competitive analysis of risk stratification models and makes recommendations to management.

  • Designs and executes care management program evaluations.

  • Develops evaluation methodologies for measuring the effectiveness of clinical programs.

  • Researches and analyzes defined business scenarios, trends, and patterns and develops recommendations for management.

  • Provides technical/analytical advice to staff.

  • Responds to and manages ad hoc client requests to ensure accurate, in-depth results/data are delivered in a timely manner.

  • Prepares results for presentation to internal/external clients.

  • Presents research findings to management and clients.

  • Compiles results of studies for journal publication.

  • Works with Provider Education to determine next steps to address


Requires a Master’s degree in Biostatistics, Statistics or related field; 3 years healthcare and/or consumer data analysis experience; 2+ years’ experience in the development of predictive models; 3 years coding experience with SAS; 3 years’ experience manipulating and processing large multi-source datasets with SAS and SQL programming tools; or any combination of education and experience, which would provide an equivalent background. Experience with industry standard clinical code sets, predictive modeling risk adjustment tools and episode groupers and measures, experience with Fee for Service Medicare, 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.

REQNUMBER: PS42485-Florida