Sr Analyst, Performance Suite Analytics

Evolent; San Juan (PR); Remote; USD 80,000 - 95,000; Full time

Job summary

A health care analytics company seeks a team member for the Performance Suite Analytics team. The role involves analyzing claims data, developing value-based care models, and collaborating with various departments. A bachelor's degree in a quantitative field and 1+ years of experience in healthcare analytics are required. Strong skills in SQL and data visualization software are essential. The position offers a competitive salary and bonus.

Benefits

Comprehensive health benefits

Flexible work/life balance

Qualifications

• 1+ years of experience in claims-based healthcare analytics.
• Advanced proficiency in SQL or SAS database/statistical programming.
• Familiarity with healthcare reimbursement methodologies.

Responsibilities

• Support strategic approach for value-based care pursuits.
• Develop models for quantifying value of care products.
• Analyze claims and operational data.

Skills

Analytical abilities

Communication skills

SQL proficiency

Data visualization software

Education

Bachelor’s degree in quantitative major

Tools

Power BI

Tableau

SAS

Microsoft Excel

Job description

Your Future Evolves Here

Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones.

Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business.

Join Evolent for the mission. Stay for the culture.

What You’ll Be Doing:

The Performance Suite Analytics team offers candidates the opportunity to generate meaningful impact through translating disparate data points into tangible insights and actions.

Our team values accuracy, collaboration, and innovation, ensuring that all team members receive the support, tools, and skills to positively contribute to Evolent’s broader mission.

This individual will serve as a key member of the Performance Suite Analytics team at Evolent. This individual will be primarily focused on distilling medical economics insights from product strategy analyses and translating them to complex risk-based contract development, and they will partner closely with executives across analytics, finance, product and account management.

What You Will Be Doing:

• Support Business Development & Product teams in developing the strategic approach for innovative and in-demand value-based care pursuits.
• Support the development of capitated risk partnerships, focusing on cost and use trends, and estimate Evolent’s ability to reduce costs and improve quality.
• Develop models to quantify and articulate value of new and existing value-based care products.
• Communicate actionable conclusions from analyses to internal/external audiences.
• Synthesize complex analyses into succinct presentations.
• Lead customer interactions fostering trust, expertise and cooperation.
• Extract, manage, and analyze claims and operational data using industry-standard metrics.
• Process and validate raw unadjudicated claims data.

Qualifications Required and Preferred:

• 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+ 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
• Exceptionally strong analytical abilities, with track record of identifying and communicating insights from quantitative and qualitative data
• Advanced or higher proficiency in SQL or SAS database/statistical programming languages and Microsoft Excel
• Experience using data visualization software (s) to package analytical insights (Power BI, Tableau, or similar)
• 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.
• Working knowledge of healthcare claims; specifically, differences between institutional vs professional billing and various sites of care/service is preferred
• Familiarity with value-based care and utilization management is preferred
• Understanding of data systems and the critical thinking skills to solve new problems and adapt to changes in data architecture is preferred

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 router.

Evolent 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. If you need reasonable accommodation to access the information provided on this website, please contact [e-mail] for further assistance.

The expected base salary/wage range for this position is $80,000-95,000. This position is also eligible for a bonus component that would be dependent on pre-defined performance factors. As part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees.