Evolent

Actuary

• Analyze claims and authorization data to identify trends, calculate cost of healthcare, and identify medical cost savings opportunities for customers
• Perform rigorous actuarial modeling and forecasting to support gainshare and ROI arrangements
• Streamline documentation and processes to improve efficiency of key deliverables
• Support ad hoc analyses to support data-driven insights to answer specific business questions that arise from company leadership and partners
• Ability to work independently with cross-functional teams
• Consistently deliver high-quality, error-free deliverables
• Communicate actuarial concepts and concerns within actuarial department
• Interact with teams of actuaries and non-actuaries, including support for team engagement and strategy

Analyst, Actuarial Services

• Analyze claims and authorization data to identify trends, calculate cost of healthcare, and identify medical cost savings opportunities for customers
• Perform rigorous actuarial modeling and forecasting to support gainshare and ROI arrangements
• Incorporate business expectations for the financial impacts of clinical integration, population management processes, provider contracts, and benefit structures into rates and financial projections
• Manage organizational risk through forecasting of financial/statistical data in a manner which is actuarially sound
• Ability to lead and work independently with cross-functional teams
• Consistently deliver high-quality, error-free deliverables
• Manage several projects at varying phases, and ensure projects meet strategic objectives and are managed to timelines
• Interact with and coach teams of actuaries and non-actuaries, including support for team engagement and strategy
• Present reports and analyses to clients and internal executives
• Manage a junior actuarial team member

Director, Actuarial Services

Project Manager

• Guide day-to-day activities for at least one strategic initiative or partner project
• Develop, monitor, and manage project work plan, deliverables, and activities
• Independently facilitate project meetings and effectively communicate project status
• Identify and manage dependencies and project impacts across business areas
• Proactively identify, monitor, document, and communicate project risks and issues
• Hold project team accountable to critical path timelines to ensure deadlines are met
• Work closely with program manager and partner collaboratively with project stakeholders across functional areas
• Craft communications by considering both the audience and situation

Project Manager – Implementation

Director

• Leading the analytics partnership with Business Development & Product teams in developing the strategic approach for innovative and in-demand value-based care pursuits
• Serving as a strategic partner of our analytics capabilities and processes related to the development/underwriting of capitated risk proposals including cost & use projections, trend selection/development, and estimation of Evolent’s ability to reduce cost and improve quality
• Leading a team in the analysis and interpretation of cost and utilization data (medical and pharmaceutical) to explain potential upside/downside risks of a given arrangement/proposal.
• Partnering with actuarial, finance, and analytics teams to incorporate new products and strategy innovations into existing analytical models and reporting frameworks
• Developing analytical models and synthesizing complex analyses into succinct presentations for internal & external stakeholder buy-in
• Assisting in the development of budgets and forecasts for each new business relationship and packaging key insights for tracking performance
• Collaborating with partner departments to establish best practice processes and efficient workstreams from end to end of the proposal process in terms of prospecting clients, qualifying/outlining a suitable proposal, data intake, analysis, proposal development/communication, client alignment, contracting, and implementation
• Using programming skills to explore, examine and interpret large volumes of data in various forms to complete deliverables with minimal oversight
• Leading and facilitating interaction with customers in a manner that fosters trust, expertise and cooperation
• 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
• Managing, mentoring, and coaching analysts with tasks noted above
• Setting clear goals and objectives and using metrics to measure performance while holding staff accountable

Director, Performance Suite Analytics

Medical Director

• Serve as the Physician match reviewer in Imaging cases
• Discusses determinations (peer to peer phone calls) with requesting physicians or ordering providers
• Utilizes medical/clinical review guidelines and parameters
• Ensures documentation of all communications with medical office staff and/or MD provider is recorded
• May assist the Senior Medical Director in research activities/questions related to the Utilization Management process
• Participates in ongoing training per inter-rater reliability process

Field Medical Director, Radiology – Part Time

• Serve as the Physician match reviewer in Imaging cases
• Discuss determinations (peer to peer phone calls) with requesting physicians or ordering providers
• Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review process
• Ensures documentation of all communications with medical office staff and/or MD provider is recorded in a timely and accurate manner
• May assist the Senior Medical Director in research activities/questions related to the Utilization Management process
• Participates in on-going training per inter-rater reliability process.

Field Medical Director, Radiology

Accountant

• Preparing accounting transactions across range of business processes (e.g., revenue, accounts receivables, deferred revenue)
• Preparing monthly reconciliations
• Assisting with variance analysis (month-over-month, quarter-over-quarter, etc.)
• Tracking customer aging and preparing cash application
• Supporting the quarterly and annual financial statement audits with auditors
• Participating in special projects, as needed

Staff Accountant, Senior Accountant I

Vice President

• Account/ Relations Management – provide corporate, executive and overall account management for designated client partners, including the CEO, CFO, CMO, pharmacy leadership, clinical operations/UM, medical economics/actuarial services/analytics, and vendor management.
• Performance Management – maintain overall accountability for partner value and ROI performance of designated client partners.
• Partner/Provider Satisfaction – maintain overall accountability for the satisfaction of designated partners.
• Initiative Deployment – accountable for client-specific deployment of clinical, product/platform, and operational improvement initiatives to improve performance, satisfaction, and clinical quality/outcomes.
• Teamwork/Collaboration – serves as a liaison between the customer and key Evolent stakeholders; monitors issue resolution and ensures appropriate, timely follow up by Evolent team members.
• Staff Management – manages assigned staff as requested to optimize the performance and satisfaction of designated client partners, their provider networks, and where applicable, ASO employer accounts.

