Senior Analyst, Performance Suite Analytics

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $85k - $95k / year

⏰ Full Time

🟠 Senior

🧐 Analyst

🦅 H1B Visa Sponsor

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Evolent

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.

📋 Description

• Develop and use analytic tools to solve complex business challenges and support organizational and patient-health decision-making • Support development and underwriting of capitated risk proposals, including cost and utilization projections, trend selection/development, and estimating Evolent’s ability to reduce cost and improve quality • Support design of equitable financial arrangements for Evolent and its partners • Develop models and approaches to quantify and articulate Evolent’s value • Research and analyze complex 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 • Lead and facilitate customer interactions • Process and validate raw unadjudicated claims data • Explore, examine, and interpret large data volumes using programming skills with minimal assistance and oversight • Support Medical Cost Management, Business Development, and new product efforts

🎯 Requirements

• Bachelor’s degree, preferably with a quantitative major or healthcare focus • 1-3 years of professional experience in claims-based healthcare analytics • Ability to communicate clearly with diverse stakeholders and translate between business and analytical needs • Exceptionally strong analytical abilities and demonstrated ability to identify and communicate insights from quantitative and qualitative data • Advanced or higher proficiency in SQL or SAS and Microsoft Excel • Experience using data visualization software such as Power BI, Tableau, or similar • Experience in data mining, advanced/statistical analysis, and data manipulation • Familiarity with healthcare reimbursement methodologies and calculations, including DRGs, Revenue Codes, CPT Codes, RVUs, and bundled payments • Master’s degree with a quantitative focus preferred • Working knowledge of healthcare claims, including institutional versus professional billing and sites of care/service preferred • Familiarity with value-based care and utilization management preferred • Understanding of data systems and ability to adapt to changes in data architecture • High-speed internet over 10 Mbps at home • Ability to complete identity verification, comprehensive background check, in-person I-9 verification, and potentially drug screening prior to employment

🏖️ Benefits

• Work/life balance • Flexible work arrangements • Autonomy to get things done • Comprehensive benefits, including health insurance benefits, for qualifying employees • High-speed internet over 10 Mbps required at home

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