Evolent Health jobs in Raleigh, NC

**Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** **Join Evolent for the mission. Stay** **for** **the culture.** Evolent is hiring a Vice President, Growth - Payer for our growth team. **Role Overview** **s** **:** The **VP,** **Growth** **-** **Pay** **e** **r** will lead strategic partnerships with health plans. + Develop and execute a growth strategy targeting payer organizations. + Build and maintain relationships with health plan executives to drive new business. + Lead contract negotiations and partnership agreements. + Collaborate with internal teams to align solutions with market needs. + Monitor industry trends and competitive landscape to refine strategy. **About the Role** **s** **:** The Vice President, Growth - Payer will report to the Chief Strategy and Growth Officer. This individual will be responsible for helping to design, structure, and execute Evolent's growth path. This person will be focused on new partnerships, go-to-market sales, business development, and cross-selling. As a highly externally facing role, this person must exude an energetic, strong executive presence and have a mission driven mentality to succeed in this role. **What** **you'll** **be doing:** + Responsible for driving new logo sales and current partnership expansions at national and regional payers, with accountability to Evolent leadership for top-line bookings + Provide leadership and mentorship to the business development team, fostering a high-performance culture + Demonstrate the ability to leverage a sales enablement portfolio, including tools, processes, and development activities to ensure the pitch is differentiated through content knowledge and proficiency + Personally initiate and foster executive level relationships at managed care organizations or health systems and large provider groups + Collaborate with internal teams, including marketing, product development, and operations, to support business growth initiatives + Oversee an end-to-end new customer acquisition process, from pitch to opportunity sizing, pricing, diligence, partner development, and contracting + Lead top-of-funnel lead-gen activities, including: conference strategy, channel partnerships, cold outreach, market-specific campaigns, etc. + Ensure tight discipline of sales operations: reporting/analytics, Salesforce.com utilization, quarterly KPI targets + Channel customer feedback from the market to systematically inform marketing, product, and operational counterparts across the company + Refine product messaging to ensure strong product-market fit alignment **Desired Skill Set:** + Advanced degree (e.g., MBA) or equivalent relevant experience + 10+ years of experience in consultative sales or strategic partnerships withinhealthcare + Proven track record of accomplishment on execution of population health, value-based care, clinical quality and growth initiatives within a progressive and forward-thinking health care organization + Excellent communication and interpersonal skills, adept at navigating senior-level stakeholder discussions + Experience and proven success with complex, multi-million-dollar enterprise sales with long cycles requiring diverse stakeholder management + Knowledge of the managed care and provider markets (both payers and risk-bearing organizations) + Passion for healthcare and subscribed to the vision of value-based care + Strong familiarity with risk-based contracting + Thrives in an entrepreneurial, fast-paced environment with a collaborative and innovation-driven culture + Travel Requirements: Willing to travel twice a month for meetings, site visits, and partnership engagements To ensure a secure hiring process we have implemented several identity verification steps, including submission of a government issued photo ID. We conduct identity verification during interviews, and final interviews may require onsite attendance. All candidates must complete a comprehensive background check, in-person I-9 verification, and may be subject to drug screening prior to employment. The use of artificial intelligence tools during interviews is prohibited and monitored. Misrepresentation will result in immediate disqualification from consideration. **Technical Requirements:** We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations. **Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.** **If you need reasonable accommodation to access the information provided on this website, please contact** ************************** **for further assistance.** The expected base salary/wage range for this position is $-. This position is also eligible for a bonus component that would be dependent on pre-defined performance factors. As part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts. Don't see the dream job you are looking for? Drop off your contact information and resume and we will reach out to you if we find the perfect fit!

The Community Health Worker (CHW) position is a non-clinician role that works with the primary care health team as a multi-disciplinary team member as a link/liaison between the community and the primary care practices also known at Advance Medical Homes (AMH). CHWs will be intentional on carrying out community in-reach- bringing the community voice into the clinical setting. CHWs are trusted community members that share similarities with the community members they serve. The CHW will focus on improving access to AMHs by providing culturally appropriate health education, navigating social services, facilitating communication, providing direct services (health screenings, basic first aid, mental health first aid, informal counseling, translation and interpretation services), and advocating for the needs of the Medicaid population. Community Health Workers may directly assist members in improving their ability to improve their health by going to members in their communities and meeting them physically, mentally and socially. They also help design and implement systems to ensure members have access, knowledge, resources, and support from the Care Team. Essential Functions Abide by CCNC Care Management department guidelines, CCNC company policies, and HIPAA regulations. Adhere to CCNC Privacy and Security policies to ensure that patient and company data is properly safeguarded. Understand and uphold CCNC Mission, Vision, and Values. Successfully complete and be able to demonstrate the CHW Core Competency Skills to include: Communication Interpersonal Service Capacity Building Advocacy Education Outreach Knowledge Personal Participate in community population-based initiatives that identify members out of care, enhance retention in care, empower self-management, and compliance with CCNC Care Management goals. Participate and/or initiate community-based activities, including outreach to targeted populations to include selected chronic conditions, potential new members, and make referrals for healthcare and services. Receive and document all referrals from various sources into the Care Management documentation platform. Verify Medicaid eligibility and demographic information. Provide information for access and coordination of resources. Assist member with care coordination and health care system navigation. Advocate for members. Access and document in multiple EHR's to include Hospitals, AMH EHRs and CCNC care management platform. Notify supervisor promptly of any issues with carrying out any duties assigned. Attend departmental and corporate meetings, local and regional training, or other events as required. Travel using personal vehicle will be required within the region and/or the state. Perform other duties that assist in keeping the operations organized and functional. Qualifications High school diploma or GED required 2-year or 4-year degree in health-related field preferred CHW Certification preferred (not required but must be obtained within 1 year after successful completion of orientation) 2-4 years minimum experience in a human services or health care setting with demonstrated knowledge of or ability work and/or within a targeted community Bilingual in English and Spanish preferred Maintain a U.S. valid driver's license with current auto liability insurance Knowledge, Skills, and Abilities Knowledge of and experience working in patient or clinical data systems Knowledge of geographical community resources that you are applying for Knowledge of state and federal benefits system Knowledge of medical terminology Computer skills required including various office software and the internet; experience with MS Office software preferred Ability to apply motivational interviewing skills in your communication Excellent communication skills - oral and written Proficient motivational interviewing skills, teach back method, and other patient engagement and retention techniques Organizational and time management skills Sensitivity to diversity of cultures, language barriers, health literacy and educational levels Responds to change with a positive attitude and a willingness to learn new ways to accomplish work activities and objectives Ability to shift strategy or approach in response to the demands of a situation Working Conditions The job environment is a hybrid-environment to include community settings, AMH practices, and home environment. Multiple contacts are required with various members, providers, multi-payer systems and community partners to ensure coordination of services; exposure to general office and household conditions, as well as communicable disease could occur Routinely there may be some minor physical inconveniences or discomforts in the work setting, including sitting for moderate periods of time, lifting products >10 lbs., and standing long periods of time while at community events Must be able to utilize office equipment, computer, keyboard, and phone with or without assistive devices Repetitive wrist motion and occasional lifting/carrying of up to 25 pounds Travel will be required within the region and/or the State

