Evolent Health jobs - 94 jobs

**Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** **Director, Strategic Accounts** **Put your passion where it meets purpose!** Evolent attracts some of the brightest minds in health care. Surround yourself with talented, driven colleagues who share a passion for better health outcomes and a more connected care journey. We are hiring a **Director, Strategic Accounts** to join our Customer Team. This role is unique: you will work directly with one of Evolent's largest, growing health plan clients and lead account strategy and execution. You'll have direct oversight of sales pipeline and renewals. This position partners with a customer operations lead and as a dyad you'll oversee cross-functional business and operating teams managing key client priorities. This position is highly strategic, with a strong emphasis on **upsell/cross-sell opportunities by fostering relationships, solutioning and problem solving, and communicating value.** **Collaboration Opportunities** As a consultative leader, you will identify growth opportunities within health plan specialty management and Evolent. The Strategic Account Director will implement relationship best practices, deliver on strategic growth initiatives, and drive measurable value while increasing satisfaction across all levels of the partner organization. **What You'll Be Doing** + **Strategically manage** an assigned book of business to achieve objectives in relationship development, growth, retention, and customer success. + **Identify and pursue growth opportunities** through analysis, customer research and active listening. Manage deal cycle including pitch, scope development, pricing, contract negotiations and implementation readiness. + **Define and facilitate execution of multi-year account strategy** including strategic account planning, relationship mapping, competitive analysis, and issue resolution. + **Manage and optimize contracts and performance** , by effectively partnering with Customer Operations dyad partner and Business Line leaders-ensuring compliance with SLAs, maximizing savings through benefit analysis, and adhering to legal and regulatory requirements. + **Articulate Evolent's value proposition and performance** across products and services, establishing fluency in key value drivers and measurements and opportunities for improvement + **Cultivate trusted relationships** with key executives, including C-level stakeholders, and serve as a liaison between internal and external teams. + **Leverage data-driven insights** to run efficient meetings and work sessions with clients and subject matter experts. + **Develop best-in-class presentations** and narratives for senior stakeholder meetings. + **Serve as an ambassador** for partner culture within Evolent and act as the go-to expert on client priorities. **Preferred Experience** + Bachelor's degree or equivalent work experience. + 5+ years of broad-based health care experience, health plan, and/or specialty or value-based care experience preferred + Strong **consulting background** with expertise in strategy, business development, and value based arrangements. + Ability to find creative solutions in a dynamic, evolving environment. + Exceptional communication and influencing skills at all organizational levels, including C-suite. + High emotional intelligence and ability to connect with diverse stakeholders. + **Travel:** Up to 40% within the U.S. and U.S. territories. To ensure a secure hiring process we have implemented several identity verification steps, including 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 comprehensive background check, in-person I-9 verification, and may be subject to drug screening prior to employment. The use of artificial intelligence tools during interviews is prohibited and monitored. Misrepresentation will result in immediate disqualification from consideration. **Technical Requirements:** We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations. **Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.** **If you need reasonable accommodation to access the information provided on this website, please contact** ************************** **for further assistance.** The expected base salary/wage range for this position is $-. This position is also eligible for a bonus component that would be dependent on pre-defined performance factors. As part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts. Don't see the dream job you are looking for? Drop off your contact information and resume and we will reach out to you if we find the perfect fit!

The Member Engagement Specialist is responsible for telephonic outreach and screening of identified members based on plan stratification for care management with a call center approach. An experienced and energetic communicator, the engagement specialist is focused on deepening program participation as well as making members aware of CCNC (Community Care of North Carolina) (plan) programs and offerings. The Member Engagement Specialist interacts with members, providers, and other staff to initiate program interventions, document activities, and refer risk appropriate members to professional staff according to protocols. The candidate for this position must have a disposition towards good customer service, be assertive without being aggressive, and always maintain a professional demeanor. The Member Engagement Specialist may work remotely within regions to cover the needs across the state. This is primarily a remote position. Occasional in-person training and travel may be required. Essential Functions Conduct continual telephonic outreach to identified and referred members focused on engaging members with care management services. Receive/retrieve and manage referrals from data reports; clinical care management team members, PCP (Primary Care Provider), or other service providers for efficient screening and linking members with care management. Complete and document member screenings tools and refer clinical needs to most appropriate clinical care management team member for assessment and follow up. Schedule members for face-to-face or telephonic encounters for care management follow up. Meet monthly productivity and role expectations. Complete all assignments within expected timeframes. Notify supervisor promptly of any issues with receiving or sending referrals, making timely care management assignments, or issues with carrying out any other duties assigned. Collaborate with the Care Team to address barriers and create efficiency with processes. Abide by department guidelines, company policies, and HIPAA regulations. Perform all other duties as requested. Attend departmental and corporate meetings. Understand and uphold CCNC goals, objectives, and standards. Qualifications High School/GED. Prior telephonic call center experience desired Minimum of two years previous work experience, preferably in a health care setting Healthcare experience and medical terminology knowledge highly preferred Bilingual preferred Managed care experience a plus Knowledge, Skills, and Abilities Computer skills required including various office software and the internet; experience with MS Office software preferred Strong Initiative Performance metric driven and productivity mindset Strong oral and written communication proficiency Attention to detail Organizational and Time Management Skills Strong Interpersonal Skills Critical Thinking Skills Resourceful - Able to shift strategy or approach in response to the demands of a situation Team-oriented Adaptable - Responds to change with a positive attitude and a willingness to learn new ways to accomplish work activities and objectives Motivational Interviewing Skills Knowledge of Care Management Principles Ability to work independently and to use sound judgment when needed Multi-tasking Abilities Outgoing and energetic attitude Respectful customer service skills Ability to provide information in a manner that is culturally and linguistically appropriate Knowledge of and experience working in member or clinical data systems Working Conditions Routinely there may be some minor physical inconveniences or discomforts in the work setting, including sitting for moderate periods of time and repetitive wrist motion Must be able to utilize office equipment, computer, keyboard, and phone with or without assistive devices Repetitive wrist motion and occasional lifting/carrying of up to 25 pounds The job environment is a home environment Travel using personal vehicle may be required within the region and/or the State The job environment can be intense as high volume, repetitive work is an expectation

We're excited to share an upcoming opportunity (pending a contract award) and are building a pipeline of qualified candidates in advance. Hiring is expected to begin once the final award is confirmed, anticipated within the next 2-3 months. As a Senior Communications Specialist (Senior Account Executive), you'll lead projects across the research, strategy, and execution phases, contributing substantively to solution design and ensuring the quality of work produced by more junior team members. You'll manage up, down, and across teams, helping to sustain client relationships while supporting discrete projects that involve analysis, research, and trend identification. In this role, you'll be part of Palladian Partners, Altarum Enterprise's full-service marketing and communications team, collaborating with colleagues across disciplines to deliver innovative, high-impact solutions for our clients.What You'll Do Contribute substantively to planning, research, writing, and strategy development Consistently produce high-quality correspondence, communication materials, reports, and other types of materials for internal audiences and clients Communicate directly with clients and external partners to implement strategies and tactics Develop/review project plans and track project activities, timelines, and quality reviews Manage social, paid, and traditional media outreach, including strategy, content development, and analytics Contribute substantively to content creation by communicating ideas and working with integrated project teams of designers, writers, and digital strategists to develop creative and digital assets, including videos, websites, infographics, and more Provide client service support with regular monitoring and reporting, managing timelines, proofreading, and client touchpoints Ensure quality work product of more junior team members Collaborate with other team members to address challenges and solve problems proactively Attend and contribute substantively to meetings, including taking actionable notes in both internal and external meetings; assist with scheduling and logistics Participate in new business process including research and proposal preparation Contribute to organic growth What You'll Bring Strong written and verbal communication skills Excellent interpersonal and multidisciplinary project skills Ability to work collaboratively on a team and with key stakeholders and clients Action-oriented, organized, proactive, and adaptable approach to project management Proven ability to meet deadlines and work on multiple projects simultaneously Demonstrated attention to detail and commitment to customer service Education and Experience Bachelor's degree with 3+ years of work experience Master's degree or PHD a plus. Government contracting and/or agency experience strongly preferred Media relations experience is a plus Where You'll Work Remote with occasional in-person collaboration days If you're near one of our offices (Arlington, VA; Silver Spring, MD; or Novi, MI), you'll join us in person one day every other month (6 times per year) for a fun, purpose-driven Collaboration Day. These days are filled with creative energy, meaningful connection, and team brainstorming! Non-local employees may be asked to join us on these days at an approved co-working space. Work Eligibility & Requirements Candidates must be currently eligible to work in the United States; sponsorship is not available. All work must be performed within the continental U.S. for the duration of employment, unless required by contract. Ability to work core hours aligned with Eastern Time, unless otherwise approved by your manager. Remote employees must maintain a dedicated, ergonomically appropriate workspace free from distractions, with reliable internet and a mobile device that supports efficient work. Altarum is a nonprofit organization focused on improving the health of individuals with fewer financial resources and populations disenfranchised by the health care system. We work primarily on behalf of federal and state governments to design and implement solutions that achieve measurable results. We combine our expertise in public health and health care delivery with technology development and implementation, practice transformation, training and technical assistance, quality improvement, data analytics, and applied research and evaluation. Our innovative solutions and proven processes lead to better value and health for all. Altarum is an equal opportunity employer that provides employment and opportunities to all qualified employees and applicants without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, or any other characteristic protected by applicable law.