Vice President, Strategic Accounts

Financial Planning and Analysis

• The Director of Financial Planning & Analysis (FP&A) is a key finance role responsible for overseeing the company’s budgeting, forecasting, financial reporting, and cash flow planning processes.
• This role partners closely with leadership, revenue cycle, and department leaders to provide actionable financial insights that support growth, operational excellence, regulatory compliance, and long-term sustainability within a healthcare environment.
• The Director will lead enterprise-wide financial planning processes, enhance reporting capabilities, and drive financial discipline across the organization while ensuring alignment with strategic objectives.

Director, Financial Planning and Analysis

• Lead and mentor a team that consists of Associate Director and Account Manager level associates, providing ongoing direction, feedback and support
• Supporting an assigned book of business strategically to achieve objectives, including relationship development, growth, retention, and customer objectives
• Manage risks and developing opportunities associated with current clients
• Cultivate productive, trusted relationships with key executives – including C-level and both internal and external stakeholders of relationships
• Utilize data-driven resources to run efficient/effective meetings and work sessions with the client and all relevant Subject Matter Expert (SME)s, both internal and external
• Possess working knowledge of Evolent products and services and can articulate value proposition for all at a high level
• Develop best-in-class presentation strategies, narratives, and content to support external meetings with senior stakeholders
• Lead regular Partnership review meetings for each client, including strategic account planning, relationship mapping, competitive market analysis and issue management
• Advocate for partner culture, serve as an ambassador within Evolent and the go-to expert on client priorities and how to get things done within the health plan organization
• Aggressively manage all aspects of the contracts with assigned clients as well as ensure ongoing contract performance through risk management activities including assurance of Service Level Agreement performance, rate/savings maximization through ongoing benefit analysis and adherence to requirements of the client’s legal and regulatory environment

Director, Strategic Accounts

Analyst

• Monitor call center resources and workloads real-time to ensure Inbound, Clinical Case Work and Back Office client specific performance guarantee targets and service performance goals are achieved by optimizing resources
• Forecast weekly, daily and Interval Inbound, Clinical Case Volumes, and Back Office workloads based on historical trends and key business drivers to determine staffing needs and employee schedules required to achieve client specific performance guarantee targets and service performance goals
• Work closely with the leadership of Inbound, Clinical Reviewers and Back Office teams on optimization of Workforce Engagement tools (Workforce, Performance, Quality, Telephony)
• Ensuring the accuracy and timeliness of WFM reporting of team and overall performance reporting for both internal and external distribution.

Workforce Planning Analyst – Case Management

Full-stack Engineer

• Create highly intuitive frontend and user experience (UX) solutions for clinicians which integrate AI features
• Coordinate projects through the full software development lifecycle including design, development, testing, and operating in production
• Develop software solutions to achieve a high level of modularity, reusability, scalability, and security
• Independently develop designs for straightforward UI features without the support of a UX Designer
• Collaborate with the product and UX teams to enhance the company’s product offerings
• Participate in development sprint reviews, sprint planning, and Scrum team meetings
• Participate in frequent product development work

Lead Software Engineer

Platform Engineer

• Building a best‑in‑class, Azure‑driven cloud networking environment that supports a rapidly evolving, multi‑cloud ecosystem.
• Design, implement, and manage Azure networking components including VNets, VNet peering, Private Endpoints, Application Gateways, Load Balancers, NSG, Azure DNS, Azure Firewall, and ExpressRoute.
• Applying your physical and cloud‑based network design expertise to interconnect systems using WAF (i.e Cloudflare), firewalls, load balancers, and routing protocols (BGP) across a predominantly cloud‑based infrastructure.
• Partnering closely with infosec, engineering, and operations teams to shape a forward‑looking network architecture strategy aligned with the company’s growth.
• Serving as the network Subject Matter Expert (SME), elevating team knowledge and cultivating strong relationships with key leaders and architects.
• Reporting directly to the Director of Site Reliability Engineering, with a strong dotted‑line partnership to the Platform Engineering Network Manager.
• Implement Infrastructure as Code (IaC) for networking, including automated provisioning of VNets, BGP routing, firewall rules, load balancers, F5 policies using Terraform, Ansible, and GitOps workflows.
• Participate in Root Cause Analysis (RCA) and drive true remediation to prevent recurrence.

Platform Engineer, Network

Account Manager

• The Account Manager will have a unique insight to the various idiosyncrasies of the individual markets and be directly and indirectly responsible for their outputs.
• Proactively manage client operational end to end resolution in a timely manner.
• Client-facing for all associated role responsibilities.
• Development and management of monthly, quarterly, and annual client reporting.
• In addition to quality review and client Q & A reporting.
• Understand and monitor performance to PG/ SLA expectations.
• Track and/or monitor a client’s requirements/projects to the agreed upon specifications.
• Run efficient/effective meetings and work sessions with the client and all relevant Subject Matter Experts (SME).
• Take a proactive approach to managing the client and anticipating needs to ensure satisfaction and a continued business relationship.
• Maintain a sound knowledge of the client’s business and a comprehensive knowledge of Evolent’s specialty products and services.
• Demonstrate general awareness of standardized and documented Evolent structure, functional objectives, and capabilities to manage client expectations.
• Serve as a liaison between the client and key Evolent stakeholders related to issues, client projects, and initiatives.
• Collaborate with internal stakeholders to resolve issues or find solutions.
• Utilize Evolent systems and tools to effectively field questions and manage client requirements efficiently (i.e. reporting, eligibility files, provider files).
• Review and validate accuracy of client deliverables prior to external distribution.