Sr Analyst, Product Performance 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:

Job Description

Senior Analyst, Performance Analytics -RBM Cardiac product focus, 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 supports both Medical Cost Management activities as well as Product Development efforts.

What You’ll Be Doing:

• Analyse claims and authorization data to identify trends, calculate cost of care, and identify opportunities for Evolent to add value to customers
• Working with peers and other teams to gather requirements and develop action plans to complete time sensitive projects more efficiently/effectively as well as identify opportunities for improving the reliability and validity of analytic reports
• Using programming skills to explore, examine and interpret large volumes of data in various forms to complete deliverables
• Communicate technical concepts and implications to internal/external business customers.
• Collaborating with internal/external business customers to understand their problems and objectives, solve business questions, and help them to achieve goals by performing statistical analysis, developing analytic models, creating data reports/dashboards using a variety of performance metrics

The Experience You’ll Need (Required):

• 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)
• 2-5 years of professional experience in claims-based healthcare analytics with a payer, provider, vendor, or related healthcare consulting entity.
• Strong proficiency with SQL, SAS, and Microsoft Excel
• Ability to communicate clearly with diverse stakeholders to solve problems; ability to translate between business needs and analytical needs
• Exceptionally strong analytical abilities, with track record of identifying insights from quantitative and qualitative data

Finishing Touches (Preferred):

• Master's Degree, especially with a quantitative focus (e.g. data science, machine learning, statistics, mathematics, computer science, or engineering)
• Familiarity with healthcare reimbursement methodologies and calculations such as DRGs, Revenue Codes, CPT Codes, RVUs, bundled payments, etc.
• Working knowledge of healthcare claims; specifically, differences between institutional vs professional billing and various sites of care/service
• 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
• Experience with other languages/platforms such as Python, R, SQL, Hadoop, AWS, ArcGIS
• Experience with BI tools (e.g. Power BI.) and Microsoft PowerPoint

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 $. 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.