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:

***WE ARE NOT OFFERING ANY TYPE OF SPONSORSHIPS***

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.
Collaboration Opportunities:

The Analyst, Performance Suite Analytics utilizes and develops analytic tools to solve complex business challenges as well as support decision making that can have a considerable impact on the organization and patient health. This role will support the Medical Cost Management activities, working in a Medical Economics team that supports Business Development and new product efforts.

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Support the underwriting of capitated risk proposals involving cost & use projections, trend selection/development, and estimation of Evolent ’s ability to reduce cost and improve quality.

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Support the design of financial arrangements that are equitable for both Evolent and our Partners.

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Support the development of models and approaches aimed at quantifying and articulating our value.

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

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

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Translate analyses into Customer-ready deliverables using available visualization tools.

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Provide support and facilitate interaction with customers in a manner that fosters expertise and cooperation.

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Process and validate raw unadjudicated claims data

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Use programming skills to explore, examine and interpret large volumes of data in various forms to complete deliverables with minimal assistance and oversight.

Qualifications Required and Preferred:

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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)

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1-2 years of professional experience in claims-based healthcare analytics with a payer, provider, clinical vendor, managed care, or related healthcare consulting entity

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

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Exceptional analytical and communication skills with the ability to identify and translate insights from quantitative and qualitative data

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Proficiency in SQL or SAS database/statistical programming languages or related programming language

- Advanced proficiency in Microsoft Excel

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

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

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Experience using data visualization software (s) to package analytical insights (Power BI, Tableau, or similar)- Preferred.

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Maste