Evolent Health jobs in Denver, CO

**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:** As a Vascular Surgery, Field Medical Director you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients' lives, in a non-clinical environment. You can enjoy better work- life balance on a team that values collaboration and continuous learning while providing better health outcomes. **Collaboration Opportunities:** + Routinely interacts with leadership and management staff, other Physicians, and staff whenever a physician`s input is needed or required. **What You Will Be Doing:** + Serve as the specialty match reviewer in Vascular cases, that do not initially meet the applicable medical necessity guidelines, as well as other imaging requests when providers, clients, or state laws require specialty reviews to be completed by the subject matter expert. + Discusses determinations (peer to peer phone calls) with requesting physicians or ordering providers, when available, within the regulatory timeframe of the request. + Provides clinical rationale for standard and expedited appeals. + 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. + Aids and acts as a resource to Initial Clinical Reviewers. + 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 - Required and Preferred:** + MD/DO/MBBS- Required + Minimum of five (5) years' experience in the practice of Vascular Surgeon- Preferred + Current, unrestricted clinical license in medicine or required specialty- Required + Obtaining and maintaining medical licenses in the state you reside- Required + Active Board Certification in Vascular Surgery or Active Board Certification in General Surgery with extensive experience in Vascular Surgery- Required + Strong clinical, management, communication, and organizational skills-Required + Energetic and curious with a passion for quality and value in health care-Required + Computer Proficiency-Required 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 $130-$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. 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:** Evolent is seeking a dedicated Application Support Analyst to join our team. In this role, you will be responsible for troubleshooting production support issues reported by our clients. You will collaborate closely with other Application Analysts, Technical Analysts, Development teams, and the Account Management team to ensure our clients have everything they need to succeed. You will also work cross-functionally with application users to support their day-to-day needs. **What You'll Be Doing:** + Validate client application and system issues, reproduce steps, identify the source of issues (configuration, data, application), document findings, and triage issues to the appropriate technical team for resolution + Partner with new clients to implement the Portal platform according to their specifications within the application's limits + Define scope, milestones, deliverables, and success criteria for assigned special projects + Participate in software and process design reviews, providing subject matter expertise + Organize and coordinate resources to ensure successful delivery of client commitments + Lead or participate in regular weekly or monthly status meetings to review and provide updates on known production support issues and initiatives + 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 + 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 + Perform other duties and responsibilities as requested based on business needs **Required Experience:** + College degree preferred or equivalent experience + 3+ years of experience in Healthcare and/or Health Insurance + SaaS or web application experience + Basic understanding of SDLC (Software Development Lifecycle) + Effective communication and negotiation skills + Strategic thinker and problem solver + Basic knowledge of web development + Familiarity with JIRA Service Desk ticketing system/Confluence experience, Microsoft Azure - Application Insights is preferred + Experience with Salesforce is preferred + Project Management experience is preferred + Knowledge of databases, SQL, XML, EDI/x12 transactions is preferred + Customer service experience is preferred 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 $28.17 - 30.00. 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:** Are you passionate about data analysis and product technology operations? Do you thrive in dynamic, collaborative environments where your SQL expertise and problem-solving skills can make a real impact? Join our team to bridge the gap between development and business, lead client-facing initiatives, and drive continuous process improvements. What You'll Do + Own daily product and data operations, supporting critical client systems with precision and urgency. + Configure and customize software applications to meet client-specific needs within platform capabilities. + Communicate effectively with both technical and non-technical audiences, adapting your style to suit the context. + Lead go-live initiatives, ensuring smooth transitions and successful handovers post-warranty. + Analyze and resolve client-reported issues, meeting SLAs and maintaining system integrity. + Design and script using advanced MS SQL Server tools, including SSIS, SSAS, XML, and Service Broker. + Conduct deep data analysis using SQL, proprietary applications, Azure App Insights, Data Dog logs, and JIRA. + Participate in QA and UAT, ensuring readiness and success for every deployment. + Identify and implement process improvements, contributing to operational excellence. + Collaborate on PIRs and RCAs, driving accountability and learning. Required Experience: + Bachelor's Degree + 3-5+ years in application workflow, data analytics, and reporting + Intermediate to expert SQL and QA experience + Experience with CI/CD tools (e.g., Jenkins, GitLab) and Git version control + Proficiency in JIRA (reporting, KB articles) + Strong understanding of MS SQL Server features + Familiarity with BI tools (MicroStrategy, Power BI, SSRS) + Excellent communication, organization, and time management skills + Customer-focused, self-motivated, and detail-oriented + Team player with a low ego and high accountability Preferred Experience: + SQL Server Certification (Querying) + Experience with Microsoft Dynamics CRM + Advanced scripting/programming (C#, Python, Java, JavaScript) + ETL process experience + Prior experience with JIRA and Confluence + Background in Healthcare IT 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 $75,000-80,000. 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:** **About the job** **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. The Client Analytics team offers candidates the opportunity to leverage data & analytics to drive actionable insights and strategies for our partners. We have a unique mix of health care domain and data expertise enabling analytics offerings relevant to our stakeholders' needs. We are advocates for creating patient value and demonstrate this through our analytics offerings. We value humility, intellectual curiosity, creativity, accountability, and a growth mindset as we solve complex business problems. 