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Evolent Health Director, Risk and Quality Analytics in Des Moines, Iowa

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. 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 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.

Why We’re 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.org’s 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 we’re building an equitable workplace.

What You’ll Be Doing:

Director, Risk and Quality Analytics

Who You’ll Be Working With: The Director, Risk & Quality Analytics will be working with a highly-advanced team of actuaries and data scientists to develop and maintain risk adjustment & quality improvement analytic capabilities.

What You’ll Be Doing:

  • Extract, transform, analyze, and summarize claims, member encounter, and other health data to answer business questions and provide exploratory analyses.

  • Develop and provide subject matter expertise in risk adjustment & quality measurement for various lines of business

  • Quantify and forecast program financial and operational returns related to risk adjustment & quality

  • Work in a collaborative environment with other innovative professionals to develop best-in-breed risk adjustment & quality reporting solutions

  • Explain highly technical details to non-technical audiences and develop supportive materials to educate executives and partners on capabilities

  • Collaborate with other departments to deliver scalable solutions across disparate skillsets

  • Develop reporting capabilities to measure and forecast risk scores & quality metrics, monitor suspecting model performance, and identify areas of improvement

  • Monitor industry trends to influence future enhancements

  • Use cutting edge tools & techniques to produce insights to improve our processes and research to share internally and externally

The Experience You’ll Need (Required):

  • Bachelor’s degree in public health, computer science, statistics, actuarial science, economics, health science, health administration, or related field or equivalent years of experience.

  • Deep knowledge of Risk Adjustment and /or Quality methodologies/programs and related functional areas

  • Ability to develop talent with team building proficiencies

  • Strong technical abilities with advanced data and analytics tools and programming languages, with at least 5 years of experience in SQL or SAS

  • 3-5 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

  • MS office and 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

  • 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):

  • Master’s degree in epidemiology, biostatistics, public health, data science, operations research, or related field

  • Familiarity with NCQA/HEDIS, CMS, or PQA quality measures

  • Progress toward Actuarial Credentials

  • 1 + years of experience in Python or R

  • Experience with predictive modeling or machine learning

  • Familiarity with Risk Scoring Models (e.g., CMS-HCC, HHS-HCC, CDPS)

  • Experience with healthcare data sources (claims, billing data, eligibility, etc.) & detailed knowledge of CPT/HCPCS/ICD9/ICD10

Technical requirements:

During the current pandemic Evolent employees are working remotely from home. As such we require that all employees have the following technical capability at their home: High speed internet over 10 MBPS and, specifically for all call center employees, 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 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.

Technical 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 and, specifically for all call center employees, 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 federal 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. Certain jobs require face-to-face interaction with our providers and patients in client facilities or homes. Employees working in such roles will be required to meet our vaccine requirements without exception or exemption.

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 $120,000, 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.

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