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**Senior Health Economist - Managed Care**
**Location:** This role requires associates to be in-office 1 - 2 days 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. 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.
_PLEASE NOTE: This position is not eligible for current or future visa sponsorship._
Carelon Health is a proud member of the Elevance Health family of brands, offering clinical programs and primary care options for seniors. We are a team of committed clinicians and business leaders passionate about transforming American healthcare delivery.
The **Senior Health Economist (** Advanced Analytics Analyst Senior) measures financial performance of core Carelon products leveraging claims, authorization, and membership data to tell a detailed story to respective business stakeholders. The Senior Health Econonmis creates statistical models to predict, classify, quantify, and/or forecast business metrics. Design modeling studies to address specific business issues determined by consultation with business partners.
**How you will make an impact:**
+ Prepares analytical data sets in support of modeling studies. Build, test, and validate statistical models.
+ Publishes results and addresses constraints/limitations with high-level business partners.
+ Proactively collaborates with business partners to determine identified population segments.
+ Develop actionable plans to enable the identification of patterns related to quality, use, cost, and other variables.
**Minimum Requirements:**
+ Requires MS, MA, or PhD with concentration in a quantitative discipline such as statistics, computer science, cognitive science, economics, or operations research, a minimum of 3 years direct experience programming large, multi-source datasets with SAS required, and a minimum of 3 years in health care setting; or any combination of education and experience which would provide an equivalent background.
**Preferred Skills, Capabilities, and Experiences:**
+ Actuarial sciences background highly preferred.
+ Utilization Management experience preferred.
+ Medical economics, provider finance, healthcare analytics, and/or financial services highly preferred.
+ Comprehensive understanding of medical claims data.
+ Intermediate to Advanced expertise with SQL, SQL Server, Teradata, or equivalent strongly preferred.
+ Proven ability to design modeling studies and experience with data models, addressing data quality issues in study design, and constructing robust and efficient analytical data sets strongly preferred.
+ Significant experience in a healthcare-related field strongly preferred.
+ The ability to present meaningful results to a business audience, to participate collaboratively in a team tasked to produce complex analyses on a rigorous schedule, to communicate with strong written and verbal communication skills, and to present to large multi-disciplinary audiences regularly strongly preferred.
**For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $84,740 to $160,560.**
**Locations: California, Colorado, District of Columbia (Washington, DC), Illinois, Minnesota, New York, Washington State**
**In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.**
*** The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.**
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 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.

The Evernorth Formulary Solutions Residency is a 12-month immersive program designed to build a strong foundation in formulary strategy and execution. Residents gain hands-on experience across the full formulary lifecycle-from pipeline strategy to operational implementation. This residency offers a unique lens into the PBM environment and the inner workings of an integrated health services company, preparing participants for impactful post-residency roles within the organization.
**Program Highlights** :
+ Comprehensive Lifecycle Exposure: Residents engage in every stage of the formulary process-from pipeline strategy to operational execution-gaining a well-rounded understanding of the PBM landscape.
+ Formulary Financial Modeling: create and present formulary recommendations for our marquee formulary
+ Cross-Functional Collaboration: The program fosters interaction with key departments such as Pharma Contracting, Sales, Clinical Oversight, and Finance, helping residents build a strong internal network and broaden their strategic perspective.
+ Client-Centric Learning: Residents learn to develop and manage custom formularies tailored to individual client needs, enhancing adaptability and real-world application.
+ Career Pathway Focus: Designed to support long-term career growth, the residency equips participants for meaningful roles within Evernorth following program completion.
**Longitudinal Experiences:**
+ Introductory Sessions with Key Department Leaders
+ Commercial Formulary Strategy
+ Custom Formulary Strategy
+ Medicare Formulary Strategy
+ Regulated Markets
+ Institute of Clinical Oversight and Guidance
+ Residency Project
**Rotational Opportunities:**
+ Clinical Product
+ Specialty Pharmacy
+ Advanced Utilization Management
+ Pharma Trade Relations
+ Patent, Pipeline and Emerging Therapeutics
+ Client Account Management
+ Areas of Personal Interest within Evernorth
**Minimum Requirements:**
+ 4th year (Graduation year) or PharmD. degree from an ACPE-accredited college or school of pharmacy
+ Pharmacy Licensure in any US State (within 90 days of residency start)
+ Proficiency in Microsoft office, specifically Microsoft excel and PowerPoint
+ Proficiency in written and verbal communications
+ Strong career interest in Managed Care pharmacy
**Required: Must upload/attach the following to Workday application**
+ Official Pharmacy School Transcript
+ CV
+ Letter of Intent (max 300 words; Explain why you are interested in our program and managed care)
+ 2 Letters of Recommendations (one of each: Preceptor, Supervisor) sent to
+ Application deadline 12/31/25
Location: Hybrid in Saint Louis, MO; Bloomington, MN; and Morris Plains, NJ. A hybrid position means that you will be expected to work in-person at your assigned office location more than 50% of time per week, with flexibility to work at home for balance of time. If the right candidate doesn't live in one of those 3 areas, virtual will be considered.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
For this position, we anticipate offering an hourly rate of 21 - 36 USD / hourly, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus plan.
We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group .
**About Evernorth Health Services**
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.
_Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws._
_If you require reasonable accommodation in completing the online application process, please email:_ _for support. Do not email_ _for an update on your application or to provide your resume as you will not receive a response._
_The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State._
_Qualified applicants with criminal histories will be considered for employment in a manner_ _consistent with all federal, state and local ordinances._

