Senior Analyst, Performance Suite Analytics

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 :

Who You'll Be Working With :

The Senior Analyst Performance Suite Analytics utilizes and develops project management tools to solve complex business implementation challenges as well as support decision making that can have a considerable impact on the organization and patient health. This role supports both Client Implementation activities as well as Business Development efforts.

What You'll Be Doing :

Partner with Business Development, Implementations, and Analytics to develop a successful client onboarding roadmap

Accountable for the project management of all analytical needs throughout the client implementation process

Accountable for capturing critical information of a new client involving analytical / pricing assumptions, product management, and contractual terms

Develop and implement a client readiness strategy and associated tools to successfully track and document the client implementation cycle from an analytics perspective

Key Liaison between the Client and internal Analytics / IT departments for data acquisition and data warehouse integration

Analyze impact of deviations from original underwriting during implementation and make recommendations to leadership

Assist in performing analyses pertaining to contractual commitments

Onboard and Train Client Analytics Staff on newly implemented clients

Draw actionable conclusions from analyses and effectively communicate to internal / external audiences at various levels of the enterprise

Lead and facilitate interaction with customers in a manner that fosters expertise and cooperation

Perform research and analysis of complex healthcare claims, eligibility, and pharmacy data regarding health plan cost & use and make recommendations based on relevant findings

Serving as a subject matter expert across multiple technical and / or business domains

The Experience You'll Need (Required) :

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

At least 3-5 years of professional experience in claims-based healthcare analytics with a payer, provider, clinical vendor, managed care, or related healthcare consulting entity

Experience with managing client implementation projects from end to end

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

Advanced or higher proficiency in Microsoft Excel

Advanced or higher proficiency in SQL or SAS database / statistical programming languages

Moderate Proficiency in Microsoft PowerPoint

Exceptionally strong analytical abilities, with track record of identifying insights from quantitative and qualitative data

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

Knowledge of health insurance financial business cycle, healthcare quality reporting, and benchmarking

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

Ability to work independently with limited oversight

Finishing Touches (Preferred) :

Master's Degree, especially with a quantitative focus (e.g. data science, machine learning, statistics, mathematics, computer science, or engineering)

5+ years of healthcare economics experience

Prior people management experience

Knowledge of healthcare underwriting methodologies

Familiarity with value-based care and utilization management

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

Advanced or higher proficiency in SQL or SAS database / statistical programming language

Experience with BI tools (e.g. Tableau, Power BI.), Visual Basic, and Microsoft PowerPoint

Technical requirements :

Currently, Evolent employees work remotely temporarily due to COVID-19. As such 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.

To ensure a secure hiring process we have implemented several identity verification steps, including submission of a government issued photo ID. We conduct identity verification during interviews, and final interviews may require onsite attendance. All candidates must complete a comprehensive background check, in-person I-9 verification, and may be subject to drug screening prior to employment. The use of artificial intelligence tools during interviews is prohibited and monitored. Misrepresentation will result in immediate disqualification from consideration.

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 recruiting@evolent.com for further assistance.

The expected base salary / wage range for this position is $80,000-90,000. 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.

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