Evolent Health jobs in Phoenix, AZ - 29 jobs

Director, Client Value
Evolent 4.6
Evolent job in Phoenix, AZ
**Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** **Director, Client Value** **About Evolent** Evolent Health partners with health plans and providers to drive clinical and financial performance, improve health outcomes, and deliver value-based care solutions. We are committed to transforming healthcare for the better. **Role Overview** The **Director, Client Value** will serve as a key member of the Client Value team, responsible for the effective management of value-based contracts in the Performance Suite. Under the direction of the VP, Client Value, the Director will have specific accountability for overall financial and medical expense performance for a segment of Evolent's Performance Suite portfolio. The Client Value team will track and monitor overall financial performance, underlying trends in cost and utilization, and operational and programmatic metrics. The Client Value team will leverage these data, internal and external client input, and overall Evolent enterprise strategic insights to develop client-specific performance plans. The Director will play a role in coordinating projects and programs that are identified as the highest value / highest priority topics for delivering cost and quality results. The Director will call together and facilitate cross-functional teams across clinical, product, finance, strategy, and more. Example programs and initiatives that may fall within a client specific performance plan may include: partnering with practices to improve in-clinic workflows, design of population-wide clinical programs that drive improved cost and quality outcomes, establishment of incentive programs and payment models that align provider economics with Evolent objectives, and more. The Director will have a variety of duties that may include: interfacing directly with clients to surface opportunities and co-design improvement projects, overseeing operational implementation of new pilots and programs, tracking performance on core UM and provider engagement metrics, and translating Client Value business plans into materials and messages appropriate for externally-facing client communications. Finance and Performance functions in the Performance Suite, Strategic Accounts, and Clinical Operations will be key partners for the Client Value team. Market-embedded resources that interface directly with provider practices and client teams will report in and be part of the overall Client Value team. **Key Responsibilities** + **Client Value Strategy:** Participate in the development of strategies to maximize client value and satisfaction across Evolent's portfolio. Support client-specific MER performance plans that represent performance on Evolent's core condition management solutions, as well as local / market-specific solutions that together ensure each Performance Suite client achieves its performance targets. + **Performance Oversight:** Monitor and report on client performance metrics, proactively identifying opportunities for improvement. Regularly monitor and utilize all available financial and analytic reporting. Assist in the development of client-facing communications related to Evolent performance. + **Operational Excellence** : Collaborate with implementation and operations teams to ensure successful product deployment and adoption; monitor product performance and provider satisfaction metrics to drive continuous improvement + **Cross-Functional Leadership:** Collaborate with internal teams (clinical, operations, analytics, and product) to deliver integrated solutions. Partner with Performance Suite and Solution Strategy teams to identify clients and market where new programs and innovations can be piloted. + **Collaboration:** Optimize partnership with rest of Client Value team, ensure appropriate division of work, ensure appropriate collaboration and communication. + **Executive Communication:** Present value outcomes and strategic recommendations to client executives and Evolent leadership. + **Team management:** Oversee a team of market-specific professionals; ensure highest priority initiatives are appropriately staffed and resourced; provide direction, support, and mentorship to support performance and development of the Client Value team. + **Team Culture:** Steward a culture of integrity, inclusion, accountability, and teamwork within the Client Value team and with Performance Suite and Evolent more broadly. **Qualifications** + **Experience:** 5-8+ years in healthcare, consulting, or client management roles, with a proven track record of delivering measurable value. + **Leadership:** Strong executive presence and ability to influence at all organizational levels. + **Analytical Skills:** Expertise in interpreting complex data and translating insights into actionable strategies. + **Industry Knowledge:** Deep understanding of value-based care, health plan operations, and provider partnerships. + **Education:** Bachelor's degree required; advanced degree 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 $120,000-130,000. 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!
$120k-130k yearly 3d ago

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Director, Strategic Accounts
Evolent 4.6
Evolent job in Phoenix, AZ
**Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** **Director, Strategic Accounts** **Put your passion where it meets purpose!** Evolent attracts some of the brightest minds in health care. Surround yourself with talented, driven colleagues who share a passion for better health outcomes and a more connected care journey. We are hiring a **Director, Strategic Accounts** to join our Customer Team. This role is unique: you will work directly with one of Evolent's largest, growing health plan clients and lead account strategy and execution. You'll have direct oversight of sales pipeline and renewals. This position partners with a customer operations lead and as a dyad you'll oversee cross-functional business and operating teams managing key client priorities. This position is highly strategic, with a strong emphasis on **upsell/cross-sell opportunities by fostering relationships, solutioning and problem solving, and communicating value.** **Collaboration Opportunities** As a consultative leader, you will identify growth opportunities within health plan specialty management and Evolent. The Strategic Account Director will implement relationship best practices, deliver on strategic growth initiatives, and drive measurable value while increasing satisfaction across all levels of the partner organization. **What You'll Be Doing** + **Strategically manage** an assigned book of business to achieve objectives in relationship development, growth, retention, and customer success. + **Identify and pursue growth opportunities** through analysis, customer research and active listening. Manage deal cycle including pitch, scope development, pricing, contract negotiations and implementation readiness. + **Define and facilitate execution of multi-year account strategy** including strategic account planning, relationship mapping, competitive analysis, and issue resolution. + **Manage and optimize contracts and performance** , by effectively partnering with Customer Operations dyad partner and Business Line leaders-ensuring compliance with SLAs, maximizing savings through benefit analysis, and adhering to legal and regulatory requirements. + **Articulate Evolent's value proposition and performance** across products and services, establishing fluency in key value drivers and measurements and opportunities for improvement + **Cultivate trusted relationships** with key executives, including C-level stakeholders, and serve as a liaison between internal and external teams. + **Leverage data-driven insights** to run efficient meetings and work sessions with clients and subject matter experts. + **Develop best-in-class presentations** and narratives for senior stakeholder meetings. + **Serve as an ambassador** for partner culture within Evolent and act as the go-to expert on client priorities. **Preferred Experience** + Bachelor's degree or equivalent work experience. + 5+ years of broad-based health care experience, health plan, and/or specialty or value-based care experience preferred + Strong **consulting background** with expertise in strategy, business development, and value based arrangements. + Ability to find creative solutions in a dynamic, evolving environment. + Exceptional communication and influencing skills at all organizational levels, including C-suite. + High emotional intelligence and ability to connect with diverse stakeholders. + **Travel:** Up to 40% within the U.S. and U.S. territories. To ensure a secure hiring process we have implemented several identity verification steps, including submission of a government issued photo ID. We conduct identity verification during interviews, and final interviews may require onsite attendance. All candidates must complete a comprehensive background check, in-person I-9 verification, and may be subject to drug screening prior to employment. The use of artificial intelligence tools during interviews is prohibited and monitored. Misrepresentation will result in immediate disqualification from consideration. **Technical Requirements:** We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations. **Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.** **If you need reasonable accommodation to access the information provided on this website, please contact** ************************** **for further assistance.** The expected base salary/wage range for this position is $-. This position is also eligible for a bonus component that would be dependent on pre-defined performance factors. As part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts. Don't see the dream job you are looking for? Drop off your contact information and resume and we will reach out to you if we find the perfect fit!
$115k-178k yearly est. 11d ago
SaaS Administrator, Enterprise Applications
Evolent 4.6
Evolent job in Phoenix, AZ
**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 SaaS Administrator is responsible for managing the full lifecycle of SaaS applications across the organization. This includes discovering, optimizing, securing, and governing SaaS usage to maximize business value and ensure compliance. This role also supports administration functions of enterprise platforms including Jira, Confluence, Jira CMDB, Statuspage. **Key Responsibilities:** + Manage the SaaS life cycle: discover SaaS usage, manage SaaS configuration policies, optimize SaaS entitlements, automate SaaS-related employee onboarding and offboarding processes, measure and publish reports on SaaS usage and costs for IT leadership + Collaborate with digital workplace engineering & security teams to establish and document SaaS configuration, security controls, compliance requirements and processes to continually identify vulnerabilities in configuration and noncompliant usage of SaaS apps + Administer and optimize Atlassian platforms (Jira, Confluence, Statuspage, Jira CMDB, JSM Operations, Atlassian Analytics), including migrations, workflow analysis, automation, and integration of third-party apps + Integrate SaaS and enterprise platforms to enable and streamline IT processes (e.g., ITSM, IAM, ITAM) and business workflows, facilitating tool adoption by understanding stakeholder requirements, managing implementations, and conducting testing and User Acceptance Testing (UAT) + Produce usage reports and perform system health checks + Engage with vendors' support teams to resolve platform issues + Create and communicate knowledgebase articles to support IT staff and minimize support overhead + Ensure that the needs of all customers are met accurately and in a timely fashion, as documented in team Service Level Agreements (SLAs) + Continue to improve technical expertise through research and identification of new processes and technical alternatives to resolve problems and/or implement continuous improvement + Adhere to and advocate all requirements of IT Privacy and Security Policies and Procedures + Participate and contribute to project and team meetings. Transfer knowledge, share expertise, and continuously mentor and collaborate with other members of the team **Required Qualifications:** + Bachelor's degree in IT or related field + 3+ years of experience in IT operations, SaaS administration, and supporting datacenter and cloud-based Atlassian applications (Jira, Confluence, Crowd) + Strong analytical, problem-solving, collaboration, and documentation skills + Familiarity with ITSM, IAM, CMDB systems + Experience working with audit, privacy, and security requirements, including SOC2, and HIPAA + Ability to work in a dynamic environment, including the ability to manage and prioritize tasks while maintaining a service-oriented work ethic + Must be very detail-oriented, organized and able to work independently to support multiple complex projects simultaneously in a fast-paced environment + Experience with automation/scripting tools (e.g., PowerShell, Bash, Python) is preferred + Ability to learn new technologies and explain technical issues to diverse audiences is preferred + Relevant certifications, such as ITIL Foundation Certification and Atlassian cloud certifications, are 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 $88,000 - 105,000. 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!
$88k-105k yearly 30d ago
Senior Quality Specialist (Accreditation)
Evolent 4.6
Evolent job in Phoenix, AZ
**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:** **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 Senior Quality Specialist (Accreditation) to join our Quality Team.** Join the Evolent Quality Department where we embrace new ideas, drive for compliance for accreditation success and challenge ourselves to deliver to meet all business needs in a collaborative, positive culture. We respect and celebrate individual talents, and team wins while working to achieve a constant state of accreditation survey readiness. This position supports the accreditation and quality functions for Evolent Health. **Collaboration Opportunities:** The Senior Quality Specialist for Accreditation role will work closely with the NCQA Manager in collaboration with multiple departments in meeting the accreditation document requirements. This role will work autonomously in ensuring compliance with accreditation requirements with ongoing education to leadership, staff and physician group. **What You Will Be Doing:** Serves as a member of the quality team. Supports the maintenance of a strong quality program and adherence to State, Federal, CMS, Accreditation (NCQA and/or URAC), and contractual requirements. Adherence to the organization's ability to be in a constant state of audit readiness. - Assists in the preparation of customer and external audits - Assists/leads with annotations and bookmarks for customer audits (i.e. policies and procedures, meeting minutes, other required materials/documents) - Assists/leads with gathering documents for accreditation audits - Assist leadership with finalizing documents for submission for accreditation - Facilitate meetings with internal stakeholders as needed - Assist with projects for gap analysis, compliance risk with accreditation standards - Assist with reviewing released accreditation standards, education as applicable - Assist with project management of documents, timelines for preparation of audits - Work collaboratively with quality team and leadership for delegation vendor oversight - Assist with review of vendor/delegate contracts and participates in pre-delegation - Assist with vendor/delegate annual oversight for accreditation requirements (P&Ps/document review) - Assists with policies and procedure review for accreditation requirements - Responsible in assisting with providing the data for the Monthly Operations Report (MOR) as applicable - Knowledgeable and/or SME in accreditation requirements - Any other duties as assigned by Manager or Quality leadership **Qualifications - Required and Preferred:** + Work Experience 4+ years required in Quality or healthcare related field + Minimum of 2+ years prior experience with NCQA surveys + Education High School Diploma or college degree or higher-level education (tech/certification) + Able to work independently + Expertise in data management, data analysis, reports, and project management skills + Strong working knowledge of Microsoft products and systems + Excellent verbal and written skills and the ability to enter data accurately into spread sheets and prepare professional looking documents and reports + Preferred Lean Six Sigma Certified or similar Quality certification 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 $78,000. 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!
$78k yearly 32d ago
Clinical Reviewer, Occupational Therapy
Evolent 4.6
Evolent job in Phoenix, AZ
**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 an Occupational Therapist, Clinical Reviewer 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, Physicians, and and other CR's whenever input is needed or required. Job Summary Functions in a clinical review capacity to evaluate all cases, which do not pass the authorization approval process at first call while promoting a supportive team approach with call center staff. Initial clinical reviewers are supported by Physician clinical review staff (MDs) in the utilization management determination process. Job Description + Reviews charts and analyzes clinical record documentation in order to approve services that meet clinical review criteria. + Conducts ongoing activities which monitor established quality of care standards in the participating provider network and for other clinical staff. + Conducts regular audits, as assigned, to ensure guidelines are applied appropriately. + In states where required, refers all cases that an approval cannot be rendered to the Physician Clinical Reviewer. In States where allowed, will make denial determinations as a specific case warrants. + Converses with medical office staff in order to obtain additional pertinent clinical history/information; notifies of approvals and denials, giving clinical rationale. + Provides optimum customer service through professional/accurate communication while maintaining NCQA and health plans required timeframes. + Documents all communication with medical office staff and/or treating provider. + Practices and maintains the principles of utilization management by adhering to policies and procedures. + Participates in on-going training programs to ensure quality performance in compliance with applicable standards and regulations. **The Experience You'll Need (Required):** + Current, unrestricted state licensure as a Occupational Therapist + A occupational therapist must hold a state license in occupational therapy and hold an occupational therapy degree from an accredited education program and pass the national certification examination. + 5+ years clinical experience is preferred + Strong interpersonal and communication skills. + Strong clinical, 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 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 $. 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!
$53k-67k yearly est. 3d ago
Analyst, Performance Suite Analytics
Evolent 4.6
Evolent job in Phoenix, AZ
**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 Performance Suite Analytics team offers candidates the opportunity to generate meaningful impact through translating disparate data points into tangible insights and actions. Our team values accuracy, collaboration, and innovation, ensuring that all team members receive the support, tools, and skills to positively contribute to Evolent's broader mission. **Collaboration Opportunities:** The Analyst, 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 the organization and patient health. This role will support the Medical Cost Management activities, working in a Medical Economics team that supports Business Development and new product efforts. + Support the underwriting of capitated risk proposals involving cost & use projections, trend selection/development, and estimation of Evolent's ability to reduce cost and improve quality. + Support the design of financial arrangements that are equitable for both Evolent and our Partners. + Support the development of models and approaches aimed at quantifying and articulating our value. + Perform research and analysis of complex healthcare claims, eligibility, and pharmacy data to make recommendations based on relevant findings. + Draw actionable conclusions from analyses and effectively communicate to internal/external audiences at various levels of the enterprise. + Translate analyses into Customer-ready deliverables using available visualization tools. + Provide support and facilitate interaction with customers in a manner that fosters expertise and cooperation. + Process and validate raw unadjudicated claims data + Use programming skills to explore, examine and interpret large volumes of data in various forms to complete deliverables with minimal assistance and oversight. **Qualifications Required and Preferred:** + 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) + 1-2 years of professional experience in claims-based healthcare analytics with a payer, provider, clinical vendor, managed care, or related healthcare consulting entity + Ability to communicate clearly with diverse stakeholders to solve problems; ability to translate between business needs and analytical needs + Exceptional analytical and communication skills with the ability to identify and translate insights from quantitative and qualitative data + Proficiency in SQL or SAS database/statistical programming languages or related programming language + Advanced proficiency in Microsoft Excel + Experience in data mining, advanced/ statistical analysis, and data manipulation + Familiarity with healthcare reimbursement methodologies and calculations such as DRGs, Revenue Codes, CPT Codes, RVUs, bundled payments, etc. **Preferred.