We are seeking a highly organized and technology proficient Technical Project Manager to support and lead requirements gathering, Agile delivery, and project coordination across multiple technology initiatives within our Public Health Systems division. This role blends product management activities such as gathering business requirements and defining user stories with core project management responsibilities, including JIRA management, stand-up/sprint coordination, and cross-team communication. The ideal candidate can translate business needs into actionable development tasks, coordinate Agile workflows, and communicate clearly with technical teams, public health partners, and internal stakeholders. This position offers a strong growth path into senior technical project management or product management roles within a mission-driven, collaborative environment. Responsibilities Product & Requirements Management Lead discussions with clients, stakeholders, and internal teams to gather, refine, and document business requirements for new implementations and enhancements. Translate requirements into Epics, User Stories, acceptance criteria, and process workflows. Maintain and organize product documentation, including requirements, user journeys, and feature definitions. Support creation and maintenance of PRDs, roadmaps, and traceability documentation as needed. Project Coordination & Agile Delivery Plan, schedule, and track project deliverables, sprints, and milestones. Manage resource allocations and overall project financial forecasting Own and maintain JIRA boards, including backlog grooming, prioritization, sprint setup, and work tracking. Facilitate Agile ceremonies such as daily standups, sprint planning, sprint reviews, and retrospectives. Monitor timelines, dependencies, and risks, escalating blockers when needed. Document meetings, decisions, and follow-up actions to ensure alignment across teams. Client and Stakeholder Support Prepare updates, release notes, sprint summaries, and client communications. Support demos, walkthroughs, and stakeholder presentations. Respond to inquiries, document requests, and ensure clear routing to the appropriate technical or business team. Technical and Operational Support Collaborate with developers, QA, and DevOps to ensure requirements are fully understood and implemented correctly. Participate in testing and validation activities to confirm acceptance criteria are met. Assist in UAT coordination, release readiness checks, and post-launch activities. Help triage issues, validate reported problems, and support Help Desk processes when relevant. Reporting and Documentation Prepare project status reports, milestone summaries, and performance metrics. Maintain accurate documentation of requirements, deliverables, sprint outcomes, and project history. Support cross-team reporting on progress, resource use, and upcoming priorities. Qualifications Bachelor's degree in information technology, Business Administration, Computer Science, Public Health, or related field (or equivalent experience). Three to five years of experience in technical project management, product coordination, business analysis, or related hybrid roles. Strong understanding of Agile delivery, backlog management, and software development workflows. Ability to translate business needs into clear and actionable documentation (Epics, User Stories, acceptance criteria). Excellent written and verbal communication skills across technical and non-technical audiences. Proficiency with project management and documentation tools such as JIRA and Confluence. Highly organized, detail-oriented, and comfortable managing multiple concurrent workstreams. Preferred Skills Experience working in environments using Drupal, Moodle, or other content/learning management systems. Familiarity with interoperability standards, EHR workflows, or public health systems. Exposure to Agile/Scrum methodologies or participation in Agile ceremonies. Understanding of software environments (Dev, QA, UAT, Prod) and release cycles. Ability to create process flows, wireframes, or technical documentation is a plus Logistical Requirements At this time, we will only accept candidates who are presently eligible to work in the United States and will not require sponsorship. Our organization requires that all work, for the duration of your employment, must be completed in the continental U.S. unless required by contract. Must be able to work during eastern time unless approved by your manager. Employees working remotely must have a dedicated, ergonomically appropriate workspace free from distractions with a mobile device that allows for productive and efficient conduct of business. Altarum is a nonprofit organization focused on improving the health of individuals with fewer financial resources and populations disenfranchised by the health care system. We work primarily on behalf of federal and state governments to design and implement solutions that achieve measurable results. We combine our expertise in public health and health care delivery with technology development and implementation, practice transformation, training and technical assistance, quality improvement, data analytics, and applied research and evaluation. Our innovative solutions and proven processes lead to better value and health for all. Altarum is an equal opportunity employer that provides employment and opportunities to all qualified employees and applicants without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, or any other characteristic protected by applicable law.

Altarum | Data & AI Center of Excellence (CoE) Altarum is seeking a Senior Analytics Engineer - BI & Data Visualization to serve as the “last-mile translator” between advanced data systems and the decision-makers who rely on them. In this pivotal role, you'll turn raw data pipelines, evaluation outputs, causal inference models, and ML predictions into trusted, actionable insights for federal and state partners. If you love semantic modeling, BI design, dbt craftsmanship, and telling complex stories with data, this role puts you at the center of Altarum's insight delivery ecosystem. What This Role Blends Analytics Engineering (dbt, SQL, semantic modeling) Data Visualization Leadership (Power BI, UX, narrative design) ML & Evaluation InterpretabilityShared-services enablement across all Altarum divisions You will set the standards, build the templates, and create the reusable metrics that power insights organization-wide.What You'll Do Own dbt projects across public health, behavioral health, Medicaid, maternal/child health, and SDOH domains. Create and manage semantic models, data contracts, macros, and versioned transformations. Define and govern reusable metrics: dimensions, denominators, time logic, risk adjustment, and composite measures. Build star schemas and conformed dimensions optimized for Power BI, including RLS and deployment pipelines. Work closely with Data Platform Engineers to ensure pipelines are analytics-ready and performant. Data Visualization & Storytelling Lead design and delivery of executive-ready dashboards using Power BI, with strong UX and accessibility (Section 508). Build dashboards in Power BI (primary) with optional support for Tableau/Looker. Translate complex methods-equity stratifications, quasi-experimental results, small-area estimation, NLP outputs-into policy-ready visuals. Create ML explainability dashboards (SHAP, LIME, bias metrics, drift/calibration). Partner with creative and UX teams to produce visually compelling and context-appropriate designs. Quality, Governance, & Standards Implement rigorous validation and BI QA (dbt tests, performance testing, dashboard monitoring). Maintain a centralized metrics catalog, semantic dictionary, and visualization standards. Manage BI versioning, documentation, and data lineage in alignment with federal requirements. Develop Power BI themes, navigation patterns, KPI templates, and reusable dbt + BI starter projects. Enablement & Scale Develop and deliver training for Analytics Engineering and BI best practices. Provide pairing sessions, workshops, and visualization coaching across divisions. Publish accelerator packages (dbt bundles, semantic models, Power BI templates) to improve delivery speed. Instrument BI usage analytics and run structured feedback cycles with stakeholders. Success Metrics (KPIs) Time-to-dashboard ≤ 4 weeks from modeled data to stakeholder review Dashboard adoption, usage, and stakeholder satisfaction Increased metric standardization and catalog coverage Reuse of templates and semantic models across ≥3 divisions What You'll Bring 5-8 years as an Analytics Engineer, BI Lead, or similar role Strong proficiency in SQL and dbt (models, tests, macros, documentation, CI/CD) Mastery of Power BI, including DAX, Power Query (M), semantic models, dataflows, RLS, and deployment pipelines Strong experience with data modeling, dimensional design, and performance tuning Ability to present analytics solutions and incorporate customer feedback Strong Git workflows, code review, and documentation discipline Preferred: Familiarity with public health or Medicaid/Medicare domains and equity or evaluation methods Experience integrating ML outputs into dashboards (SHAP, drift, feature importance) Python/R for analysis or geospatial mapping (ArcGIS/QGIS) Knowledge of FHIR-to-analytics models, USCDI+, or TEFCA concepts Experience with AWS-based data sources (Redshift, Athena, S3/Parquet) or Databricks/Snowflake Experience developing BI/analytics training or design systems Power BI for Government experience (strongly preferred, not required) Logistical Requirements At this time, we will only accept candidates who are presently eligible to work in the United States and will not require sponsorship. Our organization requires that all work, for the duration of your employment, must be completed in the continental U.S. unless required by contract. If you're near one of our offices (Arlington, VA; Silver Spring, MD; or Novi, MI), you'll join us in person one day every other month (6 times per year) for a fun, purpose-driven Collaboration Day. These days are filled with creative energy, meaningful connection, and team brainstorming! Must be able to work during Eastern Time unless approved by your manager. Employees working remotely must have a dedicated, ergonomically appropriate workspace free from distractions with a mobile device that allows for productive and efficient conduct of business. Altarum is a nonprofit organization focused on improving the health of individuals with fewer financial resources and populations disenfranchised by the health care system. We work primarily on behalf of federal and state governments to design and implement solutions that achieve measurable results. We combine our expertise in public health and health care delivery with technology development and implementation, practice transformation, training and technical assistance, quality improvement, data analytics, and applied research and evaluation. Our innovative solutions and proven processes lead to better value and health for all. Altarum is an equal opportunity employer that provides employment and opportunities to all qualified employees and applicants without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, or any other characteristic protected by applicable law.

