Sr Analyst, EAS Client Analytics

Evolent

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. A Sr Analyst works on the creation of insights and sharing of information with different stakeholder groups within Evolent and Evolent’s partners.

Requirements

Bachelor's degree.
4+ years of experience in healthcare data analysis or similar role.
Strong proficiency in SQL, Excel and data visualization tools, including the ability to join multiple data sources and use pivot tables and aggregation methods to summarize data across multiple dimensions.
Proficiency with healthcare data including medical, pharmacy, and ancillary claims data, membership data, clinical operational data (UM & CM), or other healthcare data.

Nice To Haves

Experience with value-based analyses or Medicaid
Experience with financial analysis, forecasting or actuarial analyses
Exceptional analytical and mathematical skills
Ability to communicate complex analyses effectively
Demonstrated problem solving skills and attention to detail
Ability to excel in highly matrixed environment and adapt to change
Bachelor's degree with a quantitative (e.g., actuarial, statistics, operations research, engineering, mathematics, economics, finance) or healthcare (e.g., health administration, epidemiology, public health, biology) focus or major.
Progress towards Associate of the Society of Actuaries

Responsibilities

Analyze healthcare utilization, authorization, and claims data to identify trends, cost drivers, and opportunities for improvement.
Perform complex data analysis using SQL, PowerBI or Excel to support internal and external stakeholders.
Update, review, and maintain actuarial or financial models to support gainshare and ROI arrangements, as well as forecasting.
Develop and maintain reports, dashboards, and performance metrics using tools like SQL, PowerBI, and Excel.
Automate and optimize recurring reports and ad-hoc analyses.
Review and QA output, identify trends independently, and communicate key information to teams outside analytics.
Create exhibits and presentations that document, summarize, and communicate results of financial analyses or actuarial modeling.
Partner with internal teams (e.g., Clinical Ops, Product, Finance) and external clients to gather requirements and deliver actionable insights.
Develop custom ad hoc logic with direction from client or customer stakeholders with oversight.
Participate in standups, client calls, and cross-functional project teams.
Clearly communicate findings to non-technical audiences.
Create polished presentations and narratives that highlight key insights and recommendations.
Translate business questions into analytical problems and deliver data-driven solutions.
Identify data gaps, propose solutions, and guide resolution efforts.
Identify opportunities to improve data reliability, reporting efficiency, and analytical methodologies.
Peer review others reports and presentations for consistence, alignment and formatting and train more junior team members in presentation best practices.
Contribute to the development of scalable, repeatable analytics solutions.
Build and apply knowledge of U.S. healthcare systems, including claims, reimbursement models, and regulatory frameworks.
Stay current on industry trends and best practices in healthcare analytics.