** + Experience using data visualization software (s) to package analytical insights (Power BI, Tableau, or similar)- **Preferred.** + Master's Degree, especially with a quantitative focus (e.g. data science, machine learning, statistics, mathematics, computer science, or engineering)- **Preferred** . + Working knowledge of healthcare claims; specifically, differences between institutional vs professional billing and various sites of care/service- **Preferred.** + Familiarity with value-based care and utilization management- **Preferred.** + Understanding of data systems and the critical thinking skills to solve new problems and adapt to changes in data architecture- **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 $65,000. 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!
$65k yearly 3d ago
Clinical Reviewer, Nurse Practitioner/Physician Assistant (Vascular Surgery)
Evolent 4.6
Evolent job in Phoenix, AZ
**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 Nurse Practitioner/Physician Assistant (ARNP/NP/PA) Vascular Surgey is responsible for support and assistance for all cardiology administrative and clinical utilization management and quality improvement functions under the auspices of the office of the Chief Medical Officer. ESSENTIAL DUTIES AND RESPONSIBILITIES: include the following. Other duties may be assigned. + Responsible for acting as a clinical liaison to providers, clients, and patients as directed by the office of the Chief Medical Officer. + Responsible for clinical conversations with providers and their office staff regarding medical necessity decisions. + Responsible for maintaining and operating the Guideline Directed Medial Therapy including communicating with offices recommendations regarding medical therapy. + Responsible for communicating need for additional clinical information to ordering providers. + Responsibility for prepping cases which cannot be approved and which the provider will not modify or withdraw for P2P discussions with one of the Vascular Surgeons or Cardiologists. + Responsible for coordinating with UM staff to ensure timely and accurate communication of clinical decisions. + Responsible for completion of UM projects and participation in site visit reviews. + Respect and maintain HIPAA confidentiality guidelines. + Responsible for maintaining availability to clinical and non-clinical administrative staff during performance of initial and second level screening + Acts as an interdepartmental liaison between all New Century Health offices, departments, and committees. + Serve as subject matter expert and participate in meetings as assigned with practices and/or payers. + Will work with the Director of UM to ensure client satisfaction. + Perform all peer clinical review activities while located in a state or territory of the United States. + Acts with honor and integrity, serving as a role model for the company. + Performs other duties as assigned. QUALIFICATION REQUIREMENTS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. EDUCATION and/or EXPERIENCE: Master of Science in Nursing or Doctor of Nursing Practice (DNP) degree from a recognized degree program OR a master's degree from a program accredited the ARC-PA. Minimum of five (5) years' experience in the practice of Vacular Surgery (preferred) or primary care; knowledge of regulatory requirements with at least two years of experience in a regulatory role (preferred). LICENSE/CERTIFICATION: Current, unrestricted state PA or RN/NP license in medicine or required specialty. Of a PA, obtaining a passing score on a national certifying exam Obtaining and maintaining required licenses in the states where NCH has business OTHER SKILLS and ABILITIES: Strong clinical, management, communication, and organizational skills. Demonstrated leadership skills Analytic skills Energetic and curious with a passion for quality and value in health care Required to pass skills proficiency test 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 $68-$74/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!
$68-74 hourly 4d ago
Implementation Engineer
Evolent 4.6
Evolent job in Phoenix, AZ
**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 or relevant tool, 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!
$90k-110k yearly 27d ago
Analyst, Application Support
Evolent 4.6
Evolent job in Phoenix, AZ
**Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The **Analyst, Application Support** is a highly motivated person with excellent communication and interpersonal skills to interact with internal/external teams and application users and help trouble shoot/resolve issues reported by various departments within Evolent. This person will provide high quality operational, technical, and systems support to preserve customer satisfaction and internal business functions to aid in minimizing recurrence of incidents. **What You Will Be Doing:** + Provide first-level support, including problem replication, triage, and resolution of issues, the majority of which are associated with Standard Operating Procedures (SOPs) + Provide accurate and timely resolution of issues, and escalation when necessary + Ensure that Service Level Agreements (SLAs) are met + Maintain and update documentation related to operations and support processes within Confluence + Contributes to improvement of existing processes and identification of new processes and technical alternatives to resolve problems + Collaborate with team members and business functions to troubleshoot and resolve support tickets + Respond to escalations and incidents, providing support toward resolution, and notifying stakeholders of progress during business hours and outside of normal business hours (on-call support) + Contribute to writing T-SQL code and tools to assist Level 1 support to diagnose and resolve incidents + Execute SQL scripts to generate reports, troubleshoot data issues, and fulfill database support tasks + Perform ad-hoc task and analysis for the support team as needed Perform quarterly user access audit **Qualifications - Required:** + Bachelor's degree in computer science, IT- related degree or comparable experience + 1+ year(s) of progressive experience within application support/IT operations organizations + 1+ year(s) experience with T-SQL, ability to view and write T-SQL code for triage and investigation + Professional verbal and written communication skills, with the ability to clearly articulate thoughts and ideas. + Basic knowledge of web application functionality and fundamental Infrastructure knowledge of computer systems. + Collaborative working style with the ability to work across different organizations and personalities + Ability to work unsupervised and a self-starter who seeks improvements without direction + **This role is Monday- Friday from 9:00 am to 6:00pm, CST, MST or PST. with some flexibility. Additionally rotating on-call support, including after-hours, weekends and holidays.