Associate Director, Medical Economics - Healthcare

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:

Associate Director, Medical Economics - Healthcare Experience Required

Our Research & Development team offers candidates the opportunity to explore new ways to promote appropriate and high-value care and improve clinical efficiencies which have meaningful impacts for our patients, providers, and partners. Our team values curiosity, continuous learning, and collaboration as we tackle some of the most challenging questions facing healthcare.

Collaboration Opportunities:

As an Associate Director on the Research and Development (R&D) team, you will be joining a group of multidisciplinary individuals with a passion for using analytics to drive innovation. You will have the opportunity to work within a team, shape team culture, and directly impact our offerings within a high-growth organization. You will interact with a broad range of subject matter experts from Clinicians to Healthcare Administration Specialists to understand some of the biggest issues in Healthcare. You will work closely with Data Science, Product, and select Business Units to find opportunities to advance Evolent’s mission to change the way healthcare is delivered.

What You’ll Be Doing:

• The Associate Director, Research and Development (R&D) will help lead the development of proof of concepts (POCs), identify automation and efficiency opportunities, and surface product optimization methods which empower healthcare payers, providers, and patients to optimize clinical interventions and reduce healthcare costs. This individual will apply their knowledge of healthcare and data analysis to Evolent products, platforms, data sources, and applications to provide recommendations and support our business. Recommendations will be evaluated for business impact and subsequently implemented into Evolent’s platforms and applications.

• Work with business stakeholders to identify high volume, manual, recurring processes ripe for automation using tools such as rules, robotic process automation (RPA), and Artificial Intelligence (AI)

• Work with the Medical team to define new ways to measure clinical value that inform value-based clinical pathways.

• Work with internal and external stakeholders to develop new value-based care initiatives.

• Rapidly prototype ideas, approaches, and methods

• Develop analysis plans and manage timelines for project deliverables.

• Communicate findings to team leadership and partner with teams who will translate findings into actions.

Qualifications - Required and Preferred:

• 4+ years of healthcare industry experience or related fields- Required.

• Bachelor’s degree in related fields such as Computer Science, Applied Mathematics, Statistics/Biostatistics, Software Engineering, Physics, Informatics, or Public Health from a strong academic program - Required.

• 2+ years applying one or more of the following languages (SQL, Python, SAS, R) in an analytics role/setting– Required.

• Programming experience, including understanding concepts in data structures, relational databases, algorithms- Required

• Experience with data visualization tools to communicate insights effective - Required.

• Experience applying Statistics, Data Science, or AI capabilities and concepts - Required.

• Independent, self-motivated, ability to work in ambiguity with little oversight – Required.

• Master’s or PhD in a field listed above with a focus on Artificial Intelligence, Machine Learning, Computational Linguistics, or another related field – Preferred.

• Experience with medical coding (CPT, ICD-10, DRG, REV, etc.) – Preferred.

• Experience with administrative healthcare claims and prior authorization data- Preferred.

Technical Requirements:

We require that all employees have the following technical capability at their home: High speed internet ove