Evolent · 4 hours ago
Analyst, Performance Suite Analytics
Evolent partners with health plans and providers to achieve better outcomes for people with complex health conditions. The Analyst, Performance Suite Analytics will utilize and develop analytic tools to solve complex business challenges and support decision making that can have a considerable impact on the organization and patient health.
Health CareHospitalInformation Technology
Responsibilities
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
Qualification
Required
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)
Master's Degree, especially with a quantitative focus (e.g. data science, machine learning, statistics, mathematics, computer science, or engineering)
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
Benefits
Health insurance benefits
Company
Evolent
Evolent partners with health plans and providers to achieve better outcomes for people with complex health conditions.
H1B Sponsorship
Evolent has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (7)
2024 (16)
2023 (22)
2022 (15)
2021 (17)
2020 (20)
Funding
Current Stage
Public CompanyTotal Funding
$1.17BKey Investors
TPG Growth
2025-08-19Post Ipo Debt· $145M
2023-12-05Post Ipo Debt· $350M
2022-08-11Post Ipo Equity· $125M
Recent News
2026-01-06
2026-01-03
2025-12-22
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