Evolent Health Senior Analyst, Risk Operations in Arlington, Virginia

It’s Time For A 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 force that brings us to work each day. We believe in embracing new ideas, challenging 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—56.7% in year-over-year revenue growth in 2016. Are we recognized? Definitely. We have been named one of “Becker’s 150 Great Places to Work in Healthcare” in 2016 and 2017, and one of the “50 Great Places to Work” in 2017 by Washingtonian, and our CEO was number one on Glassdoor’s 2015 Highest-Rated CEOs for Small and Medium Companies. 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.

What You’ll Be Doing:

Evolent Health is rapidly building a world-class analytics function leveraging advanced evaluative methodologies, data mining tools and analytic techniques (e.g., predictive modeling, optimization), and quasi-experimental and experimental study designs to enable fact-based decision making. The Senior Analyst, Risk Operations will develop and design the overall suite of operational analytics capabilities and actionable reports to solve problems and monitor performance related to Risk Adjustment as well as other priority initiatives.

  • Conduct analyses and develop reports to measure risk adjustment operations performance; collaborate with markets and internal stakeholders to identify actionable opportunities to gain operational efficiencies

  • Provide Analytic & Reporting solutions for our Risk Adjustment team

  • Operate and maintain predictive, machine learning models related to risk adjustment operations

  • Maintain and enhance standard RA performance data and reports for MA, HIX/ACA, NextGen and Medicaid

  • Analyze the performance of audits using data sources and reports to ensure accuracy and completeness – liaise with RA education and audit team to provide results and drive strategies

  • Analyze and present relevant data to inform decisions related to entering risk-based relationships with payers managing risk

  • Support actuarial and finance teams as necessary

  • Drive innovation into RA analytic solutions for specific client situations as needed

  • Collaborate with other teams/departments to deliver scalable reporting solutions

  • Communicate results and analyses to internal and external stakeholders

The Experience You’ll Need (Required):

  • S. in Actuarial Science, Math, Economics or related degree

  • 3 years of professional experience in an analytics role at a health plan/payer/insurer, consulting firm, hospital system

  • Exceptional SQL, SAS, and Python skills and proficient building Excel models

  • Detailed knowledge of CPT/HCPS/ICD9/ICD10

  • General understanding of risk adjustment methodology and approaches to support accurate coding

  • Strong presentation skills and the ability to communicate highly technical results to a non-technical audience

Finishing Touches (Preferred):

  • Graduate Degree with a quantitative, healthcare, business, or technical focus (e.g., science, math, economics, statistics, actuarial sciences, health services management, computer science, engineering, informatics, finance)

  • Actuarial track

  • Experience with various risk adjustment models, including the CMS-HCC, HHS-HCC, and CDPS Risk Adjustment models

  • Predictive modeling experience including various regression, decision tree, neural network, and machine learning techniques

  • Experience using Python Scikit-Learn

Evolent Health is an Equal Opportunity/Affirmative Action Employer