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Tech Stack
Tools & technologiesSQLTableau
About the role
Key responsibilities & impact- The Analyst, Performance Suite Analytics utilizes and develops analytic tools to solve complex business challenges as well as support decision making that can have a considerable impact on the organization and patient health.
- This role will support the Medical Cost Management activities, working in a Medical Economics team that supports Business Development and new product efforts.
- Support the underwriting of capitated risk proposals involving cost & use projections, trend selection/development, and estimation of Evolent’s ability to reduce cost and improve quality.
- Support the design of financial arrangements that are equitable for both Evolent and our Partners.
- Support the development of models and approaches aimed at quantifying and articulating our value.
- Perform research and analysis of complex healthcare claims, eligibility, and pharmacy data to make recommendations based on relevant findings.
- Draw actionable conclusions from analyses and effectively communicate to internal/external audiences at various levels of the enterprise.
- Translate analyses into Customer-ready deliverables using available visualization tools.
- Provide support and facilitate interaction with customers in a manner that fosters expertise and cooperation.
- Process and validate raw unadjudicated claims data.
- Use programming skills to explore, examine and interpret large volumes of data in various forms to complete deliverables with minimal assistance and oversight.
Requirements
What you’ll need- 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)
- 1-2 years of professional experience in claims-based healthcare analytics with a payer, provider, clinical vendor, managed care, or related healthcare consulting entity
- Ability to communicate clearly with diverse stakeholders to solve problems; ability to translate between business needs and analytical needs
- Exceptional analytical and communication skills with the ability to identify and translate insights from quantitative and qualitative data
- 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, bundled payments, etc. Preferred.
- Experience using data visualization software (s) to package analytical insights (Power BI, Tableau, or similar)- Preferred.
- Master’s Degree, especially with a quantitative focus (e.g. data science, machine learning, statistics, mathematics, computer science, or engineering)- Preferred.
- Working knowledge of healthcare claims; specifically, differences between institutional vs professional billing and various sites of care/service- Preferred.
- Familiarity with value-based care and utilization management- Preferred.
- Understanding of data systems and the critical thinking skills to solve new problems and adapt to changes in data architecture- Preferred.
Benefits
Comp & perks- health insurance benefits
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
SQLSASdata miningstatistical analysisdata manipulationMicrosoft Excelhealthcare claims analysisfinancial modelingquantitative analysisdata visualization
Soft Skills
analytical skillscommunication skillsproblem-solvingstakeholder engagementtranslating business needsactionable insightscollaborationcritical thinkingadaptabilitycustomer interaction
Certifications
Bachelor's degreeMaster's degree