** **Qualifications - Preferred:** + Experience in a healthcare-related field + Familiarity with JIRA, Confluence, Microsoft Azure - Application Insights + JIRA Service Desk ticketing system/Confluence experience To ensure a secure hiring process we have implemented several identity verification steps, including submission of a government issued photo ID. We conduct identity verification during interviews, and final interviews may require onsite attendance. All candidates must complete a comprehensive background check, in-person I-9 verification, and may be subject to drug screening prior to employment. The use of artificial intelligence tools during interviews is prohibited and monitored. Misrepresentation will result in immediate disqualification from consideration. **Technical Requirements:** We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations. **Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.** **If you need reasonable accommodation to access the information provided on this website, please contact** ************************** **for further assistance.** The expected base salary/wage range for this position is $28.00 to $31.00. This position is also eligible for a bonus component that would be dependent on pre-defined performance factors. As part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts. Don't see the dream job you are looking for? Drop off your contact information and resume and we will reach out to you if we find the perfect fit!
$28-31 hourly 45d ago
Field Medical Director - Vascular Surgery
Evolent 4.6
Evolent job in Phoenix, AZ
**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!
$130-140 hourly 60d+ ago
Clinical Reviewer, Nurse (Medical Oncology)
Evolent 4.6
Evolent job in Phoenix, AZ
**Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals. Tasks are performed within the **RN/LVN/LPN** scope of practice, under the Medical Director's direction, using independent nursing judgement and decision-making, physician-developed medical policies, and clinical decision-making criteria sets. The Clinical Review Nurse serves as a member advocate, expediting care across the continuum and working in concert with the health care delivery team to maintain high-quality, cost-effective care delivery. + Perform pre-certification utilization reviews of **Oncology treatment requests** + Determines medical necessity and appropriateness of services using clinical review criteria. + Accurately documents all review rationales and determinations. + Appropriately identifies and refers cases that do not meet established clinical criteria to the Medical Director. + Appropriately identifies and refers quality issues to UM Leadership. + Collaborates with physicians and other providers to facilitate the provision of services throughout the health care continuum. + Performs accurate data entry. + Communicates appropriate information to other staff members as necessary/required. + Participates in continuing education initiatives. + Availability on some weekends and holidays may be required. + Performs other duties as assigned. **The Experience You'll Need (Required):** + Registered Nurse or Licensed Practical/Vocational Nurse with a current, unrestricted license. + High School Diploma or equivalent required + Minimum of three years of direct clinical patient care (acute, inpatient, or critical care setting); strongly prefer direct Oncology experience. + Strong computer skills, including MS Office Suite + Strong interpersonal, oral, and written communication skills. + Availability for weekend holiday rotation. **Finishing Touches (Preferred):** + Experience with clinical decision-making criteria sets (i.e., Milliman, InterQual) + Minimum of one year of experience with medical management activities in a managed care environment + UM/UR experience + Clinical experience in Oncology, ICU, ED, or other critical care environment + Remote work experience To ensure a secure hiring process we have implemented several identity verification steps, including submission of a government issued photo ID. We conduct identity verification during interviews, and final interviews may require onsite attendance. All candidates must complete a comprehensive background check, in-person I-9 verification, and may be subject to drug screening prior to employment. The use of artificial intelligence tools during interviews is prohibited and monitored. Misrepresentation will result in immediate disqualification from consideration. **Technical Requirements:** We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations. **Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.** **If you need reasonable accommodation to access the information provided on this website, please contact** ************************** **for further assistance.** The expected base salary/wage range for this position is $32-$37 /hr. This position is also eligible for a bonus component that would be dependent on pre-defined performance factors. As part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts. Don't see the dream job you are looking for? Drop off your contact information and resume and we will reach out to you if we find the perfect fit!
$32-37 hourly 40d ago
Platform Engineer (Observability)
Evolent 4.6
Evolent job in Phoenix, AZ
**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 member of the Platform Engineering organization, you will be part of a team responsible for managing the large footprint of our application suite and cloud infrastructure. We are transforming the way we manage cloud infrastructure and application reliability, your role as a Platform Engineer with a **sharp focus on observability** is instrumental in our success. This role is for you If you are interested in becoming part of our high-performance team. **Responsibilities** : + Engineer and manage observability solutions using **OpenTelemetry** to monitor and trace application performance. + Contribute to Evolent's Internal Developer Platform built on **Backstage** technology via hands on code writing. + Deploy and manage containerization solutions using platforms such as **Docker** and **Kubernetes** , with a strong focus on **Azure Kubernetes Service (AKS)** and **Azure Container Apps (ACA)** . + Monitor the health and performance of containers and resolve any issues that arise. + Partner with DevOps in advancing **Infra as Code** and **Config as Code** discipline. + Participate in Root Cause Analysis (RCA) and actually address root cause to prevent future occurrence of same problem. + Follow security best practice to ensure containerized workloads are fully secure. **Required Experience:** + 3+ years of hands-on **Azure** and 5+ years of overall cloud-native experience. + Demonstrated motivation to develop coding skills and proficiency in multiple programming languages. + Strong understanding of **OpenTelemetry** and experience in implementing observability solutions. + Expertise in multiple APM tools: Prometheus, **Elastic** , Dynatrace, **DataDog** . + Proficient in **TypeScript** and **React** for building internal platform UIs or developer portal. + Proven experience in deploying and managing container orchestration platforms such as **Kubernetes** and **Docker** . + Deep understanding of deployment methodologies for Kubernetes, preferably **ArgoCD** and **Helm** . + Experience with other Azure services such as **Azure Functions, Azure Logic Apps,** and **Azure Service Fabric** . + Passion and creativity for Automation using tools such as **Ansible** and **Terraform** . + Experience in working with **GitHub Actions** or Jenkins. + Expertise in at least one of these **scripting/configuration** languages: PowerShell, YAML, HCL, Python. + Experience leveraging **agile** methodology (i.e., Scrumban) to manage project work. + Highly **effective communicator** with a strong commitment to transparency. 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 $120,000 - 135,000. 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!
$120k-135k yearly 31d ago
Managing Director, Service Excellence
Evolent 4.6
Evolent job in Phoenix, AZ
