Analyst, Healthcare Data Operations

Evolent Health, Inc. Arlington , VA 22201

Posted 2 weeks ago

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? Absolutely about 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. We recognize employees that live our values, give back to our communities each year, and are champions for bringing our whole selves to work each day. 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 Healthcare Data Operations Analyst to be a key member of the Data Operations team. This is 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. To succeed in this role, you should enjoy multitasking, thrive under pressure, be an out-of-the box thinker and great problem solver. In this role you will collaborate and communicate extensively with numerous business and technical teams.

What You'll Be Doing:

  • Providing Tier 3 (expert) support for data issues in a complex, multi-sourced healthcare data warehouse ecosystem including numerous upstream and downstream data processes and consumers

  • Responding with urgency in high-pressure, time-critical situations where production data issues impact customer experience, deliverables, or patient care.

  • Perform deep-dive and root cause analysis and lead solution development and implementation on change order projects and production issues for existing operational customers.

  • Shepherd projects through requirements definition, analysis, development, QA and deployment working closely with numerous partner teams and owning responsibility and driving project completion, quality, and timeliness.

  • Multi-task effectively across a variety of change order projects and production triage tickets simultaneously.

  • Serve as subject matter expert in primary data domain and coach/mentor team members

  • Assist and support QA team members in test strategy and test case development and execution.

The Experience You Need (Required):

  • 2+ years of experience in information technology

  • Bachelor's Degree required or equivalent experience

  • Expert level SQL querying skills required

  • SAS querying skills required

  • Knowledge and understanding of Medical Claims, Rx Claims, Eligibility, healthcare insurance benefit and group account setup, Provider data and related processes around them

  • Solid track record in establishing strong relationships with internal stakeholders, clients and additional IT or QA resources as is necessary to bring projects to fruition

  • Patience and persistence to sift through complex data/information to get to the core knowledge

  • Experience with clinical coding systems: ICD9/10 diagnosis codes, ICD9/10 procedure codes, CPT codes, revenue codes, provider NPI codes, NDC Rx codes.

  • Experience in analyzing, defining and documenting business processes and rules

  • Experience testing data and assisting in the generation of related test cases

  • Intense intellectual curiosity and an ability to view problems with a fresh perspective

  • Excellent written and oral communication skills

Evolent Health is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, or national origin.


icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Operations Research Analyst Global Force Management Data Initiative Top Secret

American Systems

Posted 1 week ago

VIEW JOBS 1/11/2020 12:00:00 AM 2020-04-10T00:00 WANTED: Operations Research Analyst/Data Systems Engineer to support Global Force Management Data Initiative! ABOUT THE INITIATIVE:The Chairman of the Joint Chiefs of Staff (CJCS) Global Force Management Data Initiative (GFM DI) is a developing effort to organize force structure data electronically for integration across Service lines in support of the Global Force Management (GFM) process. As a Operations Research Analyst (ORA)/Data Systems Engineer you will: * Manage the governance and standards that underpin GFM DI and its expansion and integration throughout the Department's warfighter and business processes. * Support the J-8 in conducting assessments to understand and mitigate near-term force management risks stemming from recent and projected global operations. Modeling and simulation is used to inform key leadership on various items to include war gaming. * Work environment empowers team to take initiative, encourage innovation, delegate responsibility and hold individuals accountable. * Receive a robust benefits package that includes Employee Stock Ownership Plan! * Enjoy flexibility managing your work hours and personal needs with a single accrual leave plan. A week in the life of a Data Systems Engineer: * Providing technical expertise on topics related to enterprise architecture, data integration, computer science, systems analysis and integration, modeling, and hardware/software support. * Act as technical advisor in matters of enterprise architecture, creating enterprise data management policy for organization and force structure data, while facilitating software system configuration management processes and developing and maintaining data transfer standards and/or specifications. * Develop, maintain, and track reference data models of enterprise and system architectures while identifying opportunities to improve DoD systems, processes, and technologies to support global visibility of DoD force structure. * Lead working groups, study teams, projects and activities to analyze data requirements and develop data policy, DoD instructions, manuals, concepts of operations and other documents with DoD-wide applicability. * Execute detailed reviews and examinations of system architectures, business processes, and data produced by DoD entities in support of Global Force Management Data Initiative (GFM DI) and interpret GFM DI-related policy changes, tracking changes in information technology with an understanding of DoD efforts towards cloud computing, artificial intelligence, and machine learning. Founded in 1975, AMERICAN SYSTEMS is one of the largest employee-owned companies in the AS United States. We are a government services contractor focused on delivering Strategic Solutions to complex national priority programs with 100+ locations worldwide. Our employee-owners are encouraged to make a difference, implement new ideas in a collaborative environment, and focus on mission critical success. Through our focus on quality, strong cultural beliefs and innovation we deliver excellence every day. Join us! #cjob #CB #MON Job Requirements Clearance: Must have current Top Secret clearance, verifiable in JPAS REQUIRED EDUCATION AND EXPERIENCE: * Masters of Science degree from an accredited college or university in Systems Engineering with a minimum three (3) years of task related experience; OR * Bachelor of Science degree in Systems Engineering with a minimum six (6) years of task related experience. A degree in other engineering fields or operations research may be substituted for a systems engineering degree, provided completion of at least twenty-four (24) semester hours in a combination of operations research, mathematics, probability, statistics, mathematical logic, science, or subject matter courses requiring substantial competence in college-level mathematics or statistics, and the individual has significant experience performing systems engineering. EOE M/F/Disability/Veterans American Systems Arlington VA

Analyst, Healthcare Data Operations

Evolent Health, Inc.