Key leader of the analytics partnership with Client & Product teams to outline strategic approach for current risk partnerships, various value-based care models, financial/quality based metrics, and provide discovery and product design analytical support.
Serving as strategic owner of our analytics capabilities and processes related to evaluating performance with our capitated risk partnerships including cost & use projections, financial reconciliations, and providing insight in utilization drivers.
Analyze performance capitated risk partnerships, focusing on cost and use trends, and estimate Evolent’s ability to reduce costs and improve quality.
Assisting in the development of budgets and forecasts for each client and packaging key insights for tracking performance.
Leading and facilitating interactions with existing customers in a manner that fosters trust in Evolent’s expertise and a spirit of collaboration.
Collaborating with internal/external business customers to understand their problems and objectives, solve business questions, and help them to achieve goals by performing statistical analysis, developing analytic models, creating data reports/dashboards using a variety of performance metrics.
Partnering with other analytical, product and IT leaders in assessing new and existing analytical tools and continuously improving analytical processes.
Managing, mentoring, and coaching members of the team.
Setting clear goals and objectives using metrics to measure performance while holding staff accountable.
Develop models to quantify and articulate value.
Communicate actionable conclusions from analyses to executive internal/external audiences.
Extract, manage, and analyze claims and operational data using industry-standard metrics.

Requirements

Bachelor’s degree, preferably with a quantitative major (e.g. actuarial, statistics, operations research, mathematics, economics) or healthcare focus (health administration, epidemiology, public health, biology)
At least 5 years of professional experience in claims-based healthcare analytics with a payer, provider, vendor, managed care, or related healthcare consulting entity
Extensive knowledge of healthcare claims; specifically, differences between institutional vs professional billing and various sites of care/service
Previous Experience with healthcare reimbursement methodologies and calculations such as Fee for Service, value based care approaches, bundled payments, etc.
Advanced or higher proficiency in Microsoft Excel
Advanced or higher proficiency in SQL or SAS database/statistical programming languages
Moderate Proficiency in Microsoft PowerPoint
Knowledge of health insurance financial business cycle, healthcare quality reporting, and benchmarking
Ability to communicate clearly with diverse stakeholders to solve problems; ability to translate between business needs and analytical needs
Exceptionally strong analytical abilities, with track record of identifying insights from quantitative and qualitative data
Prior people management experience
Ability to work independently with limited oversight.

Benefits

Health insurance benefits
Bonuses

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard skills

healthcare analyticsstatistical analysisdata reportingbudgetingforecastingclaims analysisanalytical modelingcost projectionsfinancial reconciliationperformance metrics

Soft skills

leadershipcollaborationcommunicationproblem-solvingmentoringcoachinggoal settingaccountabilitytrust buildingindependent work