Director of Analytics for Performance Suite (Indianapolis)
Evolent, Indianapolis, Indiana, United States, 46262
Your Future Evolves Here
Evolent collaborates with health plans and providers to enhance outcomes for individuals with complex and costly health conditions. We work across various specialties and primary care to seamlessly connect the fragments of the healthcare system, ensuring everyone receives the care and compassion they deserve.
At Evolent, we promote a healthy work/life balance, offering the flexibility to adapt work to personal lives and the autonomy necessary to accomplish goals. We believe individuals perform best when supported in living their best lives, and feel welcomed to bring their authentic selves to work. That's why diversity and inclusion are fundamental to our mission.
Join Evolent for the mission. Stay for the culture.
Key Responsibilities:
Lead the analytics collaboration with Business Development & Product teams in shaping strategic approaches for innovative, in-demand value-based care initiatives.
Act as a strategic partner in analytics related to the development and underwriting of capitated risk proposals, including projections for costs and usage, trend development, and estimations of Evolent's capability to reduce costs and improve quality.
Oversee a team dedicated to analyzing and interpreting cost and utilization data (both medical and pharmaceutical) to clarify potential risks associated with various proposals.
Collaborate with actuarial, finance, and analytics teams to integrate new products and strategic innovations into current analytical models and reporting systems.
Develop analytical models and create clear, engaging presentations of complex analyses for both internal and external stakeholders.
Assist in creating budgets and forecasts for new business partnerships, packaging vital insights for performance tracking.
Partner with various departments to establish best practices and efficient workflows throughout the proposal process, from client prospecting to implementation.
Utilize programming skills to analyze and interpret substantial datasets autonomously.
Foster trusting relationships with customers through effective engagement and cooperation.
Work with internal and external business customers to discern their needs and objectives, conducting statistical analysis, developing analytic models, and crafting data reports/dashboards with diverse performance metrics.
Manage, mentor, and guide analysts in their tasks, establishing clear goals and utilizing metrics to measure performance.
Qualifications: Bachelor's degree in a quantitative discipline (e.g., actuarial science, statistics, operations research, mathematics, economics) or a healthcare focus (e.g., health administration, epidemiology, public health, biology).
A minimum of 5 years of professional experience in claims-based healthcare analytics within a payer, provider, vendor, managed care, or related healthcare consulting environment.
In-depth understanding of healthcare claims and the distinctions between institutional and professional billing across various care sites.
Experience with healthcare reimbursement methodologies, including DRGs, Revenue Codes, CPT Codes, RVUs, APMs, bundled payments, etc.
Advanced proficiency in Microsoft Excel and SQL or SAS programming languages.
Proficient in Microsoft PowerPoint.
Experience with data mining, advanced statistical analysis, and data manipulation.
Knowledge of the healthcare financial business cycle, quality reporting, and benchmarking.
Strong communication skills to resolve problems and bridge the gap between business and analytical needs.
Exceptional analytical skills with a proven track record in deriving insights from both quantitative and qualitative data.
Previous management experience leading teams.
Ability to work independently with minimal supervision.
Preferred Qualifications: Master's Degree in a quantitative or healthcare-focused area (e.g., data science, machine learning, statistics, mathematics, computer science, engineering, public health).
Experience in a medical economics role within Utilization Management/Clinical Vendor Management functions.
Familiarity with healthcare underwriting methodologies.
Understanding of value-based care and utilization management principles.
Ability to work with data systems and apply critical thinking to solve emerging challenges in data architecture.
Experience with other programming languages/platforms, such as Python, R, SAS, Hadoop, AWS, ArcGIS.
Proficient with BI tools (e.g., Power BI), Visual Basic, and advanced PowerPoint functionalities.
To maintain a secure hiring process, we implement several identity verification steps, including the submission of a government-issued photo ID. Identity verification occurs during interviews, and final rounds may require on-site attendance. All candidates must complete a thorough background check, in-person I-9 verification, and may undergo drug screening prior to employment. The use of artificial intelligence tools during interviews is prohibited and monitored. Any misrepresentation will lead to immediate disqualification from consideration. Technical Requirements: All employees must have high-speed internet (over 10 Mbps) at home and, specifically for call center employees, the ability to connect directly to the home internet router. These technical requirements may change with any scheduled reopening of our office locations. Evolent is an equal opportunity employer and considers all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status. If you require reasonable accommodation to access the information provided on this website, please contact recruiting@evolent.com for assistance. The anticipated base salary for this position ranges from $130,000, and it includes the potential for a bonus based on predefined performance metrics. Evolent offers comprehensive benefits, including health insurance, to eligible employees. All compensation decisions are based on the necessary skills and experience for the position and may vary based on the candidates selected. If you don't see your ideal job, please submit your resume, and we will reach out if we have a suitable opening for you!