The Evernorth Formulary Solutions Residency is a 12-month immersive program designed to build a strong foundation in formulary strategy and execution. Residents gain hands-on experience across the full formulary lifecycle-from pipeline strategy to operational implementation. This residency offers a unique lens into the PBM environment and the inner workings of an integrated health services company, preparing participants for impactful post-residency roles within the organization.

Program Highlights :

• Comprehensive Lifecycle Exposure: Residents engage in every stage of the formulary process-from pipeline strategy to operational execution-gaining a well-rounded understanding of the PBM landscape.
• Formulary Financial Modeling: create and present formulary recommendations for our marquee formulary
• Cross-Functional Collaboration: The program fosters interaction with key departments such as Pharma Contracting, Sales, Clinical Oversight, and Finance, helping residents build a strong internal network and broaden their strategic perspective.
• Client-Centric Learning: Residents learn to develop and manage custom formularies tailored to individual client needs, enhancing adaptability and real-world application.
• Career Pathway Focus: Designed to support long-term career growth, the residency equips participants for meaningful roles within Evernorth following program completion.

Longitudinal Experiences:

• Introductory Sessions with Key Department Leaders
• Commercial Formulary Strategy
• Custom Formulary Strategy
• Medicare Formulary Strategy
• Regulated Markets
• Institute of Clinical Oversight and Guidance
• Residency Project

Rotational Opportunities:

• Clinical Product
• Specialty Pharmacy
• Advanced Utilization Management
• Pharma Trade Relations
• Patent, Pipeline and Emerging Therapeutics
• Client Account Management
• Areas of Personal Interest within Evernorth

Minimum Requirements:

• 4th year (Graduation year) or PharmD. degree from an ACPE-accredited college or school of pharmacy
• Pharmacy Licensure in any US State (within 90 days of residency start)
• Proficiency in Microsoft office, specifically Microsoft excel and PowerPoint
• Proficiency in written and verbal communications
• Strong career interest in Managed Care pharmacy

Required: Must upload/attach the following to Workday application

• Official Pharmacy School Transcript
• CV
• Letter of Intent (max 300 words; Explain why you are interested in our program and managed care)
• 2 Letters of Recommendations (one of each: Preceptor, Supervisor) sent to
• Application deadline 12/31/25

Location: Hybrid in Saint Louis, MO; Bloomington, MN; and Morris Plains, NJ. A hybrid position means that you will be expected to work in-person at your assigned office location more than 50% of time per week, with flexibility to work at home for balance of time. If the right candidate doesn't live in one of those 3 areas, virtual will be considered.

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

For this position, we anticipate offering an hourly rate of 21 - 36 USD / hourly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group .

About Evernorth Health Services

Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you require reasonable accommodation in completing the online application process, please email: for support. Do not email for an update on your application or to provide your resume as you will not receive a response.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.