
1001 - 5000 employees
⚕️ Healthcare Insurance
🏥 Healthcare
☁️ SaaS
Healthcare Insurance • Healthcare • SaaS
Evolent is a healthcare company focused on improving care outcomes through its comprehensive management solutions across multiple medical specialties. They aim to enhance the patient care journey by offering coordinated services in areas like oncology, cardiology, musculoskeletal disorders, and primary care, while ensuring high-quality treatment pathways and cost management. Evolent believes every person deserves quality care, striving to align treatment guidelines and innovative approaches to meet patient needs effectively.
🕒 June 29
🇺🇸 United States – Remote
💵 $80.3k / year
⏰ Full Time
🟢 Junior
🧐 Analyst
🦅 H1B Visa Sponsor
👻 Ghost score 55%
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1001 - 5000 employees
⚕️ Healthcare Insurance
🏥 Healthcare
☁️ SaaS
Healthcare Insurance • Healthcare • SaaS
Evolent is a healthcare company focused on improving care outcomes through its comprehensive management solutions across multiple medical specialties. They aim to enhance the patient care journey by offering coordinated services in areas like oncology, cardiology, musculoskeletal disorders, and primary care, while ensuring high-quality treatment pathways and cost management. Evolent believes every person deserves quality care, striving to align treatment guidelines and innovative approaches to meet patient needs effectively.
• Utilize and develop analytic tools to solve complex business challenges and support decision-making • Support Medical Cost Management activities within a Medical Economics team supporting Business Development and new product efforts • Support underwriting of capitated risk proposals involving cost and utilization projections, trend selection/development, and estimation of cost reduction and quality improvement • Support design of equitable financial arrangements for Evolent and its Partners • Develop models and approaches to quantify and articulate value • Research and analyze healthcare claims, eligibility, and pharmacy data • Draw actionable conclusions and communicate findings to internal and external audiences • Translate analyses into customer-ready deliverables using visualization tools • Support and facilitate customer interactions • Process and validate raw unadjudicated claims data • Use programming skills to explore, examine, and interpret large data volumes with minimal assistance and oversight
• Bachelor’s degree, preferably with a quantitative major or healthcare focus • 1-2 years of professional experience in claims-based healthcare analytics • Ability to communicate clearly with diverse stakeholders and translate between business and analytical needs • Exceptional analytical and communication skills • 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, and bundled payments • Experience using data visualization software such as Power BI or Tableau • Working knowledge of healthcare claims, including institutional versus professional billing and sites of care/service • Familiarity with value-based care and utilization management • Understanding of data systems and ability to adapt to changes in data architecture • High-speed internet over 10 Mbps at home • Must complete a comprehensive background check and in-person I-9 verification • May be subject to drug screening prior to employment • No sponsorships offered
• Work/life balance • Flexible work arrangements • Autonomy to get things done • Support, tools, and skills development • Health insurance benefits for qualifying employees
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