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? Absolutelyabout 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. 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 is looking for a Data Analyst of Health Care to be a key member of the technology leadership team. This individual will play a critical role in executing Evolent Health’s mission by managing data-driven activities related to data profiling, data discovery and analysis, requirements definition, testing and continuous improvement of data collection, mapping, analysis and transformation processes.
Analyze data files, data layouts and data dictionaries from providers of health care administrative data (eligibility, account/plan, medical claims, pharmacy claims) to understand data structure and operating rules for transforming to common data format
Conduct in-depth interviews with data providers (client or payer staff) to ensure comprehensive understanding of data operating logic and data provided
Author data mapping and transformation requirements based on understanding of operating rules; review with ETL developers to ensure understanding
Produce detailed data quality profiles from client health care administrative data to validate structure, content and overall data quality; present findings to internal stakeholders for signoff and/or escalate critical data issues as necessary
Serve as subject matter expert in primary data domain relative to client’s data and transformation rules; back up analysts in other data domains as workloads and priorities necessitate
Execute test cases to validate source data has been accurately mapped, transformed and loaded to common format
Collaborate with data warehouse QA team to ensure seamless execution of test cases end-to-end
Alert project managers to potential risks and issues of importance
Key competencies/skill/success factors:
SQL skills to write queries, join tables to view/test data in a relational database
Understanding of Medical Claims, Rx Claims, Eligibility/Membership, healthcare insurance benefit and group account setup, Provider data and related processes around them
Qualification and Experience:
5+ years of experience in information technology
Bachelor's Degree required
SAS skills for querying datasets
A knack for dealing with healthcare datasets and finding relationships in the data and any gaps/issues
Patience and persistence to sift through complex data/information to get to the core knowledge
Experience with clinical coding systems: ICD9 diagnosis codes, ICD9 procedure codes, CPT codes, revenue codes, provider NPI codes, NDC Rx codes.
Knowledge of medical claim file contents (both UB04 and HCFA-1500) and significance of individual fields
Experience in analyzing, defining and documenting business processes and rules
Experience testing data and creating related test cases
Proven track record in establishing strong relationships with internal stakeholders, clients and vendors
Intense intellectual curiosity and an ability to view problems with a fresh perspective
Excellent written computer and oral communication skills
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This position primarily works in a climate controlled based setting.The noise level and the work environment are moderately quiet. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines
Include the physical demands of the job, including bending, sitting, lifting and driving. For example, while performing the duties of this job, the employee is regularly required to talk or hear. The employee frequently is required to stand; walk; use hands to finger, handle or feel; and reach with hands and arms.
Why Join Evolent?
Evolent Health developed an integrated value-based care platform for payers and providers. The company created an internal recognition program that encourages departments to acknowledge outstanding achievement as well as focusing on philanthropic values. The company spent four weeks in 2018 giving back to more than 60 local charities and engaged 3,700-plus employees to participate. Evolent provides healthy snacks and drinks in most of its offices as well as an in-office gym at its headquarters and workstations that include treadmill desks. In 2016, the company launched its diversity and inclusion committee that promotes unconscious bias training and established several business resource groups. In 2017, Washingtonian Magazine named Evolent among the 50 Great Places to Work.