**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:** Managing Director, Service Excellence Job Description The Managing Director of Service Excellence will lead a team focused on driving delivery excellence and transformation across our organization. This role will report directly to the Chief Customer Officer and will work cross-functionally to ensure we foster a "customer first" mindset. leads a team focused on driving delivery excellence across our organization. This role will report directly to the Chief Customer Officer and will serve as the connective tissue between our strategic account teams and the rest of the organization. Responsibilities: + Drives prioritization and escalation of initiatives with customer impact via various forums and cross-functional roadmaps + Executes on the issue response governance playbook & downstream communication to the customer organization and our customers directly + Manages and oversees of all Voice of Customer activities, including NPS survey, implementation survey, and customer QA calls + Key leader in collating information and data to support communicating voice of customer insights to internal stakeholders including reporting out on client NPS feedback, themes, and service excellence work + Drives transformation of customer org process improvements and initiatives as identified by the voice of customer surveys + Manages and refines JOC playbooks and timesaver templates, supporting content development and ad hoc customer meetings as needed + Oversees all customer data hub activities, including account product roster, customer health dashboard, external reporting database 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!
$82k-117k yearly est. 3d ago
Associate Director, Performance Suite Analytics
Evolent 4.6
Evolent job in Phoenix, AZ
**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 Performance Suite Analytics team offers candidates the opportunity to generate meaningful impact through translating disparate data points into tangible insights and actions. Our team values accuracy, collaboration, and innovation, ensuring that all team members receive the support, tools, and skills to positively contribute to Evolent's broader mission. The Associate Director role on Performance Suite Analytics will support both internal teams (Product) and external partners, delivering analyses that drive Evolent's value proposition. This role requires a blend of technical expertise (SQL, Excel, BI tools) and consultative skills for evaluating financial/quality performance and complex financial reconciliations with our risk-based partnerships. This individual will partner closely with executives across finance, program innovation, and account management. + Strategic Data Analytics & Insights: Lead the development of analytical capabilities and processes related to evaluating performance with our capitated risk partnerships including cost & use projections, financial reconciliations, and providing insight in utilization drivers. + Consultative Leadership & Problem-Solving: Act as a thought partner to Client & Product teams to outline strategic approach for current risk partnerships, various value-based care models, financial/quality-based metrics, and provide discovery and product design analytical support. + Scalable & Innovative Solution Development: Design and implement standardized, scalable analytical frameworks that enhance efficiency, consistency, and impact across internal teams and external partners. + Advanced Analytics: Analyze performance capitated risk partnerships, focusing on cost and use trends, and estimate Evolent's ability to reduce costs and improve quality. Assist in the development of budgets and forecasts for each client and packaging key insights for tracking performance. + Data-Driven Storytelling: Develop models to quantify and articulate value. Communicate actionable conclusions from analyses to executive internal/external audiences. + Cross-Functional Collaboration & Leadership: + 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. + Partnering with other analytical, product and IT leaders in assessing new and existing analytical tools and continuously improving analytical processes. + Leading and facilitating interactions with existing customers in a manner that fosters trust in Evolent's expertise and a spirit of collaboration. **Qualifications (Required and Preferred):** + Bachelor's degree in a quantitative field (e.g., Data Science, Statistics, Mathematics, Economics, Public Health, or a related discipline) + 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 Fee for Service, value-based care approaches, bundled payments, etc. + 2+ years in a lead/management role over multiple team members. Experience directing and developing analytic talent + 5+ years of SQL and/or 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 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 $120,000. 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!
$120k yearly 3d ago
Sr Software Engineer
Evolent 4.6
Evolent job in Phoenix, AZ
**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:** Responsibilities + Lead the design, development, and deployment of complex software solutions, ensuring scalability and maintainability. + Architect and implement high-performance APIs and microservices that support critical business functions. + Collaborate closely with cross-functional teams, including product managers, UX designers, and other engineers, to translate business needs into technical solutions. + Conduct thorough code reviews, providing constructive feedback and ensuring adherence to best coding practices. + Mentor and coach junior engineers, fostering a culture of continuous learning and technical excellence. + Identify and implement improvements to the software development lifecycle, including automation, testing, and CI/CD pipelines. + Troubleshoot and resolve production issues, working to ensure high availability and reliability of services. + Evaluate and integrate new tools, frameworks, and technologies to improve development processes and team productivity. + Drive the technical vision for projects, contributing to architectural discussions and long-term planning. Requirements + Bachelor's or Master's degree in Computer Science, Software Engineering, or a related field, or equivalent practical experience. + 5+ years of professional software development experience, with a proven track record of delivering complex, scalable applications. + Proficiency in multiple programming languages, such as C#, Java, or Python and familiarity with their ecosystems. + Deep understanding of software architecture patterns, such as microservices, event-driven architecture, and RESTful API design. + Experience with front-end frameworks (e.g., React, Angular, Vue) and back-end technologies (e.g., Node.js, Django, Spring Boot). + Strong knowledge of cloud computing platforms (e.g., Azure, AWS, Google Cloud) and container orchestration tools like Docker and Kubernetes. + Expertise in database design and optimization for both SQL and NoSQL databases. + Excellent problem-solving skills, with the ability to diagnose and resolve complex technical issues quickly. + Strong communication skills, with the ability to lead technical discussions, present to stakeholders, and write detailed documentation 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 $91,500 - 128,100. 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!
$91.5k-128.1k yearly 2d ago
Appeals Nurse
Evolent 4.6
Evolent job in Phoenix, AZ