The Member Care Coordinator position is a non-clinician role that works in collaboration with the Care Management staff and/or quality improvement staff to support the multi-disciplinary team approach of patient care by meeting key performance indicators (closing care gaps, reducing hospitalizations, readmissions, ED utilization, and PMPM costs) and other organizational mandates as designated. The Member Care Coordinator may work remotely within regions to cover the needs across the state and/or may work on site at CCPN practices. Member Care Coordinators may directly assist members in improving their ability to improve their health outcomes. They also help design and implement systems to ensure the smooth operation of office functions and to support the Care Team. Member Care Coordinators may also work directly with assigned practices to assist them in addressing care gap closure under the direction of Provider Relations Representatives. This is primarily a remote position. Occasional in-person training and travel may be required. Essential Functions Receive and document all referrals from various sources into the Care Management documentation platform Verify eligibility and demographic information May complete Health Risk Screenings as needed Assist with mailing of educational materials, consent forms or other documents to the member as necessary Assist with referrals on behalf of the Care Management team Provide information for access and coordination of resources Assist member with care coordination and health care system navigation Provide culturally appropriate health education and information Provide general education and social support Advocate for members Identify care gaps and perform outreach to members in attempt to close gaps as requested Assist practice to submit supplemental data to health plans to provide documentation of gap closure as requested; assist with scheduling medical appointments and transportation as needed Assist to address with Social Determinants of Health as needed Access multiple EHR's to obtain and upload into the care management platform Access to Hospital/Data or Electronic Medical Record system will be required, as necessary Notify supervisor promptly of any issues with carrying out any duties assigned Adhere to CCNC Privacy and Security policies to ensure that patient and company data is properly safeguarded Abide by department guidelines, company policies, and HIPAA regulations Perform other duties that assist in keeping the operations organized and functional Attend Departmental and corporate meetings, local and regional training, or other events as required Understand and uphold CCNC goals, objectives, and standards Travel using a personal vehicle will be required within the region and/or the State Qualifications High school diploma or GED required; or Licensed Practical Nurse 2-4 years minimum experience in a health care setting required 2- or 4-year degree in health-related field preferred Bilingual preferred Maintain a valid driver's license with current auto liability insurance Knowledge, Skills, and Abilities Knowledge of and experience working in patient or clinical data systems Computer skills required including various office software and the internet; experience with MS Office software preferred Knowledge of state and federal benefits system Excellent communication skills - oral and written Proficient Motivational Interviewing skills Organizational and time management skills Sensitivity to diversity of cultures, language barriers, health literacy and educational levels Knowledge of medical terminology Responds to change with a positive attitude and a willingness to learn new ways to accomplish work activities and objectives Able to shift strategy or approach in response to the demands of a situation Working Conditions The job environment is primarily an office or home environment. Multiple contacts are required with various members, providers, multi-payer systems and community partners to ensure coordination of services; exposure to general office and household conditions, as well as communicable disease could occur Routinely there may be some minor physical inconveniences or discomforts in the work setting, including sitting for moderate periods of time Must be able to utilize office equipment, computer, keyboard and phone with or without assistive devices Repetitive wrist motion and occasional lifting/carrying of up to 25 pounds Travel will be required within the region and/or the State

We're excited to share an upcoming opportunity (pending a contract award) and are building a pipeline of qualified candidates in advance. Hiring is expected to begin once the final award is confirmed, anticipated within the next 2-3 months. As a Visual & Multimedia Designer (Sr. Account Executive - Creative), you'll make substantive contributions across the strategy and execution phases of projects. You'll apply your expertise in visual design and other creative disciplines to develop efficient, effective solutions, ensure high-quality work, and contribute meaningfully to your team. You'll manage up, down, and across teams to accomplish work and help sustain client relationships at the appropriate level. In this role, you'll join Palladian Partners, Altarum Enterprise's full-service marketing and communications team, collaborating with colleagues across disciplines to deliver innovative, high-impact solutions for our clients.What You'll Do Contribute substantively to planning, research, and strategy development for creative projects Consistently produce high-quality designs, correspondence, materials, reports, and other types of information for internal audiences and clients Research and analyze industry and competitor trends and provide insightful recommendations to team and client Contribute substantively to content creation by communicating ideas and working with integrated project teams of strategists and writers to develop assets, including fact sheets, animations, videos, websites, infographics, and more Track assignments and project activities to meet deadlines Collaborate with other team members to address challenges and solve problems proactively Attend and contribute to meetings, including taking actionable notes in both internal and external meetings Participate in new business process including research and proposal preparation Contribute to organic growth What You'll Bring Strong written, verbal, and visual/multimedia communication skills Ability to work collaboratively on a team and with key stakeholders and clients Action-oriented, organized, proactive, and adaptable approach to project management Proven ability to meet deadlines and work on multiple projects simultaneously Demonstrated attention to detail and commitment to customer service Education and Experience Bachelor's degree with 3+ years of work experience in visual & multimedia design Master's degree or PHD a plus Government contracting and/or agency experience strongly preferred Familiarity with federal accessibility standards for digital products a plus Animation and multimedia/video experience preferred Where You'll Work Remote with occasional in-person collaboration days If you're near one of our offices (Arlington, VA; Silver Spring, MD; or Novi, MI), you'll join us in person one day every other month (6 times per year) for a fun, purpose-driven Collaboration Day. These days are filled with creative energy, meaningful connection, and team brainstorming! Non-local employees may be asked to join us on these days at an approved co-working space. Work Eligibility & Requirements Candidates must be currently eligible to work in the United States; sponsorship is not available. All work must be performed within the continental U.S. for the duration of employment, unless required by contract. Ability to work core hours aligned with Eastern Time, unless otherwise approved by your manager. Remote employees must maintain a dedicated, ergonomically appropriate workspace free from distractions, with reliable internet and a mobile device that supports efficient work. Altarum is a nonprofit organization focused on improving the health of individuals with fewer financial resources and populations disenfranchised by the health care system. We work primarily on behalf of federal and state governments to design and implement solutions that achieve measurable results. We combine our expertise in public health and health care delivery with technology development and implementation, practice transformation, training and technical assistance, quality improvement, data analytics, and applied research and evaluation. Our innovative solutions and proven processes lead to better value and health for all. Altarum is an equal opportunity employer that provides employment and opportunities to all qualified employees and applicants without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, or any other characteristic protected by applicable law.

Altarum | Data & AI Center of Excellence (CoE) Altarum is building the future of data and AI infrastructure for public health - and we're looking for a Principal Data Engineer - ML Platforms to help lead the way. In this cornerstone role, you will design, build, and operationalize the modern data and ML platform capabilities that power analytics, evaluation, AI modeling, and interoperability across all Altarum divisions. If you want to architect impactful systems, enable data science at scale, and help ensure public health and Medicaid programs operate with secure, explainable, and trustworthy AI - this role is for you. What You'll Work On This role blends deep engineering with applied ML enablement: ML Platform Engineering: modern lakehouse architecture, pipelines, MLOps lifecycle Applied ML enablement: risk scoring, forecasting, Medicaid analytics NLP/Generative AI support: RAG, vectorization, health communications Causal ML operationalization: evaluation modeling workflows Responsible/Trusted AI engineering: model cards, fairness, compliance Your work ensures that Altarum's public health and Medicaid programs run on secure, scalable, reusable, and explainable data and AI infrastructure. What You'll Do Platform Architecture & Delivery Design and operate modern, cloud-agnostic lakehouse architecture using object storage, SQL/ELT engines, and dbt. Build CI/CD pipelines for data, dbt, and model delivery (GitHub Actions, GitLab, Azure DevOps). Implement MLOps systems: MLflow (or equivalent), feature stores, model registry, drift detection, automated testing. Engineer solutions in AWS and AWS GovCloud today, with portability to Azure Gov or GCP. Use Infrastructure-as-Code (Terraform, CloudFormation, Bicep) to automate secure deployments. Pipelines & Interoperability Build scalable ingestion and normalization pipelines for healthcare and public health datasets, including: FHIR R4 / US Core (strongly preferred) HL7 v2 (strongly preferred) Medicaid/Medicare claims & encounters (strongly preferred) SDOH & geospatial data (preferred) Survey, mixed-methods, and qualitative data Create reusable connectors, dbt packages, and data contracts for cross-division use. Publish clean, conformed, metrics-ready tables for Analytics Engineering and BI teams. Support Population Health in turning evaluation and statistical models into pipelines. Data Quality, Reliability & Cost Management Define SLOs and alerting; instrument lineage & metadata; ensure ≥95% of data tests pass. Perform performance and cost tuning (partitioning, storage tiers, autoscaling) with guardrails and dashboards. Applied ML Enablement Build production-grade pipelines for risk prediction, forecasting, cost/utilization models, and burden estimation. Develop ML-ready feature engineering workflows and support time-series/outbreak detection models. Integrate ML assets into standardized deployment workflows. Generative AI Enablement Build ingestion and vectorization pipelines for surveys, interviews, and unstructured text. Support RAG systems for synthesis, evaluation, and public health guidance. Enable Palladian Partners with secure, controlled-generation environments. Causal ML & Evaluation Engineering Translate R/Stata/SAS evaluation code into reusable pipelines. Build templates for causal inference workflows (DID, AIPW, CEM, synthetic controls). Support operationalization of ARA's applied research methods at scale. Responsible AI, Security & Compliance Implement Model Card Protocol (MCP) and fairness/explainability tooling (SHAP, LIME). Ensure compliance with HIPAA, 42 CFR Part 2, IRB/DUA constraints, and NIST AI RMF standards. Enforce privacy-by-design: tokenization, encryption, least-privilege IAM, and VPC isolation. Reuse, Shared-Services, and Enablement Develop runbooks, architecture diagrams, repo templates, and accelerator code. Pair with data scientists, analysts, and SMEs to build organizational capability. Provide technical guidance for proposals and client engagements. Your First 90 Days - You will make a meaningful impact fast. Expected outcomes include: Platform skeleton operational: repo templates, CI/CD, dbt project, MLflow registry, tests. Two pipelines in production (e.g., FHIR → analytics and claims normalization). One end-to-end CoE lighthouse MVP delivered (ingestion → model → metrics → BI). Completed playbooks for GovCloud deployment, identity/secrets, rollback, and cost control. Success Metrics (KPIs) Pipeline reliability meeting SLA/SLO targets. ≥95% data tests passing across pipelines. MVP dataset onboarding ≤ 4 weeks. Reuse of platform assets across ≥3 divisions. Cost optimization and budget adherence. What You'll Bring 7-10+ years in data engineering, ML platform engineering, or cloud data architecture. Expert in Python, SQL, dbt, and orchestration tools (Airflow, Glue, Step Functions). Deep experience with AWS + AWS GovCloud. CI/CD and IaC experience (Terraform, CloudFormation). Familiarity with MLOps tools (MLflow, Sagemaker, Azure ML, Vertex AI). Ability to operate in regulated environments (HIPAA, 42 CFR Part 2, IRB). Preferred: Experience with FHIR, HL7, Medicaid/Medicare claims, and/or SDOH datasets. Databricks, Snowflake, Redshift, Synapse. Event streaming (Kafka, Kinesis, Event Hubs). Feature store experience. Observability tooling (Grafana, Prometheus, OpenTelemetry). Experience optimizing BI datasets for Power BI. Logistical Requirements At this time, we will only accept candidates who are presently eligible to work in the United States and will not require sponsorship. Our organization requires that all work, for the duration of your employment, must be completed in the continental U.S. unless required by contract. If you're near one of our offices (Arlington, VA; Silver Spring, MD; or Novi, MI), you'll join us in person one day every other month (6 times per year) for a fun, purpose-driven Collaboration Day. These days are filled with creative energy, meaningful connection, and team brainstorming! Must be able to work during Eastern Time unless approved by your manager. Employees working remotely must have a dedicated, ergonomically appropriate workspace free from distractions with a mobile device that allows for productive and efficient conduct of business. Altarum is a nonprofit organization focused on improving the health of individuals with fewer financial resources and populations disenfranchised by the health care system. We work primarily on behalf of federal and state governments to design and implement solutions that achieve measurable results. We combine our expertise in public health and health care delivery with technology development and implementation, practice transformation, training and technical assistance, quality improvement, data analytics, and applied research and evaluation. Our innovative solutions and proven processes lead to better value and health for all. Altarum is an equal opportunity employer that provides employment and opportunities to all qualified employees and applicants without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, or any other characteristic protected by applicable law.

We're excited to share an upcoming opportunity (pending a contract award) and are building a pipeline of qualified candidates in advance. Hiring is expected to begin once the final award is confirmed, anticipated within the next 2-3 months. As a Communications Specialist (Account Executive), you'll contribute to projects across the research and execution phases, help design solutions, and make meaningful contributions to your team. You'll manage up and across teams, support client relationships, produce drafts of work, reports, and analyses, monitor changes in the environment that may affect client success, and ensure the quality and timeliness of client deliverables. In this role, you'll be part of Palladian Partners, Altarum Enterprise's full-service marketing and communications team, where you'll work collaboratively to deliver innovative, high-impact solutions for our clients.What You'll Do Participate in planning, research, writing, and strategy development Draft high-quality correspondence, communication materials, reports, and other types of materials for internal audiences and clients Communicate directly with clients and external partners to implement strategies and tactics Draft project plans and track project activities, timelines, and quality reviews Support social, paid, and traditional media outreach, including strategy, content development, and analytics Support content creation by communicating ideas and working with integrated project teams of designers, writers, and digital strategists to develop creative and digital assets, including videos, websites, infographics, and more Provide client service support with regular monitoring and reporting, managing timelines, proofreading, and client touchpoints Collaborate with other team members to address challenges and solve problems proactively Attend and contribute to meetings, including taking actionable notes in both internal and external meetings, handle scheduling and logistics Participate in new business process including research and proposal preparation Contribute to organic growth What You'll Bring Strong written and verbal communication skills Excellent interpersonal and multidisciplinary project skills Ability to work collaboratively on a team and with key stakeholders and clients Action-oriented, organized, proactive, and adaptable approach to project coordination Proven ability to meet deadlines and work on multiple projects simultaneously Demonstrated attention to detail and commitment to customer service Education and Experience Bachelor's degree with 1-2 years of work experience Master's degree or PHD a plus Government contracting and/or agency experience preferred Where You'll Work Remote with occasional in-person collaboration days If you're near one of our offices (Arlington, VA; Silver Spring, MD; or Novi, MI), you'll join us in person one day every other month (6 times per year) for a fun, purpose-driven Collaboration Day. These days are filled with creative energy, meaningful connection, and team brainstorming! Non-local employees may be asked to join us on these days at an approved co-working space. Work Eligibility & Requirements Candidates must be currently eligible to work in the United States; sponsorship is not available. All work must be performed within the continental U.S. for the duration of employment, unless required by contract. Ability to work core hours aligned with Eastern Time, unless otherwise approved by your manager. Remote employees must maintain a dedicated, ergonomically appropriate workspace free from distractions, with reliable internet and a mobile device that supports efficient work. Federal Clearance & Badge Because this role supports federal clients, you'll need to complete a federal background investigation to determine your suitability for federal employment. You may also be required to obtain an HHS Personal Identity Verification (PIV) Badge in addition to Palladian's standard background process. Learn more about the federal suitability and PIV process here: ******************************************************************************************************************************** Altarum is a nonprofit organization focused on improving the health of individuals with fewer financial resources and populations disenfranchised by the health care system. We work primarily on behalf of federal and state governments to design and implement solutions that achieve measurable results. We combine our expertise in public health and health care delivery with technology development and implementation, practice transformation, training and technical assistance, quality improvement, data analytics, and applied research and evaluation. Our innovative solutions and proven processes lead to better value and health for all. Altarum is an equal opportunity employer that provides employment and opportunities to all qualified employees and applicants without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, or any other characteristic protected by applicable law.

**Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The **Analyst, Application Support** is a highly motivated person with excellent communication and interpersonal skills to interact with internal/external teams and application users and help trouble shoot/resolve issues reported by various departments within Evolent. This person will provide high quality operational, technical, and systems support to preserve customer satisfaction and internal business functions to aid in minimizing recurrence of incidents. **What You Will Be Doing:** + Provide first-level support, including problem replication, triage, and resolution of issues, the majority of which are associated with Standard Operating Procedures (SOPs) + Provide accurate and timely resolution of issues, and escalation when necessary + Ensure that Service Level Agreements (SLAs) are met + Maintain and update documentation related to operations and support processes within Confluence + Contributes to improvement of existing processes and identification of new processes and technical alternatives to resolve problems + Collaborate with team members and business functions to troubleshoot and resolve support tickets + Respond to escalations and incidents, providing support toward resolution, and notifying stakeholders of progress during business hours and outside of normal business hours (on-call support) + Contribute to writing T-SQL code and tools to assist Level 1 support to diagnose and resolve incidents + Execute SQL scripts to generate reports, troubleshoot data issues, and fulfill database support tasks + Perform ad-hoc task and analysis for the support team as needed Perform quarterly user access audit **Qualifications - Required:** + Bachelor's degree in computer science, IT- related degree or comparable experience + 1+ year(s) of progressive experience within application support/IT operations organizations + 1+ year(s) experience with T-SQL, ability to view and write T-SQL code for triage and investigation + Professional verbal and written communication skills, with the ability to clearly articulate thoughts and ideas. + Basic knowledge of web application functionality and fundamental Infrastructure knowledge of computer systems. + Collaborative working style with the ability to work across different organizations and personalities + Ability to work unsupervised and a self-starter who seeks improvements without direction + **This role is Monday- Friday from 9:00 am to 6:00pm, CST, MST or PST. with some flexibility. Additionally rotating on-call support, including after-hours, weekends and holidays.** **Qualifications - Preferred:** + Experience in a healthcare-related field + Familiarity with JIRA, Confluence, Microsoft Azure - Application Insights + JIRA Service Desk ticketing system/Confluence experience To ensure a secure hiring process we have implemented several identity verification steps, including 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 comprehensive background check, in-person I-9 verification, and may be subject to drug screening prior to employment. The use of artificial intelligence tools during interviews is prohibited and monitored. Misrepresentation will result in immediate disqualification from consideration. **Technical Requirements:** We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations. **Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.** **If you need reasonable accommodation to access the information provided on this website, please contact** ************************** **for further assistance.** The expected base salary/wage range for this position is $28.00 to $31.00. This position is also eligible for a bonus component that would be dependent on pre-defined performance factors. As part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts. Don't see the dream job you are looking for? Drop off your contact information and resume and we will reach out to you if we find the perfect fit!

**Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals. Tasks are performed within the **RN/LVN/LPN** scope of practice, under the Medical Director's direction, using independent nursing judgement and decision-making, physician-developed medical policies, and clinical decision-making criteria sets. The Clinical Review Nurse serves as a member advocate, expediting care across the continuum and working in concert with the health care delivery team to maintain high-quality, cost-effective care delivery. + Perform pre-certification utilization reviews of **Oncology treatment requests** + Determines medical necessity and appropriateness of services using clinical review criteria. + Accurately documents all review rationales and determinations. + Appropriately identifies and refers cases that do not meet established clinical criteria to the Medical Director. + Appropriately identifies and refers quality issues to UM Leadership. + Collaborates with physicians and other providers to facilitate the provision of services throughout the health care continuum. + Performs accurate data entry. + Communicates appropriate information to other staff members as necessary/required. + Participates in continuing education initiatives. + Availability on some weekends and holidays may be required. + Performs other duties as assigned. **The Experience You'll Need (Required):** + Registered Nurse or Licensed Practical/Vocational Nurse with a current, unrestricted license. + High School Diploma or equivalent required + Minimum of three years of direct clinical patient care (acute, inpatient, or critical care setting); strongly prefer direct Oncology experience. + Strong computer skills, including MS Office Suite + Strong interpersonal, oral, and written communication skills. + Availability for weekend holiday rotation. **Finishing Touches (Preferred):** + Experience with clinical decision-making criteria sets (i.e., Milliman, InterQual) + Minimum of one year of experience with medical management activities in a managed care environment + UM/UR experience + Clinical experience in Oncology, ICU, ED, or other critical care environment + Remote work experience To ensure a secure hiring process we have implemented several identity verification steps, including 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 comprehensive background check, in-person I-9 verification, and may be subject to drug screening prior to employment. The use of artificial intelligence tools during interviews is prohibited and monitored. Misrepresentation will result in immediate disqualification from consideration. **Technical Requirements:** We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations. **Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.** **If you need reasonable accommodation to access the information provided on this website, please contact** ************************** **for further assistance.** The expected base salary/wage range for this position is $32-$37 /hr. This position is also eligible for a bonus component that would be dependent on pre-defined performance factors. As part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts. Don't see the dream job you are looking for? Drop off your contact information and resume and we will reach out to you if we find the perfect fit!

**Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals. Tasks are performed within the **RN/LVN/LPN** scope of practice, under the Medical Director's direction, using independent nursing judgement and decision-making, physician-developed medical policies, and clinical decision-making criteria sets. The Clinical Review Nurse serves as a member advocate, expediting care across the continuum and working in concert with the health care delivery team to maintain high-quality, cost-effective care delivery. + Perform pre-certification utilization reviews of **Oncology treatment requests** + Determines medical necessity and appropriateness of services using clinical review criteria. + Accurately documents all review rationales and determinations. + Appropriately identifies and refers cases that do not meet established clinical criteria to the Medical Director. + Appropriately identifies and refers quality issues to UM Leadership. + Collaborates with physicians and other providers to facilitate the provision of services throughout the health care continuum. + Performs accurate data entry. + Communicates appropriate information to other staff members as necessary/required. + Participates in continuing education initiatives. + Availability on some weekends and holidays may be required. + Performs other duties as assigned. **The Experience You'll Need (Required):** + Registered Nurse or Licensed Practical/Vocational Nurse with a current, unrestricted license. + High School Diploma or equivalent required + Minimum of three years of direct clinical patient care (acute, inpatient, or critical care setting); strongly prefer direct Oncology experience. + Strong computer skills, including MS Office Suite + Strong interpersonal, oral, and written communication skills. + Availability for weekend holiday rotation. **Finishing Touches (Preferred):** + Experience with clinical decision-making criteria sets (i.e., Milliman, InterQual) + Minimum of one year of experience with medical management activities in a managed care environment + UM/UR experience + Clinical experience in Oncology, ICU, ED, or other critical care environment + Remote work experience To ensure a secure hiring process we have implemented several identity verification steps, including 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 comprehensive background check, in-person I-9 verification, and may be subject to drug screening prior to employment. The use of artificial intelligence tools during interviews is prohibited and monitored. Misrepresentation will result in immediate disqualification from consideration. **Technical Requirements:** We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations. **Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.** **If you need reasonable accommodation to access the information provided on this website, please contact** ************************** **for further assistance.** The expected base salary/wage range for this position is $32-$37 /hr. This position is also eligible for a bonus component that would be dependent on pre-defined performance factors. As part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts. Don't see the dream job you are looking for? Drop off your contact information and resume and we will reach out to you if we find the perfect fit!

