"Alerted.org

Your Future Evolves Here

Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones.

Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business.

Join Evolent for the mission. Stay for the culture.

What You’ll Be Doing:

Your Future Evolves Here

Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones.

Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business.

Join Evolent for the mission. Stay for the culture.

Who You’ll Be Working With:

The Performance Suite Analytics team offers candidates the opportunity to generate meaningful impact through translating disparate data points into tangible insights and actions.

Our team values accuracy, collaboration, and innovation, ensuring that all team members receive the support, tools, and skills to positively contribute to Evolent’s broader mission.

This individual will serve as a key member of the Performance Suite Analytics team at Evolent. This individual will be primarily focused on performing medical economics analysis in support of complex risk-based contract development and will partner with stakeholders of various levels across analytics, finance, and account management.

What You Will Be Doing:

+ Develop and deploy models and approaches aimed at quantifying and articulating our value.

+ Communicate actionable conclusions from analyses to internal/external audiences.

+ Synthesize complex analyses into succinct presentations.

+ Perform research and analysis of complex healthcare claims, eligibility, and pharmacy data to make recommendations based on relevant findings.

+ Extract, manage, and analyze claims and operational data using industry-standard metrics.

+ Process and validate raw unadjudicated claims data.

Qualifications Required and Preferred:

+ Bachelor’s degree, preferably with a quantitative major (e.g. actuarial, statistics, operations research, mathematics, economics) or healthcare focus (health administration, epidemiology, public health, biology)

+ Ability to communicate clearly with diverse stakeholders to solve problems; ability to translate between business needs and analytical needs

+ Exceptionally strong analytical abilities in identifying and communicating insights from quantitative and qualitative data

+ Intermediate or higher proficiency in SQL or SAS database/statistical programming languages and Microsoft Excel

+ Experience in data mining, advanced/ statistical analysis, and data manipulation

+ 1+ years of professional experience in claims-based healthcare analytics with a payer, provider, clinical vendor, managed care, or related healthcare consulting entity is preferred

+ Experience using data visualization software (s) to package analytical insights (Power BI, Tableau, or similar) is preferred

+ Familiarity with healthcare reimbursement methodologies and calculations such as DRGs, Revenue Codes, CPT Codes, RVUs, bundled payments, etc. is preferred

+ Working knowledge of healthcare claims; specifically, differences between institutional vs professional billing and various sites of care/service is preferred

+ Familiarity with value-based care and utilization management is preferred

+ Understanding of data systems and the critical thinking skills to solve new problems and adapt to changes in data architecture is preferred

Technical Requirements:

We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations.

Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.** **If you need reasonable accommodation to access the information provided on this website, please contact [email protected] for further assistance.

To comply with HIPAA security standards (45 C.F.R. sec. 164.308 (a) (3)), identity verification may be required as part of the application process. This is collected for compliance and security purposes and only reviewed if an applicant advances to the final interview state. Reasonable accommodations are available upon request.

Technical Requirements:

We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations.

Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.** **If you need reasonable accommodation to access the information provided on this website, please contact** **[email protected]** **for further assistance.

The expected base salary/wage range for this position is $70,000-80,000. This position is also eligible for a bonus component that would be dependent on pre-defined performance factors. As part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts.

Don't see the dream job you are looking for? Drop off your contact information and resume and we will reach out to you if we find the perfect fit!