Senior Analyst, Client Analytics - 2+ years SQL & Healthcare Experience Needed

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 Client Analytics team offers candidates the opportunity to leverage data & analytics to drive actionable insights and strategies for our partners. We have a unique mix of health care domain and data expertise enabling analytics offerings relevant to our stakeholders’ needs. We are advocates for creating patient value and demonstrate this through our analytics offerings. We value humility, intellectual curiosity, creativity, accountability, and a growth mindset as we solve complex business problems.
 

Collaboration Opportunities:

The Senior Analyst, Client Analytics role will be serving key internal (Evolent Account Services & Specialty Ops) and external partners. This will include conveying actionable insights that drive Evolent’s value story and adapting to the organization’s evolving analytical needs.
 

What You Will Be Doing:

• Coordinating with key external/internal stakeholders to understand their data and business needs for ad hoc & regulatory reporting requirements with SAS and SQL
• Proactively interpreting business needs based upon given reporting requirements and actively seeking out clarity from the partner or internal stakeholders on those requirements as needed
• Identifying population health and cost savings opportunities for clients via data-driven insights utilizing SAS, SQL, Python and a Business Intelligence tool (e.g. PowerBI)
• Developing scalable solutions in Evolent’s key analytical offerings to legacy and prospective Evolent partners   
• Delivering findings in polished, client facing decks or curated insights-driven packets in narrative form
• Partnering with various internal stateside/global teams to deliver high quality analyses to clients
• Proactively interpreting business needs based upon given reporting requirements and actively seeking out clarity from the partner or internal stakeholders on those requirements as needed
   

Qualifications - Required and Preferred:

• 2+ years in an analytics & reporting role for developing analytical reports with complex regulatory/clinical requirements for healthcare lines of business – Required
• 2+ years of SAS, SQL Programming Experience with large amounts of healthcare claims and authorization data - Required
• 2+ years of experience using Microsoft Excel and PowerBI or a comparable BI tool to manipulate data and summarize reports – Required
• 2+ years experience in an analytical capacity with client-facing responsibilities – Required
• 2+ years experience in developing and summarizing membership trends, medical economic KPIs (e.g. PMPM), and drilling into cost/utilization patterns to identify cost/use drivers – Required
• Working knowledge of health plan billing and reimbursement structures associated with Commercial, Medicare, and Medicaid lines of business. Healthcare claims: specifically, differences between institutional vs professional billing and various sites of care/service - Required
• Familiarity with healthcare reimbursement methodologies and calculations such as DRGs, Revenue Codes, CPT Codes, RVUs, bundled payments, including value-based care and utilization management- Required.
• Experience in developing regulatory reporting requirements (i.e. NCQA, HEDIS, HSAG, Milliman) – Required.
• Strong communication, presentation, data visualization, and PowerPoint skills – Required
• Ability to convey the usefulness of reports and analysis to internal and external stakeholders who are unfamiliar with data and analytics. Including understanding data systems and the critical thinking skills to solve new problems while adapting to changes in the data architecture. - Required
• Coordinating with both onshore and global teammates on projects - Preferred
• Master's Degree, especially with a quantitative focus (e.g. data science, machine learning, statistics, mathematics, computer science