Sr. Analyst, Risk and Quality Analytics

Who You’ll Be Working With:

A senior analyst, RASQ Analytics will be working with a highly advanced team of analysts, 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.
• 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.
• Explain highly technical details to non-technical audiences and develop supportive materials to educate executives and partners on capabilities.
• 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
• Deep knowledge of Risk Adjustment methodologies/programs and related functional areas.
• Strong technical abilities with advanced data and analytics tools and programming languages, with at least 2-3 years of experience in SQL or SAS
• 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

Finishing Touches (Preferred):

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

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.

Compensation Range: The minimum salary for this position is $80,000, 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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