**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 Specialty Appeals Team offers candidates the opportunity to make a meaningful impact as part of a highly trained dedicated team focusing on appeals and post-determination requests. We maintain the principles of utilization management by adhering to Evolent and Client policies and procedures while complying with timeliness guidelines. Our team values collaboration, continuous learning, and a customer-centric approach, ensuring that every team member contributes to providing better health outcomes for the Clients and Members we serve. **Collaboration Opportunities:** The Specialty Appeal nurses work with a group of nurses, providing appeal intake review for one dedicated client. They interact with coordinators who set up the appeal, Physicians and other Clinicians who review the appeal, and managers for direction and leadership. The Appeals teamwork strategies and opportunities for collaboration include all-team and individual team meetings, Teams chats, and monthly communication on team metrics and accomplishments. **What You Will Be Doing:** + Practices and maintains the principles of utilization management and appeals management by adhering to company policies and procedures. + Documents communications with medical office staff and/or MD provider as required. + Interfaces with other departments to satisfactorily resolve issues related to appeals and retrospective reviews. + Provides optimum customer service through professional and accurate communication while maintaining accreditation and health plan's required timeframes. + Refers cases to appropriate internal reviewers according to the business needs of the particular health plan. + Reviews requests for Urgent appeals compared to expedited criteria for downgrade to Standard processing, documenting accordingly. + Works closely with the appeals-dedicated Clinical Reviewers to ensure timely adjudication of processed appeals. + Other duties as assigned. **Qualifications Required and Preferred:** + 1-3 years' experience and as an RN - **Required** + Minimum of 5 years in Utilization Management, health care Appeals, compliance and/or grievances/complaints in a quality improvement environment- **Required** + Able to work in a rotation to work 10:30am to 7pm CST (which includes 30-minute unpaid lunch break) 3 days/week, to meet the business needs of nurses providing coverage until 7:00pm CST. - **Required** + Must be able to exercise independent and sound judgment in clinical decision making. - **Preferred** + Able to navigate through internal and external computer systems. Working knowledge of Microsoft Office Product Suit - **Preferred** + Strong organizational and effective time management skills; demonstrated ability to manage multiple priorities. - **Preferred** + Outstanding interpersonal and negotiation skills to effectively establish positive relationships both internally and externally, including strong written and verbal communication skills. - **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 $37- $42/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!
$37-42 hourly 60d+ ago
Sr Analyst, Performance Suite Analytics (Multiple Positions)
Evolent 4.6
Evolent job in Phoenix, AZ
**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 Performance Suite Analytics team offers candidates the opportunity to generate meaningful impact through translating disparate data points into tangible insights and actions. Our team values accuracy, collaboration, and innovation, ensuring that all team members receive the support, tools, and skills to positively contribute to Evolent's broader mission. **Collaboration Opportunities:** The Senior Analyst, 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 the organization and patient health. This role supports both Medical Cost Management activities as well as Business Development efforts. Working in a Medical Economics team that supports Business Development and new product efforts. **What You'll Be Doing:** + Support the clean data transfer between Evolent and its customers in the Performance Suite where Evolent does not pay claims. + Support the design of data transfer protocols during client onboarding and implementation, and refinement efforts on an ongoing basis. + Develop models to evaluate data quality on a regular basis to uncover irregularities in data submitted from clients and work cross-functionally to identify the root cause. + Apply post-pay audit and payment integrity methods and techniques to ensure claims were paid according to policy + Coordinate with internal teams to ensure clean and consistent tracking of Evolent's covered membership and claims + Support the design of standardized processes, templates, and collateral for key client-facing financial activities + Create models to assist in financial scope reconciliation efforts. + Identify potential risks and opportunities related to partner data, enabling leadership to better resource solutions, negotiate contractual terms, or settlements. + Perform ad hoc client-specific analyses to support strategic decision-making **Qualifications Required and Preferred:** + 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) + 1-3 years of professional experience in claims-based healthcare analytics with a payer, provider, clinical vendor, managed care, or related healthcare consulting entity + 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 and communicating insights from quantitative and qualitative data + Advanced or higher proficiency in SQL or SAS database/statistical programming languages and Microsoft Excel + Experience using data visualization software (s) to package analytical insights (Power BI, Tableau, or similar) + Experience in data mining, advanced/ statistical analysis, and data manipulation + Familiarity with healthcare reimbursement methodologies and calculations such as DRGs, Revenue Codes, CPT Codes, RVUs, bundled payments, etc. + Master's Degree, especially with a quantitative focus (e.g. data science, machine learning, statistics, mathematics, computer science, or engineering)- **Preferred** . + Working knowledge of healthcare claims; specifically, differences between institutional vs professional billing and various sites of care/service- **Preferred.** + Familiarity with value-based care and utilization management- **Preferred.** + Understanding data systems and critical thinking skills to solve new problems and adapt to changes in data architecture- **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 $85,000. 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!
$85k yearly 3d ago
Director, Service Excellence
Evolent 4.6
Evolent job in Phoenix, AZ
**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 **Director, Service Excellence** Evolent is looking to hire a Director of Service Excellence. This individual will serve on a central team within the customer organization focused on ensuring that we deliver best-in-class service to our customers. The director will be a key connection point into cross-functional teams, representing the customer team on key issues and initiatives representing multiple partners. **Who You'll Be Working With:** The person in this role will be responsible for managing incident response, ensuring that we are addressing issues in a timely manner, monitoring outbound documents to facilitate clear and consistent messaging around our value and performance, leveraging internal SME's to educate customer-facing teams on key initiatives that drive value, and ensuring that we are providing transparent and proactive communication to our customers. **What You'll Be Doing:** + Manage voice of customer insight gathering through survey administration and customer specific primary research + Facilitate internal forums to promote alignment and accountability across internal teams (e.g., SLA timelines, product performance and value, data monitoring / platform issues, etc.) + Serve as the main customer point of contact for key initiatives with a focus on solutioning, streamlining processes and working cross-functionally to ensure timely execution + Coordinate customer communication (payer and provider) on key initiatives, projects, or issues/incidents that impact service delivery + Develop an "issue resolution" playbook, promoting consistent definitions of problem types and standardizing solutioning + Ensure SLA's are maintained via a central database, instilling best practices for monitoring and managing across the customer org + Monitor internal issue ticketing system / reporting to ensure key customer issues are being addressed in a timely manner **The Experience You'll Need (Required):** + 5+ years of experience in account management or client services role in digital health, healthcare, payer + Previous experience managing a team of direct reports + Strong track record of high client satisfaction, growth and retention + Strong verbal, written and presentation skills; ability to communicate clearly and influence internal and external stakeholders + Strong analytical skills; ability to understand data and present information accordingly + Experience working in a cross-functional capacity + Strong leadership and effective problem abilities; must be able to develop and grow relationships with executive leaders, and internal cross-functional teams 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!
$82k-135k yearly est. 3d ago
