Director, Performance Suite Analytics

Overview

Your Future Evolves Here

Evolent partners with health plans and providers to achieve better outcomes for people with the most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of a fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent emphasizes work/life balance, autonomy, and a culture centered on diversity and inclusion.

Join Evolent for the mission. Stay for the culture.

Who You’ll Be Working With

The Director, Performance Suite Analytics develops analytic tools to solve complex business challenges and support decision making that impacts organizational performance and patient health. This role supports capitated risk and value-based strategy development, medical cost management, medical economics, and internal operations functions; partnering with Business Development, Product Strategy, Finance/Accounting, Actuarial, EDWBI, Clinical, Performance Solutions, and Partner Delivery.

What You’ll Be Doing

• Leading the analytics partnership with Business Development & Product teams to develop the strategic approach for innovative and in-demand value-based care pursuits.
• Serving as a strategic partner for analytics related to development/underwriting of capitated risk proposals, including cost & use projections, trend development, and estimating cost reduction and quality improvement potential.
• Leading a team in the analysis and interpretation of cost and utilization data (medical and pharmaceutical) to explain upside/downside risks of a given arrangement/proposal.
• Partnering with actuarial, finance, and analytics teams to incorporate new products and strategy innovations into existing analytical models and reporting frameworks.
• Developing analytical models and synthesizing complex analyses into concise presentations for internal and external stakeholder buy-in.
• Assisting in developing budgets and forecasts for new business relationships and packaging key insights for tracking performance.
• Collaborating with partner departments to establish best-practice processes and efficient end-to-end workflow for proposal cycles (prospecting, qualifying, data intake, analysis, proposal development, client alignment, contracting, implementation).
• Using programming skills to explore large data sets and deliverables with limited oversight.
• Leading and facilitating interactions with customers to foster trust, expertise, and cooperation.
• Collaborating with internal/external stakeholders to understand problems, perform statistical analysis, develop models, and create data reports/dashboards using performance metrics.
• Managing, mentoring, and coaching analysts; setting clear goals and using metrics to measure performance.

Experience You’ll Need (Required)

• Bachelor’s degree, quantitative major or healthcare-focused field.
• At least 5 years in claims-based healthcare analytics with a payer, provider, vendor, managed care, or related healthcare consulting entity.
• Extensive knowledge of healthcare claims and sites of care/service differences (institutional vs professional).
• Experience with healthcare reimbursement methodologies and calculations (DRGs, Revenue Codes, CPT, RVUs, APMs, bundled payments, etc.).
• Advanced proficiency in Microsoft Excel; SQL or SAS programming; moderate proficiency in PowerPoint.
• Experience in data mining, advanced/statistical analysis, and data manipulation.
• Knowledge of health insurance financial cycles, healthcare quality reporting, and benchmarking.
• Strong communication with diverse stakeholders and ability to translate business needs to analytical needs; exceptionally strong analytical abilities; track record of insights from data.
• Prior people management experience; ability to work independently with limited oversight.

Finishing Touches (Preferred)

• Master’s degree with quantitative or healthcare focus (e.g., data science, machine learning, statistics, math, computer science, public health).
• Experience in Utilization Management/Clinical Vendor Management or related medical economics roles.
• Knowledge of healthcare underwriting methodologies; familiarity with value-based care and utilization management.
• Understanding of data systems and adaptability to evolving data architectures.
• Experience with Python, R, SAS, Hadoop, AWS, ArcGIS; experience with BI tools (Power BI) and Visual Basic.

Technical Requirements

At-home technical capability: high-speed internet over 10 Mbps and, for call center roles, the ability to plug in directly to the home router. These requirements may change with office reopenings.

Equal Opportunity & Accommodation

Evolent is an equal opportunity employer and considers all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status. If you need reasonable accommodation, contact for assistance.

HIPAA security: identity verification may be required as part of the application process. Reasonable accommodations are available on request.

Compensation

The expected base salary for this position is $130,000-145,000, with eligibility for a bonus based on performance. Comprehensive benefits are provided to qualifying employees. Compensation determinations are based on the skills and experience of selected individuals.

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