Sr Analyst, Medical Economics

Company: Evolent Health
Location: Santa Fe
Posted on: November 26, 2022

Job Description:

Your Future Evolves HereNew Century Health (NCH) has been transforming the delivery of specialty care and driving radical cost and quality improvement across the member journey for patients with cancer and cardiovascular disease. As part of Evolent Health, we are on 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 youre looking for a place where your work can be personally and professionally rewarding, dont just join a company with a mission. Join a mission with a company behind it.Why Were Worth the Application:

• We continue to grow year over year.
• Recognized as a leader in driving important diversity, equity, and inclusion (DE&I) efforts (https://www.evolenthealth.com/diversity) .
• Achieved a 100% score two years in a row on the Human Rights Campaign's Corporate Equality Index making us a best place to work for LGBTQ+ equality.
• Named to Parity.orgs 2020 list of the best companies for women to advance (https://www.evolenthealth.com/about-us/press-releases/8579/evolent-health-named-to-parity.org%E2%80%99s-best-companies-for-women-to-advance-list-2021) .
• Continued to prioritize the employee experience and achieved an 87% overall engagement score on our last employee survey.
• Published an annual DE&I report (https://dev.evolenthealth.com/sites/default/files-public/Evolent%20Health%202020%20DE%26I%20Annual%20Report.pdf) to share our progress on how were building an equitable workplace.What Youll Be Doing:Who Youll Be Working With:The Senior Analyst, Medical Economics 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 supports both Medical Cost Management activities as well as Business Development efforts.What Youll Be Doing:
  • Analyze utilization and authorization data to identify trends, calculate cost of healthcare, and identify opportunities for New Century Health to add value to customers
  • Working with peers and other teams to gather requirements and develop action plans to complete time sensitive projects more efficiently/effectively as well as identify opportunities for improving the reliability and validity of analytic reports
  • Using programming skills to explore, examine and interpret large volumes of data in various forms to complete deliverables
  • Communicate technical concepts and implications to internal/external business customers.
  • Collaborating with internal/external business customers to understand their problems and objectives, solve business questions, and help them to achieve goals by performing statistical analysis, developing analytic models, creating data reports/dashboards using a variety of performance metricsThe Experience We Prefer:
    • Bachelors degree, preferably with a quantitative major (e.g. actuarial, statistics, operations research, mathematics, economics) or healthcare focus (health administration, epidemiology, public health, biology)
    • 2-5 years of professional experience in claims-based healthcare analytics with a payer, provider, vendor, or related healthcare consulting entity.
    • Strong proficiency with SQL, SAS, and Microsoft Excel
    • Ability to communicate clearly with diverse stakeholders to solve problems; ability to translate between business needs and analytical needs
    • Exceptionally strong analytical abilities, with track record of identifying insights from quantitative and qualitative dataFinishing Touches:
      • Master's Degree, especially with a quantitative focus (e.g. data science, machine learning, statistics, mathematics, computer science, or engineering)
      • Familiarity with healthcare reimbursement methodologies and calculations such as DRGs, Revenue Codes, CPT Codes, RVUs, bundled payments, etc.
      • Working knowledge of healthcare claims; specifically, differences between institutional vs professional billing and various sites of care/service
      • Familiarity with value-based care and utilization management
      • Understanding of data systems and the critical thinking skills to solve new problems and adapt to changes in data architecture
      • Experience with other languages/platforms such as Python, R, SQL, Hadoop, AWS, ArcGIS
      • Experience with BI tools (e.g. Power BI.), Visual Basic, and Microsoft PowerPointTechnical Requirements:Currently, Evolent employees work remotely temporarily due to COVID-19. As such, we require that all employees have the following technical capability at their home: High speed internet over 10 Mbps, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations.Evolent Health is committed to the safety and wellbeing of all its employees, partners and patients and complies with all applicable local, state, and national law regarding COVID health and vaccination requirements. Evolent expects all employees to also comply. We currently require all employees who may voluntarily return to our Evolent offices to be vaccinated and invite all employees regardless of vaccination status to remain working from home.Evolent Health is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.Compensation Range: The minimum salary for this position is $70,000, plus benefits. Salaries are determined by the skill set required for the position and commensurate with experience and may vary above and below the stated amounts.Don't see the dream job you are looking for? Drop off your contact information and resume and we will reach out to you if we find the perfect fit!For more insights about Evolent Health, click on Life At Evolent (https://www.evolenthealth.com/about-us/life-at-evolent) to learn more!

Keywords: Evolent Health, Santa Fe , Sr Analyst, Medical Economics, Professions , Santa Fe, New Mexico