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:** **Analyst, Client Analytics** Integrate and analyze claims and enrollment data from multiple sources using SAS and SQL programs. Import and load data from disparate sources to facilitate reporting for multiple health plans. Build new client relationships to understand analytical and reporting needs. Create actionable, innovative analytics solutions that drive decision-making for clients by performing medical economics analyses to determine cost and utilization drivers. Showcase standard stack of reporting capabilities while assessing the fit to client's needs and desires. Relay enhancements and improvements to development team. Bring deliverables and capabilities as set forth in SOW and contracts to life. Monitor incoming data files to ensure data is up to date, complete, and accurate. Disseminate feedback and coordinate participation within Analytics team (including actuarial, risk analytics, data science, and development). Track efficiencies, support processes and workflow, and identify process improvement opportunities. Sign-off on design and flow of client data. Facilitate analyses of analytical deliverables. Deliver analytical deliverables prior to go-live. **What You Will Be Doing:** + Working on an operational analytics team supporting Evolent's clinical services (i.e., specialty care, utilization management, care management, appeals & grievances) + Using analytical tools to integrate various data sources to solve challenging analytical problems that align with key strategic objectives. + Developing reports that assess the value of our clinical programs or create monitoring tools to identify members with complex health needs. + Partnering with internal stakeholders to determine how to measure and report on key performance metrics. This includes serving as a strategic partner who has a voice in determining the best path forward when faced with challenges or tradeoffs. + Building and managing performance metrics and standard report production. + Identifying data and reporting gaps and working with the appropriate teams to get those gaps addressed upstream. **Qualifications - Required and Preferred:** + BS or BA in Public Health, Epidemiology, Statistics, Economics, Computer Science, or equivalent years of experience with a quantitative emphasis-Required. + 1-5 years of experience in an analytics role at a health plan, consulting firm, hospital system or other healthcare-related experience-Preferred. + 1-5 years of experience using SQL or SAS (SQL preferred), and Excel-Required. + Independent thinker with the ability to multitask and manage multiple long-term projects with varying timelines-Required. + Willingness to develop and explore innovative approaches, adapt, execute quickly, and be comfortable with ambiguous project outlines-Required. + Experience using a variety of data visualizations to deliver business insights clearly and succinctly- Required. + Collaborative working style with the ability to work across different organizations and personalities-Required. + Strong analytical abilities, with track record of identifying insights from quantitative and qualitative data-Required. + Excellent communication skills, demonstrating professionalism and excelling at distilling complex data into digestible messages-Required. + Experience with Python-Preferred + Experience developing dashboards in Business Intelligence tools such as Power BI or Tableau-Preferred **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.** 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 $65,000-75,000. 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:** **Job Description** We are seeking a technically strong Implementation Engineer with expertise in data integration to support the full lifecycle of client onboarding and data pipeline development. This role involves configuring systems, resolving implementation issues, and building scalable data workflows using SQL, SSIS, ADF, and Python. **Responsibilities:** + Support the full implementation lifecycle: development, testing, deployment, and go-live. + Troubleshoot and resolve technical issues during implementation to ensure smooth transitions. + Design, build, and maintain data pipelines and ETL workflows using SQL, SSIS, ADF, and Python. + Interpret and implement data models and mappings for integration tasks. + Collaborate with cross-functional teams to translate business requirements into technical solutions. + Monitor and optimize data quality, performance, and reliability. + Maintain technical documentation and provide post-implementation support. **Requirements:** + Bachelor's degree in Computer Science, Software Engineering, IT, or related field. + 5+ years of experience in software implementation, system integration, or data engineering. + Strong proficiency in SQL, SSIS, and SSRS; experience with Azure Data Factory is a plus. + Solid understanding of data models, data mappings, and relational databases. + Familiarity with APIs and cloud platforms (e.g., Azure). + Excellent communication skills with the ability to explain technical concepts to diverse audiences. + Self-driven, detail-oriented, and capable of working independently or in a team environment. 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 $90,000-110,000. 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 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 Nurse Reviewer is responsible for performing precertification and prior approvals. Tasks are performed within the RN/LVN/LPN scope of practice, under Medical Director direction, using independent nursing judgement and decision-making, physician-developed medical policies, and clinical decision-making criteria sets. Acts as a member advocate by expediting the care process through the continuum, working in concert with the health care delivery team to maintain high quality and cost effective care delivery. **What You'll Be Doing:** + Performs utilization review of outpatient procedures and ancillary services. + Fulfills on call requirements for selected clients as scheduled. + Determines medical necessity and appropriateness of services using clinical review criteria. + Accurately documents all review determinations and contacts providers and members according to established timeframes. + 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. + Appropriately identifies potential cases for Care Management programs + Collaborates with physicians and other providers to facilitate 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. + Collaborates with Claims, Quality Management and Provider Relations Departments as requested. + 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 + Minimum of one year of experience with medical management activities in a managed care environment + Schedule: Monday-Friday, 9:00 AM-6:00 PM PST, with weekend and holiday rotation required. **Finishing Touches (Preferred):** + Experience with clinical decision-making criteria sets (i.e. Milliman, InterQual) + UM Experience + Strong interpersonal, oral and written communication skills. + Possess basic computer skills 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:** **Sr Finance Analyst - Strategy & Pricing** We are hiring a Sr Analyst to join our Client Finance Team. The candidate selected for this role will be part of a team who thrives on driving analysis and support for the toughest and most complex financial decisions related