This position serves as an AWS Infrastructure and Security Engineer. This position is responsible for building and securing a multi account secure landing zones using Infrastructure as Code. This role will include the understanding of all foundational infrastructure elements within the AWS stack to support data processing and analytics. This role will require an in-depth understanding of AWS Infrastructure pieces including IAM, CloudTrail, CloudWatch, AWS Config, SNS, GuardDuty, KMS, Macie, AWS Firewall, Amazon Inspector, EC2, VPN and AWS Managed Microsoft Active Directory. The AWS Infrastructure and Security Engineer will have a strong understanding of zero trust security best practices in relation to setting up the AWS environment utilizing NIST framework to support a health care data processing environment adhering to all applicable federal, state and customer rules and regulations pertaining to processing PHI/PII data. Essential Functions Work collaboratively with senior leadership and other team members to design, build and maintain an optimized infrastructure. Must be experienced in the AWS Infrastructure stack utilizing the tools stated above in the Position Summary. Professionally effective within a fast paced and business objective driven environment, self-managing deliverables and maintaining accountability to self and the team. Work collaboratively with stakeholders like Project Management, Vendor/Customer partners, other business function representatives and end users in an Agile/Waterfall hybrid delivery environment Work with the Infrastructure team members as required to meet deliverables Monitor and remediate any security findings within AWS accounts Respond to security incidents and make the security officer aware if it is something high or critical Adhere to all applicable CCNC policies and procedures including IT Service Management and Security policies. Excellent organizational skills and attention to detail. Excellent interpersonal and customer service skills. Proficient with or able to quickly learn the software and applications used in the organization and industry. Ability to effectively present complex technical information to end users, coworkers, and management. Qualifications Education and Experience Bachelor's degree or equivalent work experience 3 years + of enterprise experience working within the AWS Infrastructure stack specifically in the security area. 5+ years' experience in Infrastructure management and security role with some experience utilizing AWS tools and components Certifications AWS Certified Solutions Architect is a plus but not required Security Certifications a plus but not required Skills Required Experience with Vulnerability management Experience with HIPAA and NIST security guidelines Knowledge of security tools in AWS Solid understanding of networking concepts such as IP routing, LAN, WAN, DMZ, VPN, etc. Solid understanding of security encryption technologies Experience with pen-testing and gathering SOC2 evidence Solid understanding of AWS tools for alerting and being able to respond in a timely manner Working Conditions This job is virtual (person can be located anywhere within the continental US) but the candidate will be required to work during US EST times with meetings starting as early as 7AM EST in some cases. Responsibilities may require working evenings and weekends with little advanced notice.

**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:** **Lead Analyst, Performance Analytics - Oncology & Member Product Focus** **Overview:** Evolent is seeking an experienced and strategic **Lead Analyst, Performance Analytics** to lead data-driven initiatives focused on oncology and member-centric products. This role plays a critical part in both **Medical Cost Management** and **Product Management** , leveraging advanced analytics to solve complex healthcare challenges and support impactful decision-making that enhances organizational performance and patient outcomes. At Evolent, we prioritize work-life balance, flexibility, and autonomy. We believe our people thrive when they can bring their authentic selves to work, which is why **diversity, equity, and inclusion** are central to our culture. **What You'll Be Doing:** + Lead in-depth analyses of healthcare data - including authorizations, claims, membership, and clinical outcomes to identify cost drivers, utilization patterns, and opportunities for integrated care solutions using SQL, SAS, Excel, and Power BI (or similar BI tools) + Collaborate cross-functionally to gather requirements, streamline project execution, and enhance the accuracy and reliability of analytic outputs. + Apply programming expertise to explore and interpret large, complex datasets to generate actionable insights. + Communicate technical concepts and implications to internal/external business customers. + Act as a thought partner to senior stakeholders, proactively identifying business challenges, refining analytical approaches, and delivering strategic recommendations that drive enterprise-wide decision-making. + Serve as a strategic advisor to senior leadership, proactively identifying business challenges and delivering data-driven recommendations. + Partner with business stakeholders to understand objectives, perform statistical analyses, build models, and develop dashboards and reports that drive performance improvement. **The Experience You'll Need (Required):** + Bachelor's degree, preferably with a quantitative major (e.g. actuarial, statistics, operations research, mathematics, economics) or healthcare focus (health administration, epidemiology, public health, biology) + 4+ years of experience in healthcare analytics, preferably with a payer, provider, or healthcare consulting organization. + Strong proficiency with SQL, SAS, and Microsoft Excel + Strong communication skills with the ability to bridge technical and business perspectives. + Exceptionally strong analytical abilities, with track record of identifying insights from quantitative and qualitative data **Finishing Touches (Preferred):** + Master's Degree, especially with a quantitative focus (e.g. data science, machine learning, statistics, mathematics, computer science, or engineering) + Familiarity with healthcare reimbursement methodologies and calculations such as DRGs, Revenue Codes, CPT Codes, RVUs, bundled payments, etc. + Working knowledge of healthcare claims; specifically, differences between institutional vs professional billing and various sites of care/service + Familiarity with value-based care and utilization management + Understanding of data systems and the critical thinking skills to solve new problems and adapt to changes in data architecture + Experience with data platforms and tools such as Python, R, SQL, Hadoop, AWS, ArcGIS + Proficiency in Power BI and Microsoft PowerPoint for data visualization and presentation. To ensure a secure hiring process we have implemented several identity verification steps, including submission of a government issued photo ID. We conduct identity verification during interviews, and final interviews may require onsite attendance. All candidates must complete a comprehensive background check, in-person I-9 verification, and may be subject to drug screening prior to employment. The use of artificial intelligence tools during interviews is prohibited and monitored. Misrepresentation will result in immediate disqualification from consideration. **Technical Requirements:** We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations. **Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.** **If you need reasonable accommodation to access the information provided on this website, please contact** ************************** **for further assistance.** The expected base salary/wage range for this position is $100,000-115-000. This position is also eligible for a bonus component that would be dependent on pre-defined performance factors. As part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts. Don't see the dream job you are looking for? Drop off your contact information and resume and we will reach out to you if we find the perfect fit!

**Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. **Who You'll Be Working With:** The 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. This individual will serve as a key member of the Performance Suite Analytics team at Evolent. This individual will be primarily focused on distilling medical economics insights from product strategy analyses and translating them to complex risk-based contract development, and they will partner closely with executives across analytics, finance, product and account management. **What You Will Be Doing:** + Support Business Development & Product teams in developing the strategic approach for innovative and in-demand value-based care pursuits. + Support the development of capitated risk partnerships, focusing on cost and use trends, and estimate Evolent's ability to reduce costs and improve quality. + Develop models to quantify and articulate value of new and existing value-based care products. + Communicate actionable conclusions from analyses to internal/external audiences. + Synthesize complex analyses into succinct presentations. + Lead customer interactions fostering trust, expertise and cooperation. + Extract, manage, and analyze claims and operational data using industry-standard metrics. + Process and validate raw unadjudicated claims data. **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+ 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. + Working knowledge of healthcare claims; specifically, differences between institutional vs professional billing and various sites of care/service is preferred + Familiarity with value-based care and utilization management is preferred + Understanding of data systems and the critical thinking skills to solve new problems and adapt to changes in data architecture is preferred **Technical Requirements:** We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations. **Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.** **If you need reasonable accommodation to access the information provided on this website, please contact ********************** for further assistance.** To ensure a secure hiring process we have implemented several identity verification steps, including submission of a government issued photo ID. We conduct identity verification during interviews, and final interviews may require onsite attendance. All candidates must complete a comprehensive background check, in-person I-9 verification, and may be subject to drug screening prior to employment. The use of artificial intelligence tools during interviews is prohibited and monitored. Misrepresentation will result in immediate disqualification from consideration. **Technical Requirements:** We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations. **Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.** **If you need reasonable accommodation to access the information provided on this website, please contact** ************************** **for further assistance.** The expected base salary/wage range for this position is $80,000-95,000. This position is also eligible for a bonus component that would be dependent on pre-defined performance factors. As part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts. Don't see the dream job you are looking for? Drop off your contact information and resume and we will reach out to you if we find the perfect fit!

**Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** **Job Description** We are seeking a technically strong Implementation Engineer with expertise in data integration to support the full lifecycle of client onboarding and data pipeline development. This role involves configuring systems, resolving implementation issues, and building scalable data workflows using SQL, SSIS, ADF, and Python. **Responsibilities:** + Support the full implementation lifecycle: development, testing, deployment, and go-live. + Troubleshoot and resolve technical issues during implementation to ensure smooth transitions. + Design, build, and maintain data pipelines and ETL workflows using SQL, SSIS, ADF, and Python. + Interpret and implement data models and mappings for integration tasks. + Collaborate with cross-functional teams to translate business requirements into technical solutions. + Monitor and optimize data quality, performance, and reliability. + Maintain technical documentation and provide post-implementation support. **Requirements:** + Bachelor's degree in Computer Science, Software Engineering, IT, or related field. + 5+ years of experience in software implementation, system integration, or data engineering. + Strong proficiency in SQL, SSIS, and SSRS; experience with Azure Data Factory is a plus. + Solid understanding of data models, data mappings, and relational databases. + Familiarity with APIs and cloud platforms (e.g., Azure). + Excellent communication skills with the ability to explain technical concepts to diverse audiences. + Self-driven, detail-oriented, and capable of working independently or in a team environment. To ensure a secure hiring process we have implemented several identity verification steps, including submission of a government issued photo ID. We conduct identity verification during interviews, and final interviews may require onsite attendance. All candidates must complete a comprehensive background check, in-person I-9 verification, and may be subject to drug screening prior to employment. The use of artificial intelligence tools during interviews is prohibited and monitored. Misrepresentation will result in immediate disqualification from consideration. **Technical Requirements:** We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations. **Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.** **If you need reasonable accommodation to access the information provided on this website, please contact** ************************** **for further assistance.** The expected base salary/wage range for this position is $90,000-110,000. This position is also eligible for a bonus component that would be dependent on pre-defined performance factors. As part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts. Don't see the dream job you are looking for? Drop off your contact information and resume and we will reach out to you if we find the perfect fit!

**Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** 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'll 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 The Experience You'll Need (Required): **Experience:** + 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 Finishing Touches (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 $. This position is also eligible for a bonus component that would be dependent on pre-defined performance factors. As part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts. Don't see the dream job you are looking for? Drop off your contact information and resume and we will reach out to you if we find the perfect fit!

**Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** **Your Future Evolves Here** Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The Nurse Reviewer is responsible for performing precertification and prior approvals. Tasks are performed within the RN/LVN/LPN scope of practice, under Medical Director direction, using independent nursing judgement and decision-making, physician-developed medical policies, and clinical decision-making criteria sets. Acts as a member advocate by expediting the care process through the continuum, working in concert with the health care delivery team to maintain high quality and cost effective care delivery. **What You'll Be Doing:** + Performs utilization review of outpatient procedures and ancillary services. + Fulfills on call requirements for selected clients as scheduled. + Determines medical necessity and appropriateness of services using clinical review criteria. + Accurately documents all review determinations and contacts providers and members according to established timeframes. + Appropriately identifies and refers cases that do not meet established clinical criteria to the Medical Director. + Appropriately identifies and refers quality issues to UM Leadership. + Appropriately identifies potential cases for Care Management programs + Collaborates with physicians and other providers to facilitate provision of services throughout the health care continuum. + Performs accurate data entry. + Communicates appropriate information to other staff members as necessary/required. + Participates in continuing education initiatives. + Collaborates with Claims, Quality Management and Provider Relations Departments as requested. + Availability on some weekends and holidays may be required + Performs other duties as assigned. **The Experience You'll Need (Required):** + Registered Nurse or Licensed Practical/Vocational Nurse with a current, unrestricted license. + High School Diploma or equivalent required + Minimum of three years of direct clinical patient care + Minimum of one year of experience with medical management activities in a managed care environment + Schedule: Monday-Friday, 9:00 AM-6:00 PM PST, with weekend and holiday rotation required. **Finishing Touches (Preferred):** + Experience with clinical decision-making criteria sets (i.e. Milliman, InterQual) + UM Experience + Strong interpersonal, oral and written communication skills. + Possess basic computer skills To ensure a secure hiring process we have implemented several identity verification steps, including submission of a government issued photo ID. We conduct identity verification during interviews, and final interviews may require onsite attendance. All candidates must complete a comprehensive background check, in-person I-9 verification, and may be subject to drug screening prior to employment. The use of artificial intelligence tools during interviews is prohibited and monitored. Misrepresentation will result in immediate disqualification from consideration. **Technical Requirements:** We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations. **Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.** **If you need reasonable accommodation to access the information provided on this website, please contact** ************************** **for further assistance.** The expected base salary/wage range for this position is $32-$37/hr. This position is also eligible for a bonus component that would be dependent on pre-defined performance factors. As part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts. Don't see the dream job you are looking for? Drop off your contact information and resume and we will reach out to you if we find the perfect fit!

Part Time Intern- Remote The Care Management (CM) Operations Intern will work on a post-data migration cleanup project, supporting CM Operations by assisting in data entry and reporting, data analysis, technical operations and tooling. Essential Functions Gain experience using software and tools commonly used in care management operations, such as the care management system and data visualization tools Review and categorize data involved in the cleanup project for deletion using CM Operations tools Support CM Operations & App Development team by learning new data analysis and skills Provide analytical support in relation to the project as needed Qualifications Currently enrolled at an accredited college or university Computer Science, Management Information Systems, or related fields of study preferred Field of study should foster creativity in problem-solving, strong attention to detail, and effective time management skills Knowledge, Skills, and Abilities Problem-solving skills Flexible and able to function in a “hands-on" environment Strong multitasking, organizational skills and attention to detail Willingness to grow and learn new technical skills General computer skills required Working Conditions Routinely there may be some minor physical inconveniences or discomforts in the work setting, including sitting for moderate periods of time Must be able to utilize office equipment, computer, keyboard, and phone with or without assistance Repetitive wrist motion and occasional lifting/carrying of up to 25 pounds

**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:** Evolent is seeking an experienced Managing Director of Product Management to help Evolent grow by partnering with Payers to deliver solutions across multiple specialties, offering the potential to improve health outcomes and increase affordability. You will be a part of a cross-functional Evolent team that serves as a pivotal strategic partner to health systems and provider practice groups. **Key Responsibilities:** + Drive a Product-focused, Partner-First Implementation Strategy. + Work alongside Evolent's Partner Operations and Strategic Account Teams to create a standard implementation approach across partners and specialties that emphasizes "out-of-the-box" functionality. + Develop strategies for slotting opportunities well in advance of requirement gathering that maximizes both Partner satisfaction and team capacity for discovery and development. + Partner with Evolent Engineering to Streamline Implementations. + Where necessary, partner with Evolent Engineering to define, prioritize, and build and enhance technology that allows for efficient, scalable, and accurate onboarding of new business. + Serve as the voice of the customer to communicate Partner-specific configuration and non-standard requirements to deliver the highest quality integrations between Evolent and Partner. + Develop and Lead a High Performing Team. + Serve as a competent and engaging people-leader across Product Management and Product Owner resources supporting application configuration and client pipeline teams. **Required Qualifications:** + Bachelor's degree required. Master's degree in public health, Healthcare Administration, or a related field preferred. + At least eight years of healthcare technology Product Management experience, ideally in a services-oriented organization. + Strong demonstrated understanding of provider, and payer personas, 'jobs to be done' and practice workflows, with a preference for expertise in UM workflows + Exceptional verbal and written communication skills, with the ability to articulate complex concepts clearly to diverse audiences (clinicians, engineering, administrative staff, leadership). + Experience with scrum and agile methodologies. + Proven experience working closely with Payer customers is required. + Experience with Lean/Six Sigma or other process improvement methodologies in a healthcare setting 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 $175,000 - 195,000. This position is also eligible for a bonus component that would be dependent on pre-defined performance factors. As part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts. Don't see the dream job you are looking for? Drop off your contact information and resume and we will reach out to you if we find the perfect fit!

**Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** **Job Description** Put your passion where it meets purpose! Evolent attracts some of the brightest minds in health care. Surround yourself with talented, driven colleagues who share a passion for better health outcomes and a more connected care journey. We are hiring for a Managing Director, Actuarial Services to join our Finance Team. The candidate selected for this role will be part of a team who thrives on driving analysis and support for Evolent's fast growth and innovative risk-based Performance Suite business. **Collaboration Opportunities:** This person will work cross-functionally with many departments across the organization to analyze, communicate, and negotiate client performance and contracting. **What You'll Be Doing:** + Serve as the lead for medical cost and revenue projections for Performance Suite business + Partner with Performance Solutions to analyze and size impact of innovative care models + Oversee Medical Cost Action Planning work to identify, size, and support new programs aimed at reducing cost of care + Partner with Performance Suite Analytics leaders to understand cost drivers to inform future cost expectations + Coordinate with internal teams to ensure clean and consistent tracking of Evolent's covered membership and claims + Synthesize complex analyses into succinct presentations for communication to key internal and external executive stakeholders + Partner with team members across the organization to ensure accurate and timely delivery of quarterly forecast updates + Build tools and capabilities to quantify and narrow range of expected outcomes for financial performance + Participate in execution of complex deal structures for potential new and existing clients + Perform ad hoc client-specific analyses to support strategic decision-making **Qualifications - Required and Preferred:** + Bachelor's degree in quantitative field **(Required)** + Associate of Society of Actuaries credentials **(Required)** + 10+ years of experience working in a medical economics-related field **(Required)** + Exceptionally strong analytical abilities, with a track record of identifying insights from financial information and translating into recommendations **(Required)** + Ability to multitask, prioritize, adapt to change, work well under pressure in an entrepreneurial environment, and manage a project from start to finish **(Required)** + Able to work independently to meet deadlines within time constraints **(Required)** + Strong interpersonal skills to coordinate with people across all areas of the organization in a fast-paced, dynamic environment **(Required)** + Strong communication skills with ability to work with technical and non-technical audiences **(Required)** + Ability to handle ambiguity and demonstrate initiative to identify and resolve problems **(Required)** + Experience delivering executive-level presentations for strategic decision-making **(Required)** + Basic knowledge of risk/capitation contracting **(Required)** + Experience with project and stakeholder management **(Required)** + Fellow of Society of Actuaries credentials with Group Health track **(Preferred)** + Familiarity with healthcare claim processing **(Preferred)** + 5+ years experience at payer or management consulting firm **(Preferred)** + Basic knowledge of GAAP **(Preferred)** To ensure a secure hiring process we have implemented several identity verification steps, including submission of a government issued photo ID. We conduct identity verification during interviews, and final interviews may require onsite attendance. All candidates must complete a comprehensive background check, in-person I-9 verification, and may be subject to drug screening prior to employment. The use of artificial intelligence tools during interviews is prohibited and monitored. Misrepresentation will result in immediate disqualification from consideration. **Technical Requirements:** We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations. **Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.** **If you need reasonable accommodation to access the information provided on this website, please contact** ************************** **for further assistance.** The expected base salary/wage range for this position is $165,000-180,000. This position is also eligible for a bonus component that would be dependent on pre-defined performance factors. As part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts. Don't see the dream job you are looking for? Drop off your contact information and resume and we will reach out to you if we find the perfect fit!

