Evolent · 23 hours ago
Director, Performance Suite Analytics
United States
Full-time
Remote
Lead/Staff, Director/Executive
$130K/yr - $130K/yr
5+ years expEvolent is a company that partners with health plans and providers to improve outcomes for individuals with complex health conditions. The Director, Performance Suite Analytics will lead the analytics partnership with various teams to develop strategic approaches for value-based care while managing a team to analyze cost and utilization data and support decision-making that impacts organizational performance and patient health.
Health CareHospitalInformation Technology
Responsibilities
Leading the analytics partnership with Business Development & Product teams in developing the strategic approach for innovative and in-demand value-based care pursuits
Serving as a strategic partner of our analytics capabilities and processes related to the development/underwriting of capitated risk proposals including cost & use projections, trend selection/development, and estimation of Evolent’s ability to reduce cost and improve quality
Leading a team in the analysis and interpretation of cost and utilization data (medical and pharmaceutical) to explain potential 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 succinct presentations for internal & external stakeholder buy-in
Assisting in the development of budgets and forecasts for each new business relationship and packaging key insights for tracking performance
Collaborating with partner departments to establish best practice processes and efficient workstreams from end to end of the proposal process in terms of prospecting clients, qualifying/outlining a suitable proposal, data intake, analysis, proposal development/communication, client alignment, contracting, and implementation
Using programming skills to explore, examine and interpret large volumes of data in various forms to complete deliverables with minimal oversight
Leading and facilitating interaction with customers in a manner that fosters trust, expertise and cooperation
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
Managing, mentoring, and coaching analysts with tasks noted above
Setting clear goals and objectives and using metrics to measure performance while holding staff accountable
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)
At least 5 years of professional experience in claims-based healthcare analytics with a payer, provider, vendor, managed care, or related healthcare consulting entity
Extensive knowledge of healthcare claims; specifically, differences between institutional vs professional billing and various sites of care/service
Previous Experience with healthcare reimbursement methodologies and calculations such as DRGs, Revenue Codes, CPT Codes, RVUs, APMs, bundled payments, etc
Advanced or higher proficiency in Microsoft Excel
Advanced or higher proficiency in SQL or SAS database/statistical programming languages
Moderate Proficiency in Microsoft PowerPoint
Experience in data mining, advanced/statistical analysis, and data manipulation
Knowledge of health insurance financial business cycle, healthcare quality reporting, and benchmarking
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 insights from quantitative and qualitative data
Prior people management experience
Ability to work independently with limited oversight
Preferred
Master's Degree, preferably with a quantitative or healthcare focus (e.g. data science, machine learning, statistics, mathematics, computer science, engineering, public health)
Previous experience in a medical economics related position within Utilization Management/Clinical Vendor Management functions
Knowledge of healthcare underwriting methodologies
Familiarity with value-based care and utilization management
Understanding of data systems and the critical thinking skills to solve new problems and adapt to changes in data architecture
Experience with other languages/platforms such as Python, R, SAS, Hadoop, AWS, ArcGIS
Experience with BI tools (e.g. Power BI.), Visual Basic, and Microsoft PowerPoint
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
Company data provided by crunchbase