Senior Analyst, Risk & Quality Analytics

It’sTimeForA Change…

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. Our pursuit of this mission is the driving power that brings us to work each day. We believe in embracing new ideas, testing ourselves and failing forward. We respect and celebrate individual talents and team wins. We have fun while working hard and Evolenteers often make a difference in everything from scrubs to jeans.

Are we growing? Absolutely. We have seen about 30% average growth over the last three years. Are we recognized? Definitely. We were named one of “Becker’s 150 Great Places to Work in Healthcare” in 2016, 2017, 2018 and 2019 and are proud to be recognized as a leader in driving important Diversity and Inclusion (D&I) efforts: Evolent achieved a 95% score on its first-ever submission to the Human Rights Campaign’s Corporate Equality Index; was named on the Best Companies for Women to Advance List 2020 by Parity.org; and we publish an annual Diversity and Inclusion Annual Report to share our progress on how we’re building an equitable workplace. We recognize employees that live our values, give back to our communities each year, and are champions for bringing our 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.

Who You’ll Be WorkingWith:

Member risk scoring and quality measures are essential to the next generation of payment mechanisms in healthcare. The Risk and Quality Analytics team at Evolent Health provides industry-leading intelligence around risk adjustment efforts for clients in Medicare Advantage, Next Generation ACOs, ACA Exchanges, and Medicaid. We are professionals who provide expertise on risk and quality score forecasting, revenue assessment, predictive suspecting, program evaluation, and strategic guidance related to our actuarial, finance, operations, and market teams leveraging advanced evaluative methodologies, data mining tools, analytics techniques (e.g., predictive modeling, optimization), and experimental study designs. If you want a part of solving one of the most interesting quantitative challenges in healthcare today, like we do, then the risk and quality analytics team is the place for you.

What You’ll Do:

The Analyst, Risk and Quality Analytics will be working with a highly-advanced team of actuaries and Risk and Quality Analysts to develop and maintain reporting capabilities.

• Analyze data, produce reports, and connect model output to client & program operations
• Become a resource for how risk adjustment applies to various lines of business
• Identify quality measure opportunities as they relate to different lines of business
• Quantify and forecast operational returns related to risk adjustment and HEDIS quality measures
• Work in a collaborative environment with other innovative professionals to design, develop, and maintain best-in-breed risk adjustment and quality reporting solutions that measure and forecast risk scores, forecast quality STARs, monitor suspecting model performance, and identify areas of improvement
• Use cutting edge analytic tools & techniques Like SQL and SAS to produce insights to improve our processes and research to share internally and externally.

• Bachelor’s degree with either a quantitative major (e.g. actuarial, statistics, economics, engineering, computer science, operations research, applied math) or healthcare major (health administration, public health)
• 4-6 years of experience in a health analytics, quantitative analyst, or software engineering / programming role
• Ability to understand and apply highly technical specifications to healthcare datasets
• Technical skills required in MS office and highly proficient programming skills – SAS, SQL, and/or Python. Experience with writing data Extract-Transform-Load (ETL) scripts in SQL or any other programming language with emphasis on loading & processing data files (CSV, Excel, Text, etc.).
• Strong verbal & written skills and excellent communication & presentation skills. Comfortable presenting complex analyses
• Collaborative working style with the ability to work across different organizations and personalities as well as comfort in a highly matrixed environment
• Ability to multitask, prioritize, adapt to change, work well under pressure in an entrepreneurial environment, meet deadlines, and manage a project from start to finish

Finishing Touches (Preferred):

• Experience applying Medicare, Medicaid, or ACA risk adjustment mode
• Experience applying Medicare STARS quality measures

Please list what academic qualifications the candidate must hold (i.e., bachelors, associates, etc.) below:

• Bachelors is preferred but programming specific associates maybe okay.

Work Environment:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This position primarily works in a climate controlled based setting. The noise level and the work environment are moderately quiet. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines

Physical demand:

Include the physical demands of the job, including bending, sitting, lifting and driving. For example, while performing the duties of this job, the employee is regularly required to talk or hear. The employee frequently is required to stand; walk; use hands to finger, handle or feel; and reach with hands and arms.

Why Join Evolent?

Named among Forbes’ 2014 America’s Most Promising Companies and Glassdoor’s 2015 Best Places to Work, Evolent provides an opportunity to work with top talent in an organization committed to career development. While we come from a variety of backgrounds, we pursue a singular mission: to change the health of the nation by changing the way health care is delivered