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Analyst, Risk Adjustment Analytics

Company: Evolent Health
Location: Chicago
Posted on: December 5, 2019

Job Description:

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 about 40% in year-over-year revenue growth in 2018 . Are we recognized? Definitely. We have been named one of Becker's 150 Great Places to Work in Healthcare in 2016, 2017, 2018 and 2019, and One of the 50 Great Places to Work in 2017 by Washingtonian. We recognize employees that live our values, give back to our communities each year, and are champions for bringing our 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. Evolent Health has built a world-class team to help forward-looking health plans and providers succeed under new value-based care payment models. Risk adjustment is one of the most significant quantitative challenges facing these innovators. Evolent's team of experts in risk adjustment does it all - from data analytics & advanced modeling (e.g. predictive models & artificial intelligence), to designing, presenting, and implementing industry-leading solutions with our partners. The Analyst, Risk Adjustment Analytics (formal title will be: Analyst, Risk Analytics) will be working with this highly-advanced team of actuaries and data scientists to develop and maintain risk adjustment analytic capabilities. - 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 for various lines of business - Quantify and forecast program financial and operational returns related to risk adjustment - Work in a collaborative environment with other innovative professionals to develop best-in-breed risk adjustment reporting solutions - Explain highly technical details to non-technical audiences and develop supportive materials to educate executives and partners on model capabilities - Collaborate with other departments to deliver scalable solutions across disparate skillsets - Develop reporting capabilities to measure and forecast risk scores, monitor suspecting model performance, and identify areas of improvement - Monitor industry trends to influence future model 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): - Motivation and a strong desire to learn about and focus on the complex challenge of risk adjustment in healthcare - Proven ability to approach complex problems and design, execute, and communicate data-driven solutions - Bachelor's Degree - 0-3 years of professional experience in an analytics role at a health plan/payer/insurer, consulting firm, or hospital system - Data manipulation and analysis using SAS, SQL, or other relational databases Finishing Touches (Preferred): - Graduate degree with a quantitative, healthcare, or technical focus (e.g., science, math, statistics, actuarial sciences, health services management, computer science, engineering, informatics) - Progress toward Actuarial Credentials - 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 - Python - Exceptional Presentation Skills Evolent Health is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, or national origin.

Keywords: Evolent Health, Chicago , Analyst, Risk Adjustment Analytics, Professions , Chicago, Illinois

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