Act as a strategic partner in analytics related to the development and underwriting of capitated risk proposals, including projections for costs and usage, trend development, and estimations of Evolent's capability to reduce costs and improve quality.
Oversee a team dedicated to analyzing and interpreting cost and utilization data (both medical and pharmaceutical) to clarify potential risks associated with various proposals.
Collaborate with actuarial, finance, and analytics teams to integrate new products and strategic innovations into current analytical models and reporting systems.
Develop analytical models and create clear, engaging presentations of complex analyses for both internal and external stakeholders.
Assist in creating budgets and forecasts for new business partnerships, packaging vital insights for performance tracking.
Partner with various departments to establish best practices and efficient workflows throughout the proposal process, from client prospecting to implementation.
Utilize programming skills to analyze and interpret substantial datasets autonomously.
Foster trusting relationships with customers through effective engagement and cooperation.
Work with internal and external business customers to discern their needs and objectives, conducting statistical analysis, developing analytic models, and crafting data reports/dashboards with diverse performance metrics.
Manage, mentor, and guide analysts in their tasks, establishing clear goals and utilizing metrics to measure performance.
Qualifications: Bachelor's degree in a quantitative discipline (e.g., actuarial science, statistics, operations research, mathematics, economics) or a healthcare focus (e.g., health administration, epidemiology, public health, biology).
A minimum of 5 years of professional experience in claims-based healthcare analytics within a payer, provider, vendor, managed care, or related healthcare consulting environment.
In-depth understanding of healthcare claims and the distinctions between institutional and professional billing across various care sites.
Experience with healthcare reimbursement methodologies, including DRGs, Revenue Codes, CPT Codes, RVUs, APMs, bundled payments, etc.
Advanced proficiency in Microsoft Excel and SQL or SAS programming languages.
Proficient in Microsoft PowerPoint.
Experience with data mining, advanced statistical analysis, and data manipulation.
Knowledge of the healthcare financial business cycle, quality reporting, and benchmarking.
Strong communication skills to resolve problems and bridge the gap between business and analytical needs.
Exceptional analytical skills with a proven track record in deriving insights from both quantitative and qualitative data.
Previous management experience leading teams.
Ability to work independently with minimal supervision.
Preferred Qualifications: Master's Degree in a quantitative or healthcare-focused area (e.g., data science, machine learning, statistics, mathematics, computer science, engineering, public health).
Experience in a medical economics role within Utilization Management/Clinical Vendor Management functions.
Familiarity with healthcare underwriting methodologies.
Understanding of value-based care and utilization management principles.
Ability to work with data systems and apply critical thinking to solve emerging challenges in data architecture.
Experience with other programming languages/platforms, such as Python, R, SAS, Hadoop, AWS, ArcGIS.
Proficient with BI tools (e.g., Power BI), Visual Basic, and advanced PowerPoint functionalities.
To maintain a secure hiring process, we implement several identity verification steps, including the submission of a government-issued photo ID. Identity verification occurs during interviews, and final rounds may require on-site attendance. All candidates must complete a thorough background check, in-person I-9 verification, and may undergo drug screening prior to employment. The use of artificial intelligence tools during interviews is prohibited and monitored. Any misrepresentation will lead to immediate disqualification from consideration. Technical Requirements: All employees must have high-speed internet (over 10 Mbps) at home and, specifically for call center employees, the ability to connect directly to the home internet router. These technical requirements may change with any scheduled reopening of our office locations. Evolent is an equal opportunity employer and considers all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status. If you require reasonable accommodation to access the information provided on this website, please contact recruiting@evolent.com for assistance. The anticipated base salary for this position ranges from $130,000, and it includes the potential for a bonus based on predefined performance metrics. Evolent offers comprehensive benefits, including health insurance, to eligible employees. All compensation decisions are based on the necessary skills and experience for the position and may vary based on the candidates selected. If you don't see your ideal job, please submit your resume, and we will reach out if we have a suitable opening for you!