It’s time for a change… your future evolves here Evolent health has a bold mission to change the health of the nation by changing the way health care is deliveredOur pursuit of this mission is the driving force that brings us to work each dayWe believe in embracing new ideas, challenging ourselves and failing forwardWe respect and celebrate individual talents and team winsWe have fun while working hard and evolenteers often make a difference in everything from scrubs to jeans. Are we growing? absolutely about 40% in year-over-year revenue growth in 2018 Are we recognized? definitelyWe have been named one of “becker’s 150 great places to work in healthcare” in 2016, 2017, 2018 and 2019, and one of the “50 great places to work” in 2017 by washingtonianWe recognize employees that live our values, give back to our communities each year, and are champions for bringing our whole selves to work each dayIf you’re looking for a place where your work can be personally and professionally rewarding, don’t just join a company with a missionJoin a mission with a company behind it.
Evolent health has built a world-class team to help forward-looking health plans and providers succeed under new value-based care payment modelsRisk adjustment and quality measurement are some of the most significant quantitative challenges facing these innovatorsEvolent’s team of experts in risk adjustment & quality does it all – from data analytics & advanced modeling (e.gPredictive models & artificial intelligence), to designing, presenting, and implementing industry-leading solutions with our partnersThe associate director, risk & quality analytics will be working with this highly-advanced team of actuaries and data scientists to develop and maintain risk adjustment & quality improvement analytic capabilities.
Extract, transform, analyze, and summarize claims, member encounter, and other health data to answer business questions and provide exploratory analyses. Develop and provide subject matter expertise in risk adjustment & quality measurement for various lines of business Quantify and forecast program financial and operational returns related to risk adjustment & quality Work in a collaborative environment with other innovative professionals to develop best-in-breed risk adjustment & quality reporting solutions Explain highly technical details to non-technical audiences and develop supportive materials to educate executives and partners on capabilities Collaborate with other departments to deliver scalable solutions across disparate skillsets Develop reporting capabilities to measure and forecast risk scores & quality metrics, monitor suspecting model performance, and identify areas of improvement Monitor industry trends to influence future enhancements Use cutting edge tools & techniques to produce insights to improve our processes and research to share internally and externally
The experience you’ll need (required):
Bachelor’s degree in public health, computer science, statistics, actuarial science, economics, health science, health administration, or related field Strong technical abilities with advanced data and analytics tools and programming languages, with at least 1 year of experience in python or r and sql. Willingness to gain an understanding of medicare, medicaid, and aco risk adjustment and quality rating systems Collaborative working style with the ability to work across different departments and personalities as well as comfort in a highly matrixed and ambiguous environment Ability to handle multiple projects and timelines effectively 3-5 years of experience in a health analytics, quantitative analyst, or software engineering / programming role Ability to understand and apply highly technical specifications to healthcare datasets Ms office and proficient programming skills – sas, sql, and/or pythonExperience with writing data extract-transform-load (etl) scripts in sql or any other programming language with emphasis on loading & processing data files (csv, excel, text, etc.). Strong verbal & written skills and excellent communication & presentation skillsComfortable presenting complex analyses Collaborative working style with the ability to work across different organizations and personalities as well as comfort in a highly matrixed environment Ability to multitask, prioritize, adapt to change, work well under pressure in an entrepreneurial environment, meet deadlines, and manage a project from start to finish
Finishing touches (preferred):
Master’s degree in epidemiology, biostatistics, public health, data science, operations research, or related field Familiarity with ncqa/hedis, cms, or pqa quality measures Progress toward actuarial credentials Experience with predictive modeling or machine learning Familiarity with risk scoring models (e.g., cms-hcc, hhs-hcc, cdps) Experience with healthcare data sources (claims, billing data, eligibility, etc.) & detailed knowledge of cpt/hcpcs/icd9/icd10
Evolent health is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientan. #li-remote
Associate Director, Risk and Quality Analytics
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