Software Engineer
Evolent 4.6
Evolent job in Phoenix, AZ
**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:** Responsibilities + Design, develop, test, and maintain software applications using modern programming languagesand frameworks. + Collaborate with product managers, designers, and other engineers to translate requirementsinto technical specifications. + Write clean, maintainable, and efficient code, following best practices and coding standards. + Participate in code reviews to ensure code quality, functionality, and maintainability. + Troubleshoot, debug, and resolve technical issues and bugs in a timely manner. + Optimize applications for maximum performance, scalability, and reliability. + Contribute to the continuous improvement of development processes, tools, and + methodologies. + Stay up-to-date with emerging technologies and industry trends, and apply them to improve ourproducts and solutions. Requirements + Bachelor's degree in Computer Science, Software Engineering, or a related field, or equivalent + practical experience. + Proven experience in software development using languages such as C#, Java, Python, JavaScript,etc. + Strong understanding of software design principles, algorithms, and data structures. + Experience with front-end frameworks (e.g., React, Angular, Vue) and/or back-end technologies(e.g., Node.js, Django, Spring). + Familiarity with version control systems such as Git and collaborative coding workflows. + Experience with cloud platforms (e.g., Azure, AWS, Google Cloud) and containerization tools + (e.g., Docker, Kubernetes). + Ability to write unit, integration, and end-to-end tests to ensure code quality and reliability. + Excellent problem-solving skills and the ability to work independently and as part of a team. + Strong communication skills with the ability to articulate technical concepts to both technicaland non-technical stakeholders. 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 $73,200 - 102,500. 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!
$73.2k-102.5k yearly 2d ago
Managing Director, Strategic Accounts (California)
Evolent 4.6
Evolent job in Phoenix, AZ
**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'll be doing:** The Managing Director, Strategic Accounts role is a dynamic, fast paced position, serving as the single executive accountable for client health, strategy, success, and growth. This role provides the opportunity to own a book of client specific P&Ls including retention, expansion, and operational efficiency. It is a player coach role providing the opportunity to foster executive relationships at client accounts and lead a team of account directors and managers. **Who You'll Be Working With:** The Managing Director, Strategic Accounts embodies the Evolent value "Start by Listening," forging deep relationships and serving as a trusted C-suite advisor to Evolent's partners. This role also work in a highly cross-functiona capacity, including with key leaders and team members in our Operations and Provider Solutions teams. We are looking for a candidate with a strong entrepreneurial spirit to oversee strategic partnerships with a pool of large, multi-state and/or multi-line of business health plans. This role will report to Evolent's Chief Customer Officer **The Day-to-Day** + Serving as a strategic advisor and consultative partner, helping to identify opportunities for more impactful management of health plan's specialty care initiatives.; Managing the commercial process for these growth opportunities in collaboration with Business Development, Corporate Development and Operations leaders + Developing and orchestrating market-specific and enterprise performance initiatives; flagging risks for risk partner performance relative to financial goals + Managing a team of high-performing account leads, ensuring consistent market/client governance and appropriate allocation of team resources. + Taking responsibility for the satisfaction, retention, and growth of a portfolio of Evolent solutions across this account. Cultivating productive, trusted relationships with key partner executives and stakeholders + Owning the strategy and execution of the commercial process for contract management, negotiation, and renewals. Running regular Account Strategy Planning efforts, including relationship mapping, issue identification, and action planning + Proactively assessing, validating, and prioritizing partner needs on an ongoing basis, channeling input from partners into Evolent's product roadmap and strategy + With Operations and Provider Solutions teams, monitoring issue resolution and ensuring appropriate, timely follow up by Evolent team members; advocating on behalf of partner within Evolent to overcome challenges to partner value and ensuring Evolent addresses root causes of satisfaction issues + Advocating for partner culture, serving as an ambassador within Evolent and acting as the subject-matter-expert on partner priorities and getting things done within the partner organization **Qualifications:** + 10+ years in relationship management roles (consulting, enterprise sales, account management, etc.) + Bachelor's degree OR equivalent work experience. + Commercial / business development acumen to identify and close growth opportunities + Demonstrated ability to effectively communicate and present at all levels of the organization, including at the C-level. Influence through effective stories to emphasize the value proposition of the partnership. + Strong command of the financial elements of value-based care businesses and an ability to package this analysis into a compelling value proposition for specific growth opportunities and the partnership overall + A tenacious partnership ethos with a relentless focus on follow through and maintaining trust + The intellectual curiosity to get to the bottom of partner issues and opportunities and the willingness to roll up sleeves and work toward solutions in partnership with operations counterparts and centralized resources + Ability to manage heavy travel schedule, including ~3 days a week in-market at our partner organizations 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 $160,000-180,000. 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!
$160k-180k yearly 4d ago

Evolent Health jobs in Phoenix, AZ - 29 jobs

Director, Client Value

Director, Strategic Accounts

SaaS Administrator, Enterprise Applications

Senior Quality Specialist (Accreditation)

Clinical Reviewer, Occupational Therapy

Analyst, Performance Suite Analytics

Clinical Reviewer, Nurse Practitioner/Physician Assistant (Vascular Surgery)

Implementation Engineer

Analyst, Application Support

Field Medical Director - Vascular Surgery

Clinical Reviewer, Nurse (Medical Oncology)

Platform Engineer (Observability)

Managing Director, Service Excellence

Associate Director, Performance Suite Analytics

Sr Software Engineer

Appeals Nurse

Sr Analyst, Performance Suite Analytics (Multiple Positions)

Director, Service Excellence

Software Engineer

Managing Director, Strategic Accounts (California)

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