Job type full-time
Full job description
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 power that brings us to work each dayWe believe in embracing new ideas, testing 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? absolutelyWe have seen about 30% average growth over the last three yearsAre we recognized? definitelyWe were named one of “becker’s 150 great places to work in healthcare” in 2016, 2017, 2018 and 2019 and are proud to be recognized as a leader in driving important diversity and inclusion (d&i) efforts: evolent achieved a 95% score on its first-ever submission to the human rights campaign's corporate equality index; was named on the best companies for women to advance list 2020 by parity.org; and we publish an annual diversity and inclusion annual report to share our progress on how we’re building an equitable workplaceWe 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.
Senior analyst, risk analytics
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 is one of the most significant quantitative challenges facing these innovatorsEvolent’s team of experts in risk adjustment does it all – from data analytics & advanced modeling (e.gPredictive models & artificial intelligence), to designing, presenting, and implementing industry-leading solutions with our partnersThe analyst, risk adjustment analytics (formal title will be: senior analyst, risk and quality analytics) will be working with this highly-advanced team of actuaries and data scientists to develop and maintain risk adjustment 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 for various lines of business
Quantify and forecast program financial and operational returns related to risk adjustment
Work in a collaborative environment with other innovative professionals to develop best-in-breed risk adjustment reporting solutions
Explain highly technical details to non-technical audiences and develop supportive materials to educate executives and partners on model capabilities
Collaborate with other departments to deliver scalable solutions across disparate skillsets
Develop reporting capabilities to measure and forecast risk scores, monitor suspecting model performance, and identify areas of improvement
Monitor industry trends to influence future model 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):
1-3 years of professional experience in an analytics role at a health plan/payer/insurer, consulting firm, or hospital system
Data manipulation and analysis using sas, sql, or other relational databases
Proven ability to approach complex problems and design, execute, and communicate data-driven solutions
Motivation and a strong desire to learn about and focus on the complex challenge of risk adjustment in healthcare
Finishing touches (preferred):
Graduate degree with a quantitative, healthcare, or technical focus (e.g., science, math, statistics, actuarial sciences, health services management, computer science, engineering, informatics)
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
Exceptional presentation skills
Currently, evolent employees work remotely temporarily due to covid-19As such, we require that all employees have the following technical capability at their home: high speed internet over 10 mbps and, specifically for all call center employees, the ability to plug in directly to the home internet routerThese at-home technical requirements are subject to change with any scheduled re-opening of our office locations.
Evolent health is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.