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Sr Analyst, Clinical Analytics

Evolent
Work at Homefull_timeVerifiedPosted 30 Oct 2023
💰 $80,000/yr

About the role

Your Future Evolves Here

Evolent Health has a bold mission to change the health of the nation by changing the way health care is delivered. Evolenteers make a difference wherever they are, whether it is at a medical center, in the office, or while working from home across 48 states. We empower you to work from where you work best, which makes juggling careers, families, and social lives so much easier. Through our recognition programs, we also highlight employees who live our values, give back to our communities each year, and are champions for bringing their whole selves to work each day. If you’re looking for a place where your work can be personally and professionally rewarding, don’t just join a company with a mission. Join a mission with a company behind it.

Why We’re Worth the Application:

  • We continue to grow year over year.
  • Recognized as a leader in driving important diversity, equity, and inclusion (DE&I) efforts.
  • Achieved a 100% score two years in a row on the Human Rights Campaign's Corporate Equality Index recognizing us as a best place to work for LGBTQ+ equality.
  • Named to Parity.org’s list of the best companies for women to advance for 3 years in a row (2020, 2021 and 2022).
  • Continue to prioritize the employee experience and achieved a 90% overall engagement score on our employee survey in May 2022.
  • Publish an annual DE&I report to share our progress on how we’re building an equitable workplace.

What You’ll Be Doing:

Who You’ll Be Working With:

A senior analyst, RASQ Analytics will be working with a highly advanced team of analysts, actuaries, and data scientists to develop and maintain risk adjustment & quality improvement analytic capabilities.

What You’ll Be Doing:

  • Extract, transform, analyze, and summarize claims, member encounter, and other health data to answer business questions and provide exploratory analyses.

  • 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.

  • Explain highly technical details to non-technical audiences and develop supportive materials to educate executives and partners on capabilities.

  • 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

  • Deep knowledge of Risk Adjustment methodologies/programs and related functional areas.

  • Strong technical abilities with advanced data analytics tools and programing languages with an emphasis on loading & processing data files, including:

    • 2-3 plus years’ experience in SQL, SAS and or Python.

    • Writing data Extract-Transform-Load (ETL) scripts in SQL and or (CSV, Excel, Test, etc.)

  • Ability to understand and apply highly technical specifications to healthcare datasets.

  • Strong verbal & written skills and excellent communication & presentation skills. Comfortable presenting complex analyses

Finishing Touches (Preferred):

  • Master’s degree in epidemiology, biostatistics, public health, data science, operations research, or related field

  • 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

Technical Requirements:

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Company

Evolent

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