Director of Analytics for Performance Suite

Your Future Evolves Here Evolent is dedicated to partnering with health plans and providers to enhance outcomes for individuals facing complex and costly health conditions. By bridging the gaps in our fragmented healthcare system, we ensure that individuals receive the compassionate care we would wish for our loved ones. Our employees enjoy a healthy work/life balance, flexibility to align work with personal life, and the autonomy required to excel. We believe that people perform at their best when they're empowered to live fulfilling lives and feel encouraged to be their authentic selves at work. This ethos of diversity and inclusion is integral to our business culture. Join Evolent for the mission. Stay for the culture. What You'll Be Doing: The Director of Analytics for Performance Suite plays a crucial role in developing and utilizing analytical tools to tackle complex business challenges, significantly influencing organizational performance and patient health. This role encompasses supporting capitated risk, value-based strategies, medical cost management, and various operational functions. You will collaborate with teams in Business Development, Product Strategy, Finance, Actuarial, and more to drive impactful results. Lead the analytics collaboration with Business Development & Product teams to forge innovative strategies for value-based care initiatives. Act as a strategic partner in developing capitated risk proposals, focusing on cost projections, trends, and the potential for quality improvement. Oversee a dedicated team in analyzing and interpreting complex cost and utilization data to assess potential risks of proposals. Work closely with actuarial and finance teams to integrate new product innovations into current analytical models. Craft analytical models and distill complex analyses into clear presentations for internal and external stakeholders. Contribute to budget and forecast development for new business relationships, packaging insights for performance tracking. Partner with departments to create streamlined processes for proposal development from initial prospecting to final implementation. Use programming skills to analyze large datasets, delivering high-quality results independently. Facilitate positive interactions with customers to foster trust and cooperation. Engage with internal and external customers to understand challenges, perform statistical analyses, and help achieve their goals. Mentor and manage a team of analysts, setting clear objectives and holding staff accountable for their performance. The Experience You'll Need (Required): Bachelor's degree in a quantitative field (e.g., actuarial science, statistics, operations research) or a healthcare-related discipline (e.g., health administration, public health). Minimum of 5 years of experience in healthcare analytics, specifically claims-based analysis within payer, provider, or consulting environments. In-depth knowledge of healthcare claims and billing practices. Experience with healthcare reimbursement methodologies and coding systems. Advanced skills in Microsoft Excel and proficiency in SQL or SAS for statistical analysis. Familiarity with data mining and advanced statistical manipulation. Strong communication skills to engage diverse stakeholders and translate needs effectively. Exceptional analytical skills, with a proven ability to derive insights from both quantitative and qualitative data. Prior experience managing teams is essential. Ability to operate independently with limited oversight. Finishing Touches (Preferred): Master's Degree in a quantitative or healthcare-related field. Experience in medical economics within Utilization Management or Clinical Vendor Management. Knowledge of healthcare underwriting methodologies. Familiarity with value-based care and utilization management practices. Understanding of data systems and critical thinking to adapt to changes. Experience with programming languages such as Python or R and familiarity with BI tools. To ensure a secure hiring process, we have implemented several identity verification steps, including the submission of a government-issued photo ID. We conduct identity verification during interviews, and final interviews may require onsite attendance. All candidates must complete a background check and may be subject to drug screening prior to employment. Use of AI tools during interviews is prohibited and monitored. Misrepresentation will result in immediate disqualification from consideration. Technical Requirements: All employees must have high-speed internet access of at least 10 Mbps, and call center employees must have the capability to connect directly to the home internet router. These requirements may change based on the reopening of office locations. Evolent is an equal opportunity employer and welcomes all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status. If you need accommodation to access information provided on this website, please contact us for assistance. The expected base salary for this position is $130,000, with eligibility for a performance-related bonus. Evolent offers a comprehensive benefits package for qualifying employees. Compensation is determined by the required skills and experience for the position, which may vary above or below the stated amounts. If you don't see your dream job here, submit your contact information and resume, and we will reach out if a suitable opportunity arises!

Created: 2026-03-10