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Analyst, Performance Suite Analytics

AnalystAnalystFull TimeRemoteJuniorTeam 1,001-5,000H1B SponsorCompany SiteLinkedIn

Location

United States

Posted

70 days ago

Salary

$65K / year

Seniority

Junior

Bachelor Degree1 yr expEnglishSQLTableau

Job Description

Analyst, Performance Suite Analytics

Evolent

• The Analyst, Performance Suite Analytics utilizes and develops analytic tools to solve complex business challenges as well as support decision making that can have a considerable impact on the organization and patient health. • This role will support the Medical Cost Management activities, working in a Medical Economics team that supports Business Development and new product efforts. • Support the underwriting of capitated risk proposals involving cost & use projections, trend selection/development, and estimation of Evolent’s ability to reduce cost and improve quality. • Support the design of financial arrangements that are equitable for both Evolent and our Partners. • Support the development of models and approaches aimed at quantifying and articulating our value. • Perform research and analysis of complex healthcare claims, eligibility, and pharmacy data to make recommendations based on relevant findings. • Draw actionable conclusions from analyses and effectively communicate to internal/external audiences at various levels of the enterprise. • Translate analyses into Customer-ready deliverables using available visualization tools. • Provide support and facilitate interaction with customers in a manner that fosters expertise and cooperation. • Process and validate raw unadjudicated claims data. • Use programming skills to explore, examine and interpret large volumes of data in various forms to complete deliverables with minimal assistance and oversight.

Job Requirements

  • 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)
  • 1-2 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
  • Exceptional analytical and communication skills with the ability to identify and translate insights from quantitative and qualitative data
  • Proficiency in SQL or SAS database/statistical programming languages or related programming language
  • Advanced proficiency in Microsoft Excel
  • 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. Preferred.
  • Experience using data visualization software (s) to package analytical insights (Power BI, Tableau, or similar)- Preferred.
  • Master’s Degree, especially with a quantitative focus (e.g. data science, machine learning, statistics, mathematics, computer science, or engineering)- Preferred.
  • Working knowledge of healthcare claims; specifically, differences between institutional vs professional billing and various sites of care/service- Preferred.
  • Familiarity with value-based care and utilization management- Preferred.
  • Understanding of data systems and the critical thinking skills to solve new problems and adapt to changes in data architecture- Preferred.

Benefits

  • health insurance benefits

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