Altarum | Data & AI Center of Excellence (CoE) Altarum is seeking a Senior Analytics Engineer - BI & Data Visualization to serve as the “last-mile translator” between advanced data systems and the decision-makers who rely on them. In this pivotal role, you'll turn raw data pipelines, evaluation outputs, causal inference models, and ML predictions into trusted, actionable insights for federal and state partners. If you love semantic modeling, BI design, dbt craftsmanship, and telling complex stories with data, this role puts you at the center of Altarum's insight delivery ecosystem. What This Role Blends Analytics Engineering (dbt, SQL, semantic modeling) Data Visualization Leadership (Power BI, UX, narrative design) ML & Evaluation InterpretabilityShared-services enablement across all Altarum divisions You will set the standards, build the templates, and create the reusable metrics that power insights organization-wide.What You'll Do Own dbt projects across public health, behavioral health, Medicaid, maternal/child health, and SDOH domains. Create and manage semantic models, data contracts, macros, and versioned transformations. Define and govern reusable metrics: dimensions, denominators, time logic, risk adjustment, and composite measures. Build star schemas and conformed dimensions optimized for Power BI, including RLS and deployment pipelines. Work closely with Data Platform Engineers to ensure pipelines are analytics-ready and performant. Data Visualization & Storytelling Lead design and delivery of executive-ready dashboards using Power BI, with strong UX and accessibility (Section 508). Build dashboards in Power BI (primary) with optional support for Tableau/Looker. Translate complex methods-equity stratifications, quasi-experimental results, small-area estimation, NLP outputs-into policy-ready visuals. Create ML explainability dashboards (SHAP, LIME, bias metrics, drift/calibration). Partner with creative and UX teams to produce visually compelling and context-appropriate designs. Quality, Governance, & Standards Implement rigorous validation and BI QA (dbt tests, performance testing, dashboard monitoring). Maintain a centralized metrics catalog, semantic dictionary, and visualization standards. Manage BI versioning, documentation, and data lineage in alignment with federal requirements. Develop Power BI themes, navigation patterns, KPI templates, and reusable dbt + BI starter projects. Enablement & Scale Develop and deliver training for Analytics Engineering and BI best practices. Provide pairing sessions, workshops, and visualization coaching across divisions. Publish accelerator packages (dbt bundles, semantic models, Power BI templates) to improve delivery speed. Instrument BI usage analytics and run structured feedback cycles with stakeholders. Success Metrics (KPIs) Time-to-dashboard ≤ 4 weeks from modeled data to stakeholder review Dashboard adoption, usage, and stakeholder satisfaction Increased metric standardization and catalog coverage Reuse of templates and semantic models across ≥3 divisions What You'll Bring 5-8 years as an Analytics Engineer, BI Lead, or similar role Strong proficiency in SQL and dbt (models, tests, macros, documentation, CI/CD) Mastery of Power BI, including DAX, Power Query (M), semantic models, dataflows, RLS, and deployment pipelines Strong experience with data modeling, dimensional design, and performance tuning Ability to present analytics solutions and incorporate customer feedback Strong Git workflows, code review, and documentation discipline Preferred: Familiarity with public health or Medicaid/Medicare domains and equity or evaluation methods Experience integrating ML outputs into dashboards (SHAP, drift, feature importance) Python/R for analysis or geospatial mapping (ArcGIS/QGIS) Knowledge of FHIR-to-analytics models, USCDI+, or TEFCA concepts Experience with AWS-based data sources (Redshift, Athena, S3/Parquet) or Databricks/Snowflake Experience developing BI/analytics training or design systems Power BI for Government experience (strongly preferred, not required) Logistical Requirements At this time, we will only accept candidates who are presently eligible to work in the United States and will not require sponsorship. Our organization requires that all work, for the duration of your employment, must be completed in the continental U.S. unless required by contract. If you're near one of our offices (Arlington, VA; Silver Spring, MD; or Novi, MI), you'll join us in person one day every other month (6 times per year) for a fun, purpose-driven Collaboration Day. These days are filled with creative energy, meaningful connection, and team brainstorming! Must be able to work during Eastern Time unless approved by your manager. Employees working remotely must have a dedicated, ergonomically appropriate workspace free from distractions with a mobile device that allows for productive and efficient conduct of business. Altarum is a nonprofit organization focused on improving the health of individuals with fewer financial resources and populations disenfranchised by the health care system. We work primarily on behalf of federal and state governments to design and implement solutions that achieve measurable results. We combine our expertise in public health and health care delivery with technology development and implementation, practice transformation, training and technical assistance, quality improvement, data analytics, and applied research and evaluation. Our innovative solutions and proven processes lead to better value and health for all. Altarum is an equal opportunity employer that provides employment and opportunities to all qualified employees and applicants without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, or any other characteristic protected by applicable law.

Your Future Evolves Here Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. What You'll Be Doing: Job Description Cardiovascular Utilization Management Reviewer (Interventional Cardiologist) Are you ready to make a meaningful impact on patient care in a non-clinical setting? Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your expertise in interventional cardiology to help ensure the delivery of high-value, evidence-based case reviews. Enjoy improved work-life balance while contributing to better health outcomes in an environment that fosters collaboration, continuous learning, and impactful peer-to-peer discussions. What We Offer: A meaningful way to contribute to patient care beyond the clinical setting. Opportunities for collaboration with a dynamic team of physicians, leaders, and clinical professionals. A role that values innovation, continuous improvement, and clinical excellence. This position is 100% Remote and can be completed from any state. Multiple opportunities for a flexible schedule and both part-time and full-time options available. What You'll Do: Provide expert reviews for cardiovascular cases, serving as a specialty-matched expert reviewer for invasive/interventional cardiology cases (e.g., cardiac catheterizations, coronary interventions, endovascular procedures, implantable cardiac devices, etc) that do not initially meet medical necessity guidelines or require further evaluation by a subject matter expert. Conduct peer-to-peer discussions with treating providers to ensure appropriate, high-value care aligned with clinical guidelines. Collaborate with leadership, management, and clinical staff to address complex cases and support decision-making. Act as a key resource for Initial Clinical Reviewers, offering guidance and expertise to ensure the application of best practices. Provides clinical rationale for standard and expedited appeals. Discusses determinations (peer to peer phone calls) with requesting physicians or ordering providers, when available, within the regulatory timeframe of the request. Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. Ensures documentation of all communications with medical office staff and/or MD provider is recorded in a timely and accurate manner. Participates in on-going training per inter-rater reliability process. May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. On a requested basis, may function as Medical Director for selecting health plans or regions, assuming overall accountability for utilization management while working in conjunction with the Senior Medical Director. Qualifications MD/DO/MBBS Degree Current, unrestricted clinical license in medicine or required specialty Obtaining and maintaining medical licenses in the state you reside, as well as, other state licensure required per business needs Active Board Certification in Interventional Cardiology or may be substituted for one of the following: Active Board Certification in Cardiology and proof of prior board certification in Interventional Cardiology Active Board Certification in Cardiology and proof of active practice as an Interventional Cardiologist for 5+ years Strong clinical, management, communication, and organizational skills Energetic and curious with a passion for quality and value in health care Computer Proficiency Minimum of five (5) years' experience in the practice of Cardiology is preferred Not under current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid, and is not identified as an “excluded person” by the Office of Inspector General of the Department of Health and Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare. No history of a major disciplinary or legal action by a state medical board To ensure a secure hiring process we have implemented several identity verification steps, including 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 comprehensive background check, in-person I-9 verification, and may be subject to drug screening prior to employment. The use of artificial intelligence tools during interviews is prohibited and monitored. Misrepresentation will result in immediate disqualification from consideration. Technical Requirements: We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations. Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status. If you need reasonable accommodation to access the information provided on this website, please contact ********************** for further assistance. The expected base salary/wage range for this position is $120-$140/hr. This position is also eligible for a bonus component that would be dependent on pre-defined performance factors. As part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts.