to our fastest growing segment of clients. **Collaboration Opportunities:** The Sr Analyst, Pricing, Client Finance works closely with many departments across the organization, including Growth, Analytics, and Actuarial. **What You'll Be Doing:** + Support strategic decision-making through financial modeling to ensure our financial interests are protected in our risk contracts + Build compelling PPT slides to help convince internal and external stakeholders of the best path forward + Support Sales teams in contract execution through analyzing contract language against gold standard + Develop standardized processes, templates, and collateral for key pricing activities + Contribute to establishing gold standard for pricing methodologies + Support ad hoc financial analyses for the Client Finance team **Qualifications - Required:** + Bachelor's degree in business, Finance, Accounting or another quantitative field + At least 2 years of experience working in a Finance-related field + Extensive PowerPoint experience + **Experience with a consultative approach to financial modeling** + Experience working closely and collaboratively with Sales teams + Must be self-motivated with the ability to formulate and communicate your own solutions to tactical problems + Candidate who thrives with growth-driven changes + Strategic Communication and Negotiation Expertise, **preferred** + Familiarity with U.S. Health System and financial elements, not required, but **preferred** + Familiarity with risk and non-risk pricing/contracting, **strongly preferred** + Basic knowledge of GAAP also **preferred** 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 $80,000 to $87,000. 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:** Evolent is seeking an experienced health care Director/Senior Director of Product Management to help Evolent partner with provider organizations to integrate value-based medical oncology care opportunities into physician, nurse, pharmacist, and staff workflows within their Electronic Medical Record (EMR). You will be a part of a cross-functional Evolent team that serves as a pivotal strategic partner to health systems and oncology practice groups. **Key Responsibilities:** + Drive EMR-first Value-Based Care Enablement Strategy + Conduct thorough assessments of existing medical oncology workflows and EMR configurations for each Evolent provider partner organization alongside provider partner staff for the most common EMRs in medical oncology (e.g., Epic, Flatiron Health, Cerner, iKnowMed). + Develop strategies for embedding Evolent's value-based care opportunities into provider, nurse, pharmacist, and practice staff workflows for each unique Evolent provider partner organization and EMR instance. + Define reporting and analytic needs and enablement strategies to understand the effectiveness of various value-based care opportunities and continually improve Evolent's and provider partners' ability to measure and drive cost and quality outcomes. + Create and continually enhance 'playbooks' for each EMR vendor that can be used to accelerate implementation of value-based care opportunities for each subsequent Evolent provider partner organization with the same EMR vendor. + Partner with Evolent Engineering to define and build EMR integration capabilities + Where necessary, partner with Evolent Engineering to define, prioritize, and build technology to integrate with provider EMRs, focusing on scalable, EMR-agnostic integration approaches that leverage industry standards like CDS hooks, and SMART on FHIR. + Serve as the voice of the provider and their staff in technology requirements definition and design conversations, ensuring that Evolent value-based care opportunities are presented to end-users in a way that enhances their daily workflows and does not distract or degrade their ability to efficiently deliver high-value care to their patients. + Work with Evolent provider partners to efficiently integrate Evolent's technology into their EMRs to deliver insights and measure outcomes at the point of care. + Support Provider Partner Growth Opportunities + Serve as a subject matter expert on value-based care enablement for medical oncology and support partnership conversations with prospective provider partners alongside the Evolent Growth team and other Evolent subject matter experts. **Required Qualifications:** + Bachelor's degree required. Master's degree in Nursing, Pharmacy, or a related field preferred. + At least five years of health care technology Product Management experience, ideally focused on provider-facing technology, including EMR development, enablement, and technology integration. + Strong demonstrated understanding of physician, nurse, and pharmacist personas, 'jobs to be done' and practice workflows, with a preference for expertise in medical oncology practice workflows + Exceptional verbal and written communication skills, with the ability to articulate complex concepts clearly to diverse audiences (clinicians, engineering, administrative staff, leadership). + Hands-on experience with multiple EMR systems commonly used in oncology, including Epic, Flatiron Health, Cerner, and iKnowMed is preferred. + Experience with Epic's Beacon (Oncology Management) module, including build, configuration, testing, and troubleshooting is preferred. + Experience with Lean/Six Sigma or other process improvement methodologies in a healthcare setting is preferred. + Proven experience in a consulting role within health care technology is preferred. 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 $150,000 - 170,000. 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:** **Job Description** 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 for a Managing Director, Actuarial Services to join our Finance Team. The candidate selected for this role will be part of a team who thrives on driving analysis and support for Evolent's fast growth and innovative risk-based Performance Suite business. **Collaboration Opportunities:** This person will work cross-functionally with many departments across the organization to analyze, communicate, and negotiate client performance and contracting. **What You'll Be Doing:** + Serve as the lead for medical cost and revenue projections for Performance Suite business + Partner with Performance Solutions to analyze and size impact of innovative care models + Oversee Medical Cost Action Planning work to identify, size, and support new programs aimed at reducing cost of care + Partner with Performance Suite Analytics leaders to understand cost drivers to inform future cost expectations + Coordinate with internal teams to ensure clean and consistent tracking of Evolent's covered membership and claims + Synthesize complex analyses into succinct presentations for communication to key internal and external executive stakeholders + Partner with team members across the organization to ensure accurate and timely delivery of quarterly forecast updates + Build tools and capabilities to quantify and narrow range of expected outcomes for financial performance + Participate in execution of complex deal structures for potential new and existing clients + Perform ad hoc client-specific analyses to support strategic decision-making **Qualifications - Required and Preferred:** + Bachelor's degree in quantitative field **(Required)** + Associate of Society of Actuaries credentials **(Required)** + 10+ years of experience working in a medical economics-related field **(Required)** + Exceptionally strong analytical abilities, with a track record of identifying insights from financial information and translating into recommendations **(Required)** + Ability to multitask, prioritize, adapt to change, work well under pressure in an entrepreneurial environment, and manage a project from start to finish **(Required)** + Able to work independently to meet deadlines within time constraints **(Required)** + Strong interpersonal skills to coordinate with people across all areas of the organization in a fast-paced, dynamic environment **(Required)** + Strong communication skills with ability to work with technical and non-technical audiences **(Required)** + Ability to handle ambiguity and demonstrate initiative to identify and resolve problems **(Required)** + Experience delivering executive-level presentations for strategic decision-making **(Required)** + Basic knowledge of risk/capitation contracting **(Required)** + Experience with project and stakeholder management **(Required)** + Fellow of Society of Actuaries credentials with Group Health track **(Preferred)** + Familiarity with healthcare claim processing **(Preferred)** + 5+ years experience at payer or management consulting firm **(Preferred)** + Basic knowledge of GAAP **(Preferred)** 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 $165,000-180,000. 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:** Evolent is looking for a Senior Director, Finance - FP&A & Strategy to join our team of Finance professionals working to advance Evolent's mission. This role is part of a centralized corporate FP&A team focused on financial intelligence, analysis, and forecasting, with a strong emphasis on strategic thought partnership. This is a high-impact, leadership role for a strategic finance professional who will act as the go-to partner for the Services business, operating with extreme ownership, driving cross-functional progress, and serving as a mini-CFO for their business area. **Key Responsibilities:** + Serve as the primary finance partner to the Services leadership team, owning end-to-end financial performance and decision support. + Lead and develop a high-performing FP&A team, fostering a culture of accountability, collaboration, and continuous improvement. + Communicate complex concepts clearly and persuasively through both written materials and verbal presentations, tailoring messaging for executive audiences and cross-functional stakeholders at all levels. + Act as a strategic advisor, building trusted relationships with business leaders and providing financial insights to support decision-making. + Drive cross-functional initiatives in partnership with Operations Finance, Client Finance, Talent, and other teams to align financial planning with business execution. + Synthesize complex financial data into clear, actionable insights for executive stakeholders. + Lead budgeting, forecasting, long-term planning, and performance management processes for the Services business. + Coordinate staffing strategy, growth plans, and client go-lives in collaboration with Operations Finance. + Champion innovation in financial processes and tools, including automation and technology enhancements for forecasting and reporting. + Manage multiple priorities and projects simultaneously, ensuring timely and accurate execution of deliverables. **Leadership & Strategic Impact:** + Operate as a trusted SME and thought partner to Finance and Senior Leadership. + Drive strategic initiatives and solve complex business challenges with a balance of big-picture thinking and attention to detail. + Lead a team responsible for building and maintaining scalable, accurate forecast models, and personally drive ad hoc complex financial modeling to support strategic decision-making. + Lead the annual planning and forecasting process, quarterbacking collaboration across departments and surfacing key business drivers. + Identify and communicate major risks and opportunities, influencing strategic decisions across the business. **Qualifications (Required and Preferred):** + Bachelor's degree in Finance, Accounting, Business, or a related quantitative field. + 8+ years of experience in FP&A, investment banking, accounting, or a related finance role. + **Experience in healthcare or healthcare services is required.** + Proven ability to lead and scale high-performing teams in a fast-paced, cross-functional environment. + Strong command of financial concepts including accounting, budgeting, forecasting, and modeling. + Experience with ERP and planning/reporting systems (Workday and Adaptive Insights preferred). + Demonstrated ability to influence senior stakeholders and own business outcomes. 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 $150,000-$160,000. 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:** *****MUST RESIDE IN CALIFORNIA OR THE WEST REGION***** We are seeking a strategic and collaborative Associate Director, Provider Engagement to lead our oncology-focused provider engagement and practice transformation efforts in **California** . Reporting to the National Provider Engagement Sr. Director, you will be responsible for building and managing relationships with oncology groups to drive physician engagement, practice transformation, and own overall group performance within your territory. You will design and execute strategies that elevate provider performance, enhance care quality, and drive improved outcomes in oncology care delivery. You will act as a trusted partner, helping the groups navigate quality initiatives, performance analytics, and incentive programs. The ideal candidate brings oncology experience, understands the complexity of specialty care in value-based care frameworks, and thrives at the intersection of clinical quality, operations, and strategic provider collaboration. This leadership role is responsible for managing high-value provider relationships and driving practice transformation across multiple markets. You will influence change, drive measurable results, and foster long-term oncology group relationships. **What You Will Be Doing:** + Serve as the primary relationship owner for assigned oncology groups within your respective market(s) + Cultivate productive, trusted relationships with key executives-including C-level clinical and administrative leadership + Lead practice transformation initiatives to advance quality, efficiency, and patient outcomes in alignment with value-based care objectives, including various incentive models + Strategically build clinical and administrative leadership relationships to support business development activities across key health systems, oncology groups, and community practices + Use advanced analytics to inform engagement strategies, monitor performance, and identify opportunities for improvement + Utilize data-driven resources to run efficient/effective meetings and work sessions with oncology groups and all relevant subject matter experts both internal and external to Evolent + Partner with oncology group leadership to build change management processes and support the practice pull through activities needed to drive change