
1001 - 5000 employees
âïž Healthcare Insurance
đ„ Healthcare
âïž SaaS
Healthcare Insurance âą Healthcare âą 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.
đ August 4
đșđž United States â Remote
â° Full Time
đ Senior
đ§ Analyst
đŠ H1B Visa Sponsor
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1001 - 5000 employees
âïž Healthcare Insurance
đ„ Healthcare
âïž SaaS
Healthcare Insurance âą Healthcare âą 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.
âą Analyze healthcare utilization, authorization, and claims data to identify trends, cost drivers, and opportunities for improvement âą Perform complex data analysis using SQL, Power BI, or Excel âą Update, review, and maintain actuarial or financial models supporting gainshare and ROI arrangements and forecasting âą Develop and maintain reports, dashboards, and performance metrics âą Automate and optimize recurring reports and ad hoc analyses âą Review and QA output, identify trends, and communicate key information to non-analytics teams âą Create exhibits and presentations documenting and communicating financial analyses or actuarial modeling results âą Partner with Clinical Ops, Product, Finance, and external clients to gather requirements and deliver actionable insights âą Develop custom ad hoc logic with stakeholder direction and oversight âą Participate in standups, client calls, and cross-functional project teams âą Communicate findings to non-technical audiences âą Translate business questions into analytical problems and deliver data-driven solutions âą Identify data gaps, propose solutions, and guide resolution efforts âą Improve data reliability, reporting efficiency, and analytical methodologies âą Peer review reports and presentations and train junior team members in presentation best practices âą Contribute to scalable, repeatable analytics solutions âą Build and apply knowledge of U.S. healthcare systems, claims, reimbursement models, and regulatory frameworks âą Stay current on healthcare analytics trends and best practices
âą Bachelor's degree âą 4+ years of experience in healthcare data analysis or a similar role âą Strong proficiency in SQL, Excel, and data visualization tools âą Ability to join multiple data sources and use pivot tables and aggregation methods to summarize data across multiple dimensions âą Proficiency with healthcare data including medical, pharmacy, and ancillary claims data, membership data, clinical operational data (UM & CM), or other healthcare data âą High-speed internet over 10 Mbps at home âą Final interviews may require onsite attendance âą Comprehensive background check âą In-person I-9 verification âą May be subject to drug screening prior to employment âą Artificial intelligence tools are prohibited during interviews âą Preferred: Experience with value-based analyses or Medicaid âą Preferred: Experience with financial analysis, forecasting, or actuarial analyses âą Preferred: Exceptional analytical and mathematical skills âą Preferred: Ability to communicate complex analyses effectively âą Preferred: Demonstrated problem-solving skills and attention to detail âą Preferred: Ability to excel in a highly matrixed environment and adapt to change âą Preferred: Progress towards Associate of the Society of Actuaries
âą Work/life balance âą Flexible work arrangements âą Autonomy to get things done âą Health insurance benefits for qualifying employees
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