Kansas Works Jobs

Kansas Works Logo

Job Information

Evolent Health Associate Director, Risk & Quality Analytics in Topeka, Kansas

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.

What You’ll Be Doing:

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 and quality measurement are some of the most significant quantitative challenges facing these innovators. Evolent’s team of experts in risk adjustment & quality 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 Associate Director, Risk & Quality Analytics will be working with this highly-advanced team of actuaries and data scientists to develop and maintain risk adjustment & quality improvement 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 & 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

  • Strong technical abilities with advanced data and analytics tools and programming languages, with at least 1 year of experience in Python or R and SQL.

  • Willingness to gain an understanding of Medicare, Medicaid, and ACO risk adjustment and quality rating systems

  • Collaborative working style with the ability to work across different departments and personalities as well as comfort in a highly matrixed and ambiguous environment

  • Ability to handle multiple projects and timelines effectively

  • 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

  • Collaborative working style with the ability to work across different organizations and personalities as well as comfort in a highly matrixed environment

  • 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

  • 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

Evolent Health is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientan.

#LI-Remote

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 typical range of employees within the compensation grade of this position is . Salaries are determined by the skill set required for the position and commensurate with experience and may vary above and below the stated amounts.

DirectEmployers