Senior Analyst, Performance Suite Analytics

Evolent

76d • $80,000 - $90,000

About The Position

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.

Requirements

• 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

Nice To Haves

• 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

Responsibilities

• 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

Benefits

• Comprehensive health insurance benefits
• Bonus component dependent on pre-defined performance factors

What This Job Offers

• Career Level: Mid Level
• Education Level: Bachelor's degree
• Number of Employees: 1,001-5,000 employees