Evolent · 7 hours ago
Sr Analyst, Performance Suite Analytics (Multiple Positions)
United States
Full-time
Remote
Mid, Senior Level
1+ years expEvolent partners with health plans and providers to achieve better outcomes for people with complex health conditions. The Senior Analyst, Performance Suite Analytics will utilize and develop analytic tools to solve complex business challenges and support decision-making that can significantly impact the organization and patient health.
Health CareHospitalInformation Technology
Responsibilities
Support the clean data transfer between Evolent and its customers in the Performance Suite where Evolent does not pay claims
Support the design of data transfer protocols during client onboarding and implementation, and refinement efforts on an ongoing basis
Develop models to evaluate data quality on a regular basis to uncover irregularities in data submitted from clients and work cross-functionally to identify the root cause
Apply post-pay audit and payment integrity methods and techniques to ensure claims were paid according to policy
Coordinate with internal teams to ensure clean and consistent tracking of Evolent’s covered membership and claims
Support the design of standardized processes, templates, and collateral for key client-facing financial activities
Create models to assist in financial scope reconciliation efforts
Identify potential risks and opportunities related to partner data, enabling leadership to better resource solutions, negotiate contractual terms, or settlements
Perform ad hoc client-specific analyses to support strategic decision-making
Qualification
Required
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)
1-3 years of professional experience in claims-based healthcare analytics with a payer, provider, clinical vendor, managed care, or related healthcare consulting entity
Ability to communicate clearly with diverse stakeholders to solve problems; ability to translate between business needs and analytical needs
Exceptionally strong analytical abilities, with track record of identifying and communicating insights from quantitative and qualitative data
Advanced or higher proficiency in SQL or SAS database/statistical programming languages and Microsoft Excel
Experience using data visualization software (s) to package analytical insights (Power BI, Tableau, or similar)
Experience in data mining, advanced/ statistical analysis, and data manipulation
Familiarity with healthcare reimbursement methodologies and calculations such as DRGs, Revenue Codes, CPT Codes, RVUs, bundled payments, etc
Preferred
Master's Degree, especially with a quantitative focus (e.g. data science, machine learning, statistics, mathematics, computer science, or engineering)
Working knowledge of healthcare claims; specifically, differences between institutional vs professional billing and various sites of care/service
Familiarity with value-based care and utilization management
Understanding data systems and critical thinking skills to solve new problems and adapt to changes in data architecture
Benefits
Comprehensive benefits (including health insurance benefits)
Company
Evolent
Evolent partners with health plans and providers to achieve better outcomes for people with complex health conditions.
1001-5000 employees
H1B Sponsorship
Evolent has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (7)
2024 (16)
2023 (22)
2022 (15)
2021 (17)
2020 (20)
Funding
Current Stage
Public CompanyTotal Funding
$1.17BKey Investors
TPG Growth
2025-08-19Post Ipo Debt· $145M
2023-12-05Post Ipo Debt· $350M
2022-08-11Post Ipo Equity· $125M
Leadership Team
Sarah Alexander
Vice President, Strategic Accounts
Recent News
2026-01-06
2026-01-03
2025-12-22
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