Job description
Your Future Evolves Here
New Century Health (NCH) has been transforming the delivery of specialty care and driving radical cost and quality improvement across the member journey for patients with cancer and cardiovascular disease. As part of Evolent Health, we are on 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.
- Achieved a 100% score two years in a row on the
Human Rights Campaign's Corporate Equality Indexrecognizing us as a best place to work for LGBTQ+ equality.
- Named to Parity.org’s list of the best companies for women to advance for
3 years in a row(2020, 2021 and 2022).
- Continue to prioritize the employee experience and achieved a 90% overall engagement score on our employee survey in May 2022.
- Publish an annual
DE&I reportto share our progress on how we’re building an equitable workplace.
What You’ll Be Doing:
Who You’ll Be Working With:
The Associate Director, Medical Economics utilizes and develops analytic tools to solve complex business challenges as well as support decision making that can have a considerable impact on the organization and patient health. This role supports both Medical Cost Management activities as well as Business Development efforts.
What You’ll Be Doing:
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Interpret cost and utilization data (medical and pharmaceutical) to determine financial and clinical opportunities.
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Extract, manage, and analyze current client claims and operational data to identify utilization trends, calculate cost of healthcare, and ensure financial success relative to budget.
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Using programming skills to explore, examine and interpret large volumes of data in various forms to complete deliverables.
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Help develop tools and processes to improve the overall efficiency of the team
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Collaborating with internal/external business customers to understand their problems and objectives, solve business questions, and help them to achieve goals by performing statistical analysis, developing analytic models, creating data reports/dashboards using a variety of performance metrics
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Draw actionable conclusions from analyses and effectively communicate to internal/external audiences at various levels of the enterprise
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Serving as a subject matter expert across multiple technical and/or business domains
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Managing and/or mentoring and coaching junior analysts with tasks noted above
Preferred Experience We Look For:
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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)
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At least 3-5 years of professional experience in claims-based healthcare analytics with a payer, provider, vendor, or related healthcare consulting entity
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Strong proficiency with SQL, SAS, and Microsoft Excel
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Working knowledge of healthcare claims; specifically, differences between institutional vs professional billing and various sites of care/service
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Ability to communicate clearly with diverse stakeholders to solve problems; ability to translate between business needs and analytical needs
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Exceptionally strong analytical abilities, with track record of identifying insights from quantitative and qualitative data.
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Ability to work independently with limited oversight.
Finishing Touches (Preferred):
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Master's Degree, especially with a quantitative focus (e.g. data science, machine learning, statistics, mathematics, computer science, or engineering)
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Prior people management experience
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Familiarity with healthcare reimbursement methodologies and calculations such as DRGs, Revenue Codes, CPT Codes, RVUs, bundled payments, etc.
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Familiarity with value-based care and utilization management
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Understanding of data systems and the critical thinking skills to solve new problems and adapt to changes in data architecture
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Experience with BI tools (e.g. Power BI.), Visual Basic, and Microsoft PowerPoint
Technical Requirements:
We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps, 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 $95,000, 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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