Altarum | Data & AI Center of Excellence (CoE) Altarum is building the future of data and AI infrastructure for public health - and we're looking for a Principal Data Engineer - ML Platforms to help lead the way. In this cornerstone role, you will design, build, and operationalize the modern data and ML platform capabilities that power analytics, evaluation, AI modeling, and interoperability across all Altarum divisions. If you want to architect impactful systems, enable data science at scale, and help ensure public health and Medicaid programs operate with secure, explainable, and trustworthy AI - this role is for you. What You'll Work On This role blends deep engineering with applied ML enablement: ML Platform Engineering: modern lakehouse architecture, pipelines, MLOps lifecycle Applied ML enablement: risk scoring, forecasting, Medicaid analytics NLP/Generative AI support: RAG, vectorization, health communications Causal ML operationalization: evaluation modeling workflows Responsible/Trusted AI engineering: model cards, fairness, compliance Your work ensures that Altarum's public health and Medicaid programs run on secure, scalable, reusable, and explainable data and AI infrastructure. What You'll Do Platform Architecture & Delivery Design and operate modern, cloud-agnostic lakehouse architecture using object storage, SQL/ELT engines, and dbt. Build CI/CD pipelines for data, dbt, and model delivery (GitHub Actions, GitLab, Azure DevOps). Implement MLOps systems: MLflow (or equivalent), feature stores, model registry, drift detection, automated testing. Engineer solutions in AWS and AWS GovCloud today, with portability to Azure Gov or GCP. Use Infrastructure-as-Code (Terraform, CloudFormation, Bicep) to automate secure deployments. Pipelines & Interoperability Build scalable ingestion and normalization pipelines for healthcare and public health datasets, including: FHIR R4 / US Core (strongly preferred) HL7 v2 (strongly preferred) Medicaid/Medicare claims & encounters (strongly preferred) SDOH & geospatial data (preferred) Survey, mixed-methods, and qualitative data Create reusable connectors, dbt packages, and data contracts for cross-division use. Publish clean, conformed, metrics-ready tables for Analytics Engineering and BI teams. Support Population Health in turning evaluation and statistical models into pipelines. Data Quality, Reliability & Cost Management Define SLOs and alerting; instrument lineage & metadata; ensure ≥95% of data tests pass. Perform performance and cost tuning (partitioning, storage tiers, autoscaling) with guardrails and dashboards. Applied ML Enablement Build production-grade pipelines for risk prediction, forecasting, cost/utilization models, and burden estimation. Develop ML-ready feature engineering workflows and support time-series/outbreak detection models. Integrate ML assets into standardized deployment workflows. Generative AI Enablement Build ingestion and vectorization pipelines for surveys, interviews, and unstructured text. Support RAG systems for synthesis, evaluation, and public health guidance. Enable Palladian Partners with secure, controlled-generation environments. Causal ML & Evaluation Engineering Translate R/Stata/SAS evaluation code into reusable pipelines. Build templates for causal inference workflows (DID, AIPW, CEM, synthetic controls). Support operationalization of ARA's applied research methods at scale. Responsible AI, Security & Compliance Implement Model Card Protocol (MCP) and fairness/explainability tooling (SHAP, LIME). Ensure compliance with HIPAA, 42 CFR Part 2, IRB/DUA constraints, and NIST AI RMF standards. Enforce privacy-by-design: tokenization, encryption, least-privilege IAM, and VPC isolation. Reuse, Shared-Services, and Enablement Develop runbooks, architecture diagrams, repo templates, and accelerator code. Pair with data scientists, analysts, and SMEs to build organizational capability. Provide technical guidance for proposals and client engagements. Your First 90 Days - You will make a meaningful impact fast. Expected outcomes include: Platform skeleton operational: repo templates, CI/CD, dbt project, MLflow registry, tests. Two pipelines in production (e.g., FHIR → analytics and claims normalization). One end-to-end CoE lighthouse MVP delivered (ingestion → model → metrics → BI). Completed playbooks for GovCloud deployment, identity/secrets, rollback, and cost control. Success Metrics (KPIs) Pipeline reliability meeting SLA/SLO targets. ≥95% data tests passing across pipelines. MVP dataset onboarding ≤ 4 weeks. Reuse of platform assets across ≥3 divisions. Cost optimization and budget adherence. What You'll Bring 7-10+ years in data engineering, ML platform engineering, or cloud data architecture. Expert in Python, SQL, dbt, and orchestration tools (Airflow, Glue, Step Functions). Deep experience with AWS + AWS GovCloud. CI/CD and IaC experience (Terraform, CloudFormation). Familiarity with MLOps tools (MLflow, Sagemaker, Azure ML, Vertex AI). Ability to operate in regulated environments (HIPAA, 42 CFR Part 2, IRB). Preferred: Experience with FHIR, HL7, Medicaid/Medicare claims, and/or SDOH datasets. Databricks, Snowflake, Redshift, Synapse. Event streaming (Kafka, Kinesis, Event Hubs). Feature store experience. Observability tooling (Grafana, Prometheus, OpenTelemetry). Experience optimizing BI datasets for Power BI. Logistical Requirements At this time, we will only accept candidates who are presently eligible to work in the United States and will not require sponsorship. Our organization requires that all work, for the duration of your employment, must be completed in the continental U.S. unless required by contract. If you're near one of our offices (Arlington, VA; Silver Spring, MD; or Novi, MI), you'll join us in person one day every other month (6 times per year) for a fun, purpose-driven Collaboration Day. These days are filled with creative energy, meaningful connection, and team brainstorming! Must be able to work during Eastern Time unless approved by your manager. Employees working remotely must have a dedicated, ergonomically appropriate workspace free from distractions with a mobile device that allows for productive and efficient conduct of business. Altarum is a nonprofit organization focused on improving the health of individuals with fewer financial resources and populations disenfranchised by the health care system. We work primarily on behalf of federal and state governments to design and implement solutions that achieve measurable results. We combine our expertise in public health and health care delivery with technology development and implementation, practice transformation, training and technical assistance, quality improvement, data analytics, and applied research and evaluation. Our innovative solutions and proven processes lead to better value and health for all. Altarum is an equal opportunity employer that provides employment and opportunities to all qualified employees and applicants without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, or any other characteristic protected by applicable law.

**Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** **Director, Strategic Accounts** **Put your passion where it meets purpose!** Evolent attracts some of the brightest minds in health care. Surround yourself with talented, driven colleagues who share a passion for better health outcomes and a more connected care journey. We are hiring a **Director, Strategic Accounts** to join our Customer Team. This role is unique: you will work directly with one of Evolent's largest, growing health plan clients and lead account strategy and execution. You'll have direct oversight of sales pipeline and renewals. This position partners with a customer operations lead and as a dyad you'll oversee cross-functional business and operating teams managing key client priorities. This position is highly strategic, with a strong emphasis on **upsell/cross-sell opportunities by fostering relationships, solutioning and problem solving, and communicating value.** **Collaboration Opportunities** As a consultative leader, you will identify growth opportunities within health plan specialty management and Evolent. The Strategic Account Director will implement relationship best practices, deliver on strategic growth initiatives, and drive measurable value while increasing satisfaction across all levels of the partner organization. **What You'll Be Doing** + **Strategically manage** an assigned book of business to achieve objectives in relationship development, growth, retention, and customer success. + **Identify and pursue growth opportunities** through analysis, customer research and active listening. Manage deal cycle including pitch, scope development, pricing, contract negotiations and implementation readiness. + **Define and facilitate execution of multi-year account strategy** including strategic account planning, relationship mapping, competitive analysis, and issue resolution. + **Manage and optimize contracts and performance** , by effectively partnering with Customer Operations dyad partner and Business Line leaders-ensuring compliance with SLAs, maximizing savings through benefit analysis, and adhering to legal and regulatory requirements. + **Articulate Evolent's value proposition and performance** across products and services, establishing fluency in key value drivers and measurements and opportunities for improvement + **Cultivate trusted relationships** with key executives, including C-level stakeholders, and serve as a liaison between internal and external teams. + **Leverage data-driven insights** to run efficient meetings and work sessions with clients and subject matter experts. + **Develop best-in-class presentations** and narratives for senior stakeholder meetings. + **Serve as an ambassador** for partner culture within Evolent and act as the go-to expert on client priorities. **Preferred Experience** + Bachelor's degree or equivalent work experience. + 5+ years of broad-based health care experience, health plan, and/or specialty or value-based care experience preferred + Strong **consulting background** with expertise in strategy, business development, and value based arrangements. + Ability to find creative solutions in a dynamic, evolving environment. + Exceptional communication and influencing skills at all organizational levels, including C-suite. + High emotional intelligence and ability to connect with diverse stakeholders. + **Travel:** Up to 40% within the U.S. and U.S. territories. To ensure a secure hiring process we have implemented several identity verification steps, including 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 comprehensive background check, in-person I-9 verification, and may be subject to drug screening prior to employment. The use of artificial intelligence tools during interviews is prohibited and monitored. Misrepresentation will result in immediate disqualification from consideration. **Technical Requirements:** We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations. **Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.** **If you need reasonable accommodation to access the information provided on this website, please contact** ************************** **for further assistance.** The expected base salary/wage range for this position is $-. This position is also eligible for a bonus component that would be dependent on pre-defined performance factors. As part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts. Don't see the dream job you are looking for? Drop off your contact information and resume and we will reach out to you if we find the perfect fit!

**Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The **Analyst, Application Support** is a highly motivated person with excellent communication and interpersonal skills to interact with internal/external teams and application users and help trouble shoot/resolve issues reported by various departments within Evolent. This person will provide high quality operational, technical, and systems support to preserve customer satisfaction and internal business functions to aid in minimizing recurrence of incidents. **What You Will Be Doing:** + Provide first-level support, including problem replication, triage, and resolution of issues, the majority of which are associated with Standard Operating Procedures (SOPs) + Provide accurate and timely resolution of issues, and escalation when necessary + Ensure that Service Level Agreements (SLAs) are met + Maintain and update documentation related to operations and support processes within Confluence + Contributes to improvement of existing processes and identification of new processes and technical alternatives to resolve problems + Collaborate with team members and business functions to troubleshoot and resolve support tickets + Respond to escalations and incidents, providing support toward resolution, and notifying stakeholders of progress during business hours and outside of normal business hours (on-call support) + Contribute to writing T-SQL code and tools to assist Level 1 support to diagnose and resolve incidents + Execute SQL scripts to generate reports, troubleshoot data issues, and fulfill database support tasks + Perform ad-hoc task and analysis for the support team as needed Perform quarterly user access audit **Qualifications - Required:** + Bachelor's degree in computer science, IT- related degree or comparable experience + 1+ year(s) of progressive experience within application support/IT operations organizations + 1+ year(s) experience with T-SQL, ability to view and write T-SQL code for triage and investigation + Professional verbal and written communication skills, with the ability to clearly articulate thoughts and ideas. + Basic knowledge of web application functionality and fundamental Infrastructure knowledge of computer systems. + Collaborative working style with the ability to work across different organizations and personalities + Ability to work unsupervised and a self-starter who seeks improvements without direction + **This role is Monday- Friday from 9:00 am to 6:00pm, CST, MST or PST. with some flexibility. Additionally rotating on-call support, including after-hours, weekends and holidays.** **Qualifications - Preferred:** + Experience in a healthcare-related field + Familiarity with JIRA, Confluence, Microsoft Azure - Application Insights + JIRA Service Desk ticketing system/Confluence experience To ensure a secure hiring process we have implemented several identity verification steps, including 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 comprehensive background check, in-person I-9 verification, and may be subject to drug screening prior to employment. The use of artificial intelligence tools during interviews is prohibited and monitored. Misrepresentation will result in immediate disqualification from consideration. **Technical Requirements:** We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations. **Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.** **If you need reasonable accommodation to access the information provided on this website, please contact** ************************** **for further assistance.** The expected base salary/wage range for this position is $28.00 to $31.00. This position is also eligible for a bonus component that would be dependent on pre-defined performance factors. As part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts. Don't see the dream job you are looking for? Drop off your contact information and resume and we will reach out to you if we find the perfect fit!

The Member Care Coordinator position is a non-clinician role that works in collaboration with the Care Management staff and/or quality improvement staff to support the multi-disciplinary team approach of patient care by meeting key performance indicators (closing care gaps, reducing hospitalizations, readmissions, ED (Emergency Department) utilization, and PMPM costs) and other organizational mandates as designated. The Member Care Coordinator may work remotely within regions to cover the needs across the state and/or may work on site at CCPN (Community Care Physician Network) practices. Member Care Coordinators may directly assist members by increasing their ability to improve their health outcomes. They also help design and implement systems to ensure the smooth operation of office functions and to support the Care Team. Member Care Coordinators may also work directly with assigned practices to assist them in addressing care gap closure in collaboration with the Provider Relations Representative/QI Team. Essential Functions Receive and document all referrals from various sources into the Care Management documentation platform. Outreach, Engagement, and scheduling of members for Care Managers. Verify eligibility and demographic information. Complete appropriate screenings as needed. Assist with mailing educational materials, consent forms or other documents to the member as necessary. Assist with referrals on behalf of the Care Management or program team. Assist with tasks delegated by the Care Management or program team. Provide information for access and coordination of resources. Assist member with care coordination and health care system navigation. Provide culturally appropriate health education and information. Provide general education and social support. Advocate for members. Identify care gaps and outreach to members to close gaps as requested. Assist practice to submit supplemental data to health plans to provide documentation of gap closure as requested; assist with scheduling medical appointments and transportation as needed. Assist with pulling Care Gap/Recommended Actions/High Risk reports. Assist in addressing Social Determinants of Health as needed. Access multiple EHRs (electronic health records) to obtain and upload documents into the care management platform. Access to Hospital/Data or Electronic Medical Record system will be required, as necessary. Meet productivity and role expectations as defined. Collaborate with the Care Team to address barriers and create efficiency with processes. Adhere to CCNC Privacy and Security policies to ensure that patient and company data is properly safeguarded. Abide by department guidelines, company policies, and HIPAA regulations. Perform all other duties as requested. Attend Departmental and corporate meetings, local and regional trainings, or other events as required. Understand and uphold CCNC goals, objectives, and standards. Qualifications High school diploma or GED required 2-4 years minimum experience in a health care setting required 2 or 4-year degree in health-related field preferred Bilingual preferred Knowledge, Skills, and Abilities Knowledge of and experience working in patient or clinical data systems Computer skills required including various office software and the internet; experience with MS Office software preferred Knowledge of state and federal benefits systems Excellent communication skills - oral and written Proficient Motivational Interviewing Skills Organizational and time management skills Sensitivity to diversity of cultures, language barriers, health literacy and educational levels Knowledge of medical terminology Responds to change with a positive attitude and a willingness to learn new ways to accomplish work activities and objectives Able to shift strategy or approach in response to the demands of a situation Working Conditions The job environment is primarily an office or home environment. Multiple contacts are required with various members, providers, multi-payer systems and community partners to ensure coordination of services; exposure to general office, community, and household conditions, as well as communicable disease could occur. Routinely there may be some minor physical inconveniences or discomforts in the work setting, including sitting for moderate periods of time. Must be able to utilize office equipment, computer, keyboard, and phone with or without assistive devices. Repetitive wrist motion and occasional lifting/carrying of up to 25 pounds. The job environment can be intense as high volume, repetitive work is an expectation. Travel may be required within the region and/or the State.

**Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals. Tasks are performed within the **RN/LVN/LPN** scope of practice, under the Medical Director's direction, using independent nursing judgement and decision-making, physician-developed medical policies, and clinical decision-making criteria sets. The Clinical Review Nurse serves as a member advocate, expediting care across the continuum and working in concert with the health care delivery team to maintain high-quality, cost-effective care delivery. + Perform pre-certification utilization reviews of **Oncology treatment requests** + Determines medical necessity and appropriateness of services using clinical review criteria. + Accurately documents all review rationales and determinations. + Appropriately identifies and refers cases that do not meet established clinical criteria to the Medical Director. + Appropriately identifies and refers quality issues to UM Leadership. + Collaborates with physicians and other providers to facilitate the provision of services throughout the health care continuum. + Performs accurate data entry. + Communicates appropriate information to other staff members as necessary/required. + Participates in continuing education initiatives. + Availability on some weekends and holidays may be required. + Performs other duties as assigned. **The Experience You'll Need (Required):** + Registered Nurse or Licensed Practical/Vocational Nurse with a current, unrestricted license. + High School Diploma or equivalent required + Minimum of three years of direct clinical patient care (acute, inpatient, or critical care setting); strongly prefer direct Oncology experience. + Strong computer skills, including MS Office Suite + Strong interpersonal, oral, and written communication skills. + Availability for weekend holiday rotation. **Finishing Touches (Preferred):** + Experience with clinical decision-making criteria sets (i.e., Milliman, InterQual) + Minimum of one year of experience with medical management activities in a managed care environment + UM/UR experience + Clinical experience in Oncology, ICU, ED, or other critical care environment + Remote work experience To ensure a secure hiring process we have implemented several identity verification steps, including 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 comprehensive background check, in-person I-9 verification, and may be subject to drug screening prior to employment. The use of artificial intelligence tools during interviews is prohibited and monitored. Misrepresentation will result in immediate disqualification from consideration. **Technical Requirements:** We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations. **Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.** **If you need reasonable accommodation to access the information provided on this website, please contact** ************************** **for further assistance.** The expected base salary/wage range for this position is $32-$37 /hr. This position is also eligible for a bonus component that would be dependent on pre-defined performance factors. As part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts. Don't see the dream job you are looking for? Drop off your contact information and resume and we will reach out to you if we find the perfect fit!