Analyst, Performance Suite Analytics

Evolent

About The Position

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. 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.

Requirements

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)
1-2 years of professional experience in claims-based healthcare analytics with a payer, provider, clinical vendor, managed care, or related healthcare consulting entity
Ability to communicate clearly with diverse stakeholders to solve problems; ability to translate between business needs and analytical needs
Exceptional analytical and communication skills with the ability to identify and translate insights from quantitative and qualitative data
Proficiency in SQL or SAS database/statistical programming languages or related programming language
Advanced proficiency in Microsoft Excel
Experience in data mining, advanced/ statistical analysis, and data manipulation
Familiarity with healthcare reimbursement methodologies and calculations such as DRGs, Revenue Codes, CPT Codes, RVUs, bundled payments, etc.

Nice To Haves

Experience using data visualization software (s) to package analytical insights (Power BI, Tableau, or similar)
Master’s Degree, especially with a quantitative focus (e.g. data science, machine learning, statistics, mathematics, computer science, or engineering)
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

Responsibilities

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.
Support the design of financial arrangements that are equitable for both Evolent and our Partners.
Support the development of models and approaches aimed at quantifying and articulating our value.
Perform research and analysis of complex healthcare claims, eligibility, and pharmacy data to make recommendations based on relevant findings.
Draw actionable conclusions from analyses and effectively communicate to internal/external audiences at various levels of the enterprise.
Translate analyses into Customer-ready deliverables using available visualization tools.
Provide support and facilitate interaction with customers in a manner that fosters expertise and cooperation.
Process and validate raw unadjudicated claims data
Use programming skills to explore, examine and interpret large volumes of data in various forms to complete deliverables with minimal assistance and oversight.