at scale through effective project management + Influence clinical and operational changes through effective communication, facilitation, and influence with practice leadership, physicians, APPs, pharmacists, and practice administrators + Develop and deliver compelling leadership presentations to clinical and executive audiences to drive alignment and accountability + Manage multiple markets, prioritizing and scaling engagement efforts to optimize program impact + Quarterback initiatives and collaborate cross-functionally with internal teams (i.e., product, medical, pharmacy, strategic accounts), to support practice needs, launch new quality initiatives, and guide practices through various transformation enablers such as EMR integrations and incentive programs. + Facilitate oncology group education and training related to new quality initiatives, partnering with relevant Evolent clinical subject matter experts, rollout of new patient navigation and technology-driven engagement platforms, inclusive of practice workflows changes and EMR integrations. and various technology integrations and platforms + Partner with Provider Engagement Market Managers to ensure successful adoption and engagement of Evolent's solutions (i.e., prior authorization, clinical pathways) to ensure timely patient access to care and drive high provider satisfaction, measured by CSAT and NPS scores + Support the development and execution of innovative engagement opportunities such as regional clinical symposiums and local provider experience advisory panels + Own market level engagement strategy and collaborate with provider engagement market managers to ensure change management initiatives are successful and drive key performance indicators + Partner with Evolent Strategic Account teams and payer clients to align priorities and deliver high-quality provider network engagement, performance reporting, and present to health plans clients + Maintain detailed records of practice interactions, progress on transformation, initiatives, and market trends + Represent the organization at regional forums/clinical symposiums, conferences, and support business growth opportunities **Qualifications (Required & Preferred):** + Minimum 5+ years in oncology, holding leadership roles within oncology clinical service lines, and/or practice group, national oncology networks, or healthcare consulting/equivalent experience. Must demonstrate clinical acumen with proven experience in provider engagement, value-based care operations, and/or practice transformation + Strongly preferred oncology clinical experience (i.e., RN, NP) + Must demonstrate knowledge of healthcare delivery operations, population health management best practices with proven success leading initiatives across clinical, operational, and financial domains in complex healthcare environments + Demonstrated success managing clinical and administrative leadership relationships and driving clinical/operational change + Strong understanding of value-based care, healthcare delivery systems, and payment models + Proven ability to develop and present content to clinical and executive leaders + Highly skilled at influencing and facilitating change in complex healthcare environments + Strong analytical acumen with the ability to interpret data and drive action + Ability to manage multiple markets and prioritize work across diverse stakeholder groups. + Excellent communication, negotiation, and relationship-building skills. + Proficiency in Microsoft Office (Word, Excel, PowerPoint) + Ability to travel up to 25-30%. 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 $110,000-$125,000. 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. **Who You'll Be Working With:** The Director, Performance Suite Analytics, utilizes and develops analytic tools to solve complex business challenges as well as support decision making that can have a considerable impact on organizational performance and patient health. This role supports capitated risk and value-based strategy development, medical cost management activity, medical economics activity, and a variety of internal operations functions; partnering with Business Development, Product Strategy, Finance/Accounting, Actuarial, EDWBI, Clinical, Performance Solutions and Partner Delivery. **What You'll Be Doing:** + Leading the analytics partnership with Business Development & Product teams in developing the strategic approach for innovative and in-demand value-based care pursuits + Serving as a strategic partner of our analytics capabilities and processes related to the development/underwriting of capitated risk proposals including cost & use projections, trend selection/development, and estimation of Evolent's ability to reduce cost and improve quality + Leading a team in the analysis and interpretation of cost and utilization data (medical and pharmaceutical) to explain potential upside/downside risks of a given arrangement/proposal. + Partnering with actuarial, finance, and analytics teams to incorporate new products and strategy innovations into existing analytical models and reporting frameworks + Developing analytical models and synthesizing complex analyses into succinct presentations for internal & external stakeholder buy-in + Assisting in the development of budgets and forecasts for each new business relationship and packaging key insights for tracking performance. + Collaborating with partner departments to establish best practice processes and efficient workstreams from end to end of the proposal process in terms of prospecting clients, qualifying/outlining a suitable proposal, data intake, analysis, proposal development/communication, client alignment, contracting, and implementation + Using programming skills to explore, examine and interpret large volumes of data in various forms to complete deliverables with minimal oversight + Leading and facilitating interaction with customers in a manner that fosters trust, expertise and cooperation + Collaborating with internal/external business customers to understand their problems and objectives, solve business questions, and help them to achieve goals by performing statistical analysis, developing analytic models, creating data reports/dashboards using a variety of performance metrics + Managing, mentoring, and coaching analysts with tasks noted above + Setting clear goals and objectives and using metrics to measure performance while holding staff accountable **The Experience You'll Need (Required):** + Bachelor's degree, preferably with a quantitative major (e.g. actuarial, statistics, operations research, mathematics, economics) or healthcare focus (health administration, epidemiology, public health, biology) + At least 5 years of professional experience in claims-based healthcare analytics with a payer, provider, vendor, managed care, or related healthcare consulting entity + Extensive knowledge of healthcare claims; specifically, differences between institutional vs professional billing and various sites of care/service + Previous Experience with healthcare reimbursement methodologies and calculations such as DRGs, Revenue Codes, CPT Codes, RVUs, APMs, bundled payments, etc. + Advanced or higher proficiency in Microsoft Excel + Advanced or higher proficiency in SQL or SAS database/statistical programming languages + Moderate Proficiency in Microsoft PowerPoint + Experience in data mining, advanced/statistical analysis, and data manipulation + Knowledge of health insurance financial business cycle, healthcare quality reporting, and benchmarking + Ability to communicate clearly with diverse stakeholders to solve problems; ability to translate between business needs and analytical needs + Exceptionally strong analytical abilities, with track record of identifying insights from quantitative and qualitative data + Prior people management experience + Ability to work independently with limited oversight **Finishing Touches (Preferred):** + Master's Degree, preferably with a quantitative or healthcare focus (e.g. data science, machine learning, statistics, mathematics, computer science, engineering, public health) + Previous experience in a medical economics related position within Utilization Management/Clinical Vendor Management functions + Knowledge of healthcare underwriting methodologies + Familiarity with value-based care and utilization management + Understanding of data systems and the critical thinking skills to solve new problems and adapt to changes in data architecture + Experience with other languages/platforms such as Python, R, SAS, Hadoop, AWS, ArcGIS + Experience with BI tools (e.g. Power BI.), Visual Basic, and Microsoft PowerPoint **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.** 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 $130,000-145,000. 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:** **Join Evolent for the mission. Stay** **for** **the culture.** Evolent is hiring a Vice President, Growth - Payer for our growth team. **Role Overview** **s** **:** The **VP,** **Growth** **-** **Pay** **e** **r** will lead strategic partnerships with health plans. + Develop and execute a growth strategy targeting payer organizations. + Build and maintain relationships with health plan executives to drive new business. + Lead contract negotiations and partnership agreements. + Collaborate with internal teams to align solutions with market needs. + Monitor industry trends and competitive landscape to refine strategy. **About the Role** **s** **:** The Vice President, Growth - Payer will report to the Chief Strategy and Growth Officer. This individual will be responsible for helping to design, structure, and execute Evolent's growth path. This person will be focused on new partnerships, go-to-market sales, business development, and cross-selling. As a highly externally facing role, this person must exude an energetic, strong executive presence and have a mission driven mentality to succeed in this role. **What** **you'll** **be doing:** + Responsible for driving new logo sales and current partnership expansions at national and regional payers, with accountability to Evolent leadership for top-line bookings + Provide leadership and mentorship to the business development team, fostering a high-performance culture + Demonstrate the ability to leverage a sales enablement portfolio, including tools, processes, and development activities to ensure the pitch is differentiated through content knowledge and proficiency + Personally initiate and foster executive level relationships at managed care organizations or health systems and large provider groups + Collaborate with internal teams, including marketing, product development, and operations, to support business growth initiatives + Oversee an end-to-end new customer acquisition process, from pitch to opportunity sizing, pricing, diligence, partner development, and contracting + Lead top-of-funnel lead-gen activities, including: conference strategy, channel partnerships, cold outreach, market-specific campaigns, etc. + Ensure tight discipline of sales operations: reporting/analytics, Salesforce.com utilization, quarterly KPI targets + Channel customer feedback from the market to systematically inform marketing, product, and operational counterparts across the company + Refine product messaging to ensure strong product-market fit alignment **Desired Skill Set:** + Advanced degree (e.g., MBA) or equivalent relevant experience + 10+ years of experience in consultative sales or strategic partnerships withinhealthcare + Proven track record of accomplishment on execution of population health, value-based care, clinical quality and growth initiatives within a progressive and forward-thinking health care organization + Excellent communication and interpersonal skills, adept at navigating senior-level stakeholder discussions + Experience and proven success with complex, multi-million-dollar enterprise sales with long cycles requiring diverse stakeholder management + Knowledge of the managed care and provider markets (both payers and risk-bearing organizations) + Passion for healthcare and subscribed to the vision of value-based care + Strong familiarity with risk-based contracting + Thrives in an entrepreneurial, fast-paced environment with a collaborative and innovation-driven culture + Travel Requirements: Willing to travel twice a month for meetings, site visits, and partnership engagements 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:** As a Cardiology, Field Medical Director you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients lives, in a non-clinical environment. You can enjoy better work- life balance on a team that values collaboration and continuous learning while providing better health outcomes. **Collaboration Opportunities:** + Routinely interacts with leadership and management staff, other Physicians, and staff whenever a physician`s input is needed or required. As well as, aids and acts as a resource to Initial Clinical Reviewers. **What You Will Be Doing:** + Serve as the specialty match reviewer in Cardiology cases, that do not initially meet the applicable medical necessity guidelines, as well as other requests when providers, clients, or state laws require specialty reviews to be completed by the subject matter expert. + 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 - Required and Preferred:** + 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 Cardiology, Vascular Surgery or Adult Congenital Heart Disease + 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-$135/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:** *****MUST RESIDE IN NEW MEXICO OR THE SOUTHWEST REGION***** We are seeking a strategic and collaborative Associate Director, Provider Engagement to lead our oncology-focused provider engagement and practice transformation efforts in the **New Mexico** . Reporting to the National Provider Engagement Sr. Director, you will be responsible for building and managing relationships with oncology groups to drive physician engagement, practice transformation, and own overall group performance within your territory. You will design and execute strategies that elevate provider performance, enhance care quality, and drive improved outcomes in oncology care delivery. You will act as a trusted partner, helping the groups navigate quality initiatives, performance analytics, and incentive programs. The ideal candidate brings oncology experience, understands the complexity of specialty care in value-based care frameworks, and thrives at the intersection of clinical quality, operations, and strategic provider collaboration. This leadership role is responsible for managing high-value provider relationships and driving practice transformation across multiple markets. You will influence change, drive measurable results, and foster long-term oncology group relationships. **What You Will Be Doing:** + Serve as the primary relationship owner for assigned oncology groups within your respective market(s) + Cultivate productive, trusted relationships with key executives-including C-level clinical and administrative leadership + Lead practice transformation initiatives to advance quality, efficiency, and patient outcomes in alignment with value-based care objectives, including various incentive models + Strategically build clinical and administrative leadership relationships to support business development activities across key health systems, oncology groups, and community practices + Use advanced analytics to inform engagement strategies, monitor performance, and identify opportunities for improvement + Utilize data-driven resources to run efficient/effective meetings and work sessions with oncology groups and all relevant subject matter experts both internal and external to Evolent + Partner with oncology group leadership to build change management processes and support the practice pull through activities needed to drive change at scale through effective project management + Influence clinical and operational changes through effective communication, facilitation, and influence with practice leadership, physicians, APPs, pharmacists, and practice administrators + Develop and deliver compelling leadership presentations to clinical and executive audiences to drive alignment and accountability + Manage multiple markets, prioritizing and scaling engagement efforts to optimize program impact + Quarterback initiatives and collaborate cross-functionally with internal teams (i.e., product, medical, pharmacy, strategic accounts), to support practice needs, launch new quality initiatives, and guide practices through various transformation enablers such as EMR integrations and incentive programs. + Facilitate oncology group education and training related to new quality initiatives, partnering with relevant Evolent clinical subject matter experts, rollout of new patient navigation and technology-driven engagement platforms, inclusive of practice workflows changes and EMR integrations. and various technology integrations and platforms + Partner with Provider Engagement Market Managers to ensure successful adoption and engagement of Evolent's solutions (i.e., prior authorization, clinical pathways) to ensure timely patient access to care and drive high provider satisfaction, measured by CSAT and NPS scores + Support the development and execution of innovative engagement opportunities such as regional clinical symposiums and local provider experience advisory panels + Own market level engagement strategy and collaborate with provider engagement market managers to ensure change management initiatives are successful and drive key performance indicators + Partner with Evolent Strategic Account teams and payer clients to align priorities and deliver high-quality provider network engagement, performance reporting, and present to health plans clients + Maintain detailed records of practice interactions, progress on transformation, initiatives, and market trends + Represent the organization at regional forums/clinical symposiums, conferences, and support business growth opportunities **Qualifications Required:** + Minimum 5+ years in oncology, holding leadership roles within oncology clinical service lines, and/or practice group, national oncology networks, or healthcare consulting/equivalent experience. Must demonstrate clinical acumen with proven experience in provider engagement, value-based care operations, and/or practice transformation + Highly preferred oncology clinical experience (i.e., RN, NP) + Must demonstrate knowledge of healthcare delivery operations, population health management best practices with proven success leading initiatives across clinical, operational, and financial domains in complex healthcare environments + Demonstrated success managing clinical and administrative leadership relationships and driving clinical/operational change + Strong understanding of value-based care, healthcare delivery systems, and payment models + Proven ability to develop and present content to clinical and executive leaders + Highly skilled at influencing and facilitating change in complex healthcare environments + Strong analytical acumen with the ability to interpret data and drive action + Ability to manage multiple markets and prioritize work across diverse stakeholder groups. + Excellent communication, negotiation, and relationship-building skills. + Proficiency in Microsoft Office (Word, Excel, PowerPoint) + Ability to travel up to 25-30%. 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 $110,000-$125,000. 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:** What You Will Be Doing: + Serve as the Physician match reviewer in Medical Oncology and imaging cases, that do not initially meet the applicable medical necessity guidelines, as well as other imaging requests when providers, clients, or state laws require specialty reviews to be completed by the subject matter expert. + Discusses determinations (peer to peer phone calls) with requesting physicians or ordering providers, when available, within the regulatory timeframe of the request and provides clinical rationale for standard and expedited appeals. + 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. + Aids and acts as a resource to Initial Clinical Reviewers. + Ensures documentation of all communications with medical office staff and/or MD provider is recorded in a timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + Participates in on-going training per inter-rater reliability process. Qualifications- + MD/DO/MBBS + Minimum of five (5) years' experience in the practice of Medicine, post residency and Active Clinical practice within the last 2 years is preferred + Current, unrestricted clinical license in medicine or required specialty- + Obtaining and maintaining medical licenses in the state you reside, as well as any license required per business needs + Active Board Certification in Medical Oncology + Strong clinical, management, communication, and organizational skills + Energetic and curious with a passion for quality and value in health care + Computer Proficiency + 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 $120-130/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 Client Analytics team provides a unique opportunity to collaborate with key business, analytics, product, and operational leaders to deliver client-specific insights and drive data-informed decision-making. Our team serves as strategic advisors, analysts, and subject matter experts, leveraging data to uncover meaningful business insights. We value curiosity, creativity, and independence, working collaboratively to solve complex challenges and enhance the impact of our specialty programs and administrative platform. Role Overview The Associate Director role on Client Analytics will support both internal teams (EAS, Specialty Operations) and external partners, delivering analyses that drive Evolent's value proposition. This role requires a blend of technical expertise (SAS, SQL, Excel, BI tools) and consultative skills to transform complex data into actionable insights and compelling narratives for stakeholders. What You Will Be Doing: + Strategic Data Analytics & Insights: Lead advanced analyses of healthcare authorization, claims, membership data, and clinical outcomes to uncover cost drivers, utilization trends, and opportunities for integrated care solutions using SAS, SQL, Excel, and Power BI (or similar BI tools). + Consultative Leadership & Problem-Solving: Act as a thought partner to senior stakeholders, proactively identifying business challenges, refining analytical approaches, and delivering strategic recommendations that drive enterprise-wide decision-making. + Scalable & Innovative Solution Development: Design and implement standardized, scalable analytical frameworks that enhance efficiency, consistency, and impact across internal teams and external partners. + Advanced Reporting & Compliance: Lead the development of regulatory and ad hoc reporting strategies, ensuring accuracy, compliance, and alignment with evolving business needs. + Data-Driven Storytelling: Craft high-impact presentations and data visualizations that articulate complex analytical findings in clear, actionable ways for executive and client audiences. + Cross-Functional Collaboration & Leadership: Serve as a key liaison between analytics, clinical, product, and account management teams to drive alignment, foster collaboration, and deliver high-quality insights that enhance Evolent's market position. Required Qualifications: + Bachelor's degree in a quantitative field (e.g., Data Science, Statistics, Mathematics, Economics, Public Health, or a related discipline). + 5+ years of analytics & reporting experience in healthcare, including medical economics, cost/utilization analysis, and membership trend reporting. + 2+ years in a lead/management role over multiple team members. Experience directing and developing analytic talent. + 5+ years of SQL and SAS programming experience working with large healthcare datasets. + Strong analytical skills with a demonstrated ability to extract meaningful insights from both quantitative and qualitative data. + Self-motivated problem-solver with the ability to manage multiple projects simultaneously and adapt to shifting priorities. + Effective collaborator who thrives in cross-functional environments, working seamlessly with diverse teams and stakeholders. + Deep understanding of prior authorization processes, reporting, and key performance indicators (e.g., approval rates, turnaround times, PMPM, trend drivers), with a working knowledge of healthcare claims and reimbursement methodologies. + Experience presenting actionable business insights to client executives and internal leadership is preferred. + Familiarity with value-based care models and utilization management frameworks is preferred. 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 $100,000 - 115,000. 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. 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 $100,000-115,000. 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:** As a Physician Clinical Reviewer, Interventional Pain Management, you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients' lives, in a non-clinical environment. You can enjoy better work- life balance on a team that values collaboration and continuous learning while providing better health outcomes. **Collaboration Opportunities:** + Routinely interacts with leadership and management staff, other Physicians, and staff whenever a physician`s input is needed or required. Aids and acts as a resource to Initial Clinical Reviewers. **What You Will Be Doing:** + Serve as the Physician Clinical Reviewer for Interventional Pain Management, reviewing cases that do not initially meet the applicable medical necessity guidelines, as well as other imaging requests when providers, clients, or state laws require specialty reviews to be completed by the subject matter expert. + 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. + Provides clinical rationale for standard and expedited appeals. + 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. + 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. May assist the Senior Medical Director in research activities/questions. **Qualifications - Required and Preferred:** + MD/DO/MBBS- **Required** + Minimum of five (5) years' experience in the practice of Pain Medicine, post-residency- **Preferred** + Current, unrestricted clinical license in medicine or required specialty- **Required** + Obtaining and maintaining medical licenses in the state you reside and any required per business needs- **Required** + Active Board Certification in Pain Management or Active Board Certification in another specialty and clinical experience in Interventional Pain Management- **Required** + Strong clinical, management, communication, and organizational skills- **Required** + Energetic and curious with a passion for quality and value in health care- **Required** + Computer Proficiency- **Required** 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 $105-110/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:** As a Physician Clinical Reviewer, Interventional Pain Management, you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients' lives, in a non-clinical environment. You can enjoy better work- life balance on a team that values collaboration and continuous learning while providing better health outcomes. **Collaboration Opportunities:** + Routinely interacts with leadership and management staff, other Physicians, and staff whenever a physician`s input is needed or required. Aids and acts as a resource to Initial Clinical Reviewers. **What You Will Be Doing:** + Serve as the Physician Clinical Reviewer for Interventional Pain Management, reviewing cases that do not initially meet the applicable medical necessity guidelines, as well as other imaging requests when providers, clients, or state laws require specialty reviews to be completed by the subject matter expert. + 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. + Provides clinical rationale for standard and expedited appeals. + 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. + 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. May assist the Senior Medical Director in research activities/questions. **Qualifications - Required and Preferred:** + MD/DO/MBBS- **Required** + Minimum of five (5) years' experience in the practice of Pain Medicine, post-residency- **Preferred** + Current, unrestricted clinical license in medicine or required specialty- **Required** + Obtaining and maintaining medical licenses in the state you reside and any required per business needs- **Required** + Active Board Certification in Pain Management or Active Board Certification in another specialty and clinical experience in Interventional Pain Management- **Required** + Strong clinical, management, communication, and organizational skills- **Required** + Energetic and curious with a passion for quality and value in health care- **Required** + Computer Proficiency- **Required** 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 $100-$110/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!