We're hiring Care Manager 1 - Non Clinical across all 100 NC Counties - Must reside in NC or within 40 miles of NC border. Must reside in the following NC counties : Alamance, Ashe, Avery, Beaufort, Bertie, Brunswick, Buncombe, Burke, Cabarrus, Caldwell, Catawba, Chatham, Cleveland, Cumberland, Davidson, Davie, Durham, Forsyth, Gaston, Graham, Granville, Guilford, Haywood, Henderson, Iredell, Lincoln, McDowell, Mecklenburg, Mitchell, Nash, Orange, Pender, Randolph, Robeson, Rockingham, Rutherford, Sampson, Stanly, Stokes, Surry, Union, Wake, Wayne, Wilson, Yadkin, and more! This is a field-based position with working remotely, when not providing integrated services to members directly. Occasional in-person training and travel will be required. About CCNC: From the mountains to the coast, from large cities to small towns, Community Care of North Carolina is transforming health care. Informed by statewide data and predictive analytics, community-based care-managers work with local physicians and diverse teams of health professionals to develop whole-person plans of care that connect people to the right local resources and increase equity and access to high quality care. CCNC Mission Statement: To improve the health and quality of life for all North Carolinians by building supporting better community-based healthcare delivery systems. Position Summary Our new program, the Care Manager 1 - Non Clinical, will provide statewide care management to support Medicaid enrolled members receiving adoption assistance. Care Managers address the needs of the population served by assessing, planning, implementing, coordinating, monitoring, and evaluating the options and services required so they receive seamless, integrated, and coordinated health care to promote quality, cost-effective health outcomes. Collaboration with the Primary Care Provider, member, guardian, caregivers, family members, other members of the Care Management Team, and the community is necessary to coordinate a full continuum of health care services. Holistic needs of the member, inclusive of unique social and cultural dynamics should be considered. The Care Manager must reside in NC or within 40 miles of the NC Border. What You'll Do: Provide integrated whole-person Care Management under the new program Care Management model, including coordination across physical health, behavioral health, I/DD, LTSS, pharmacy, and unmet health-related needs. Complete member assessments considering the total individual, inclusive of medical, biopsychosocial, behavioral, spiritual, and cultural needs to enrolled population, throughout the continuum of care Work with members and caregivers to identify and address behavioral, social, cultural, and environmental strengths and barriers as it relates to his/her diagnosis, treatment, and access to care Provide education to member/family about clinical diagnosis, medications, available resources, prevention, and risk factors to achieve optimal self-management Monitor quality and effectiveness of interventions to the enrolled populations by setting patient-centered SMART goals in collaboration with the members/families Develop, review, implement, and evaluate the member care plan in partnership with the member, caregiver/guardian/family members, providers, and Care Management team members, as applicable Incorporate therapeutic skills and techniques such as trauma-informed care, motivational interviewing, strengths-based, and solution-focused modalities to help members achieve healing, growth, health, and wellness Utilize Hospital/Data or Electronic Medical Record system as available Per guidance, facilitate referrals for members/families to appropriate community-based services and agencies Refer to appropriate clinical team members for interventions which are outside the Care Managers' scope of practice and/or expertise Work collaboratively with multi-disciplinary team members to facilitate achievement of desired treatment outcomes Engage and maintain collaborative relationships with community provider agencies that promote quality care and cost-effective health care utilization Serve as a liaison among the member/family/guardian, community services, primary providers, specialists, and other care team members to coordinate services without duplication Respect the member's values, experience, and help to empower members to be an advocate for their own care Maintain appropriate documentation in the Care Management documentation platform, in accordance with organizational policies and procedures Meet monthly productivity and role expectations Understand, uphold, and abide by CCNC company and department policies, goals, standards, and objectives Adhere to CCNC privacy, security policies, and HIPAA regulations to ensure that patient and company data are properly safeguarded Perform all other duties as requested Attend departmental and corporate meetings, local and regional trainings, or other events as required Travel using personal vehicle will be required within the assigned area, region and/or the State Qualifications: Requires a Bachelor's Degree in a field related to health, psychology, sociology, social work, nursing, or another relevant human services area or licensure as an RN 2 years of experience working directly with individuals served by the child welfare system is preferred Must reside in NC or within forty (40) miles of the NC Border CCM certification preferred Maintain a valid driver's license with current auto liability insurance Knowledge, Skills, and Abilities: Computer skills required including various office software and the internet; including experience with MS Office software. Excellent communication skills - oral and written; Bilingual preferred Knowledge of government, private sector, and community resources Knowledge of Case Management principles Knowledge of, and compliance with, federal and state regulations applicable to the position Strong organizational and time management skills Skills in establishing rapport with members and caregivers and applying techniques of assessing comprehensive health care needs Critical thinking skills, effective clinical judgment, independent decision-making, and problem-solving abilities Sensitivity to diversity of cultures, language barriers, health literacy, and educational levels Ability to work independently and function as an integral part of a multi-disciplinary team Responds to change with a positive attitude and a willingness to learn new ways to accomplish work activities and objectives Ability to shift strategy or approach in response to the demands of a situation Ability to navigate Hospital/Data or Electronic Medical Record systems, as necessary Working Conditions: This is a field position. Care Manager will work remotely from home when not in the field Multiple contacts, face to face and/or telephonic, are required with various members, providers, multi-payer systems and community partners to ensure coordination of services; exposure to general office and household conditions, as well as communicable disease could occur Routinely there may be some minor physical inconveniences or discomforts in the work setting, including sitting for moderate periods of time Must be able to utilize office equipment, computer, keyboard, and phone with or without assistive devices Repetitive wrist motion and occasional lifting/carrying of up to 25 pounds Travel will be required within the assigned area or region with occasional travel in other areas of the State Why Join Us: Make a meaningful impact on youth and families across North Carolina Work with a supportive and collaborative care team Competitive Benefits Package effective first day of employment Tuition reimbursement provided to foster CCNC's culture of learning and knowledge, personal and professional growth Ready to improve the health and quality of life of all North Carolinians by building and supporting better community-based health care delivery systems? Apply today and join us in delivering compassionate care that makes a difference. #CCNC #HealthCare #NCHealth

Job DescriptionThis position serves as an AWS Infrastructure and Security Engineer. This position is responsible for building and securing a multi account secure landing zones using Infrastructure as Code. This role will include the understanding of all foundational infrastructure elements within the AWS stack to support data processing and analytics. This role will require an in-depth understanding of AWS Infrastructure pieces including IAM, CloudTrail, CloudWatch, AWS Config, SNS, GuardDuty, KMS, Macie, AWS Firewall, Amazon Inspector, EC2, VPN and AWS Managed Microsoft Active Directory. The AWS Infrastructure and Security Engineer will have a strong understanding of zero trust security best practices in relation to setting up the AWS environment utilizing NIST framework to support a health care data processing environment adhering to all applicable federal, state and customer rules and regulations pertaining to processing PHI/PII data. Essential Functions Work collaboratively with senior leadership and other team members to design, build and maintain an optimized infrastructure. Must be experienced in the AWS Infrastructure stack utilizing the tools stated above in the Position Summary. Professionally effective within a fast paced and business objective driven environment, self-managing deliverables and maintaining accountability to self and the team. Work collaboratively with stakeholders like Project Management, Vendor/Customer partners, other business function representatives and end users in an Agile/Waterfall hybrid delivery environment Work with the Infrastructure team members as required to meet deliverables Monitor and remediate any security findings within AWS accounts Respond to security incidents and make the security officer aware if it is something high or critical Adhere to all applicable CCNC policies and procedures including IT Service Management and Security policies. Excellent organizational skills and attention to detail. Excellent interpersonal and customer service skills. Proficient with or able to quickly learn the software and applications used in the organization and industry. Ability to effectively present complex technical information to end users, coworkers, and management. Qualifications Education and Experience Bachelor's degree or equivalent work experience 3 years + of enterprise experience working within the AWS Infrastructure stack specifically in the security area. 5+ years' experience in Infrastructure management and security role with some experience utilizing AWS tools and components Certifications AWS Certified Solutions Architect is a plus but not required Security Certifications a plus but not required Skills Required Experience with Vulnerability management Experience with HIPAA and NIST security guidelines Knowledge of security tools in AWS Solid understanding of networking concepts such as IP routing, LAN, WAN, DMZ, VPN, etc. Solid understanding of security encryption technologies Experience with pen-testing and gathering SOC2 evidence Solid understanding of AWS tools for alerting and being able to respond in a timely manner Working Conditions This job is virtual (person can be located anywhere within the continental US) but the candidate will be required to work during US EST times with meetings starting as early as 7AM EST in some cases. Responsibilities may require working evenings and weekends with little advanced notice.

**Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The Client Analytics team provides a unique opportunity to collaborate with key business, analytics, product, and operational leaders to deliver client-specific insights and drive data-informed decision-making. Our team serves as strategic advisors, analysts, and subject matter experts, leveraging data to uncover meaningful business insights. We value curiosity, creativity, and independence, working collaboratively to solve complex challenges and enhance the impact of our specialty programs and administrative platform. **Role Overview** The Senior Director role on Client Analytics will lead the development and execution of data related deliverables to enable well-informed business decisions. Leveraging expertise in data collection, analysis, and visualization, this role will collaborate cross-functionally to influence the effective utilization of data to deliver actionable insights, drive recommendations and Evolent's value propositions, enhance customer engagement, and continuously build upon existing client relationships. The successful candidate will have proven expertise in creating reports and visualizations that communicate complex commercial information in a clear, meaningful way for a wide variety of stakeholders, including C-level executives, both internal and external. This role will manage a team of stateside employees, while working closely with globally aligned resources. This role requires a blend of managerial skills, deep technical expertise (SAS, SQL, Excel, BI tools) and consultative skills to transform complex data into actionable insights and compelling narratives for stakeholders. **What You Will Be Doing:** + Work with stakeholders to understand business needs, proactively clarify requirements, and develop actionable recommendations. + Ensure data accuracy and integrity of your team's output and deliverables., including supporting ad hoc and regulatory reporting needs efficiently, ensuring compliance with applicable guidelines. + Lead the design, development, improvement, and maintenance of BI dashboards and reports that provide actionable insights for internal partners and senior leadership. + Ability to contemplate data across multiple sources to systematically identify meaningful trends, insights, and anomalies. + Proactively communicate business challenges and opportunities, and work with leadership to implement data-driven solutions. + Ensure that high-quality, accurate data services are consistently delivered on time and within scope. + Present findings in client-facing decks, data-driven narratives, and visualizations that convey insights effectively. + Partner with internal stateside and global teams to deliver high-quality analyses. **Required Qualifications:** + Bachelor's degree in a quantitative field (e.g., Data Science, Statistics, Mathematics, Economics, Public Health, or a related discipline). Master's degree in an equivalent concentration is preferred. + 10+ years of analytics & reporting experience in healthcare, including medical economics, cost/utilization analysis, and membership trend reporting. + 5+ years of experience in a senior data visualization role that required both the development and presentation of information to senior leadership to influence business decisions. + 5+ years of SQL and SAS programming experience working with large healthcare datasets. + 5+ years of experience effectively partnering with external clients. + Development experience with BI tools (e.g., Power BI, Tableau, or similar) and advanced Excel skills. + Advanced proficiency with data visualizers (e.g., Tableau), data warehouses (e.g., Snowflake), database languages (e.g., SQL), and Microsoft Office applications (e.g., Excel, PowerPoint). + Skilled in BI best practices and methodologies with a passion for data analytics and storytelling, with a proficiency in creating impactful data visualizations and presenting insights clearly and concisely to both internal and external stakeholders. + Strong analytical skills with a proven 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 healthcare claims, reimbursement methodologies, and cost/utilization KPIs, including prior authorisation data and key performance indicators (e.g., PMPM, trend drivers). + Ability to work effectively in a fast-paced, dynamic environment while maintaining a strong attention to detail. + Excellent communication skills, a strategic mindset, and a proven ability to influence key stakeholders. + Prior experience leading a multi-specialty client analytics team and/or supporting analytics for public plans such as Medicaid is preferred. + Experience with value-based care, utilization management, or regulatory reporting (e.g., HEDIS, NCQA, Milliman) is preferred. To ensure a secure hiring process we have implemented several identity verification steps, including submission of a government issued photo ID. We conduct identity verification during interviews, and final interviews may require onsite attendance. All candidates must complete a comprehensive background check, in-person I-9 verification, and may be subject to drug screening prior to employment. The use of artificial intelligence tools during interviews is prohibited and monitored. Misrepresentation will result in immediate disqualification from consideration. **Technical Requirements:** We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations. **Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.** **If you need reasonable accommodation to access the information provided on this website, please contact** ************************** **for further assistance.** The expected base salary/wage range for this position is $150,000 - 170,000. This position is also eligible for a bonus component that would be dependent on pre-defined performance factors. As part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts. Don't see the dream job you are looking for? Drop off your contact information and resume and we will reach out to you if we find the perfect fit!

**Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** **About the Role** The Senior Vice President (SVP), Oncology is a key clinical executive responsible for leading oncology-related utilization management, quality improvement, and clinical operations across Evolent's value-based care platform. This role ensures consistent, high-quality adjudication of oncology decisions and serves as a strategic liaison between clinical teams and clients. + Directly manage field medical directors focused on medical oncology, radiation oncology, and surgical oncology + Provide leadership to overall oncology service line activities including operational excellence, product innovation, clinical partnerships, and financial impact assessment + Lead provider and member engagement strategies to improve the quality of care for oncology care services + Lead the development of new clinical interventions that increase value for members while mitigating the increasing cost of oncology care + Lead the development of strategies for care management, utilization mitigation, and value-based incentive programs **Desired Skill Set** + 15+ years in clinical oncology practice experience + 10+ years leading national oncology programs with deep regulatory expertise in Medicare, Medicaid, and Commercial + 5+ years as a national leader in the oncology space with participation in national forums related to oncology care + Experience in health plan operations highly desirable. + Proficiency creating and leading presentations to key stakeholders inside and outside of the organization, including health plan executives, investors, physician groups and trade associations. + Comfort and skill in leading and managing significant and fast-paced organizational change and clinical integration. + Demonstrated ability to engage, inspire and galvanize teams around mission and impact generally, and in the midst of business transformation. + Growth mindset willing to test new interventions alongside other teams. Authentic voice used to center patient and provider experience internally and externally. + Ability to work as a utility player across growth, business development, financial and analytics teams, along with clinical workforce and operations. + Ability to work within national coalitions to effectively advocate for payment reform, quality and health equity at CMS/CMMI, within professional organizations and guilds, and across health plan partners. **Experience we look for:** + MD, DO board certification in oncology + Active/Unrestricted Medical License in one or more states + Board Certified (ABMS or Specialty Board) + 7+ years managing clinical/physician teams + 15+ clinical practice experience + 5+ years of senior level experience leading clinical operations in a health plan environment + Skilled communicator with executive presence and stakeholder engagement experience + The position is remote with 20% travel expected. 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!

Job DescriptionWe're hiring Care Manager 1 - Non Clinical across all 100 NC Counties - Must reside in NC or within 40 miles of NC border. Must reside in the following NC counties : Alamance, Ashe, Avery, Beaufort, Bertie, Brunswick, Buncombe, Burke, Cabarrus, Caldwell, Catawba, Chatham, Cleveland, Cumberland, Davidson, Davie, Durham, Forsyth, Gaston, Graham, Granville, Guilford, Haywood, Henderson, Iredell, Lincoln, McDowell, Mecklenburg, Mitchell, Nash, Orange, Pender, Randolph, Robeson, Rockingham, Rutherford, Sampson, Stanly, Stokes, Surry, Union, Wake, Wayne, Wilson, Yadkin, and more! This is a field-based position with working remotely, when not providing integrated services to members directly. Occasional in-person training and travel will be required. About CCNC: From the mountains to the coast, from large cities to small towns, Community Care of North Carolina is transforming health care. Informed by statewide data and predictive analytics, community-based care-managers work with local physicians and diverse teams of health professionals to develop whole-person plans of care that connect people to the right local resources and increase equity and access to high quality care. CCNC Mission Statement: To improve the health and quality of life for all North Carolinians by building supporting better community-based healthcare delivery systems. Position Summary Our new program, the Care Manager 1 - Non Clinical, will provide statewide care management to support Medicaid enrolled members receiving adoption assistance. Care Managers address the needs of the population served by assessing, planning, implementing, coordinating, monitoring, and evaluating the options and services required so they receive seamless, integrated, and coordinated health care to promote quality, cost-effective health outcomes. Collaboration with the Primary Care Provider, member, guardian, caregivers, family members, other members of the Care Management Team, and the community is necessary to coordinate a full continuum of health care services. Holistic needs of the member, inclusive of unique social and cultural dynamics should be considered. The Care Manager must reside in NC or within 40 miles of the NC Border. What You'll Do: Provide integrated whole-person Care Management under the new program Care Management model, including coordination across physical health, behavioral health, I/DD, LTSS, pharmacy, and unmet health-related needs. Complete member assessments considering the total individual, inclusive of medical, biopsychosocial, behavioral, spiritual, and cultural needs to enrolled population, throughout the continuum of care Work with members and caregivers to identify and address behavioral, social, cultural, and environmental strengths and barriers as it relates to his/her diagnosis, treatment, and access to care Provide education to member/family about clinical diagnosis, medications, available resources, prevention, and risk factors to achieve optimal self-management Monitor quality and effectiveness of interventions to the enrolled populations by setting patient-centered SMART goals in collaboration with the members/families Develop, review, implement, and evaluate the member care plan in partnership with the member, caregiver/guardian/family members, providers, and Care Management team members, as applicable Incorporate therapeutic skills and techniques such as trauma-informed care, motivational interviewing, strengths-based, and solution-focused modalities to help members achieve healing, growth, health, and wellness Utilize Hospital/Data or Electronic Medical Record system as available Per guidance, facilitate referrals for members/families to appropriate community-based services and agencies Refer to appropriate clinical team members for interventions which are outside the Care Managers' scope of practice and/or expertise Work collaboratively with multi-disciplinary team members to facilitate achievement of desired treatment outcomes Engage and maintain collaborative relationships with community provider agencies that promote quality care and cost-effective health care utilization Serve as a liaison among the member/family/guardian, community services, primary providers, specialists, and other care team members to coordinate services without duplication Respect the member's values, experience, and help to empower members to be an advocate for their own care Maintain appropriate documentation in the Care Management documentation platform, in accordance with organizational policies and procedures Meet monthly productivity and role expectations Understand, uphold, and abide by CCNC company and department policies, goals, standards, and objectives Adhere to CCNC privacy, security policies, and HIPAA regulations to ensure that patient and company data are properly safeguarded Perform all other duties as requested Attend departmental and corporate meetings, local and regional trainings, or other events as required Travel using personal vehicle will be required within the assigned area, region and/or the State Qualifications: Requires a Bachelor's Degree in a field related to health, psychology, sociology, social work, nursing, or another relevant human services area or licensure as an RN 2 years of experience working directly with individuals served by the child welfare system is preferred Must reside in NC or within forty (40) miles of the NC Border CCM certification preferred Maintain a valid driver's license with current auto liability insurance Knowledge, Skills, and Abilities: Computer skills required including various office software and the internet; including experience with MS Office software. Excellent communication skills - oral and written; Bilingual preferred Knowledge of government, private sector, and community resources Knowledge of Case Management principles Knowledge of, and compliance with, federal and state regulations applicable to the position Strong organizational and time management skills Skills in establishing rapport with members and caregivers and applying techniques of assessing comprehensive health care needs Critical thinking skills, effective clinical judgment, independent decision-making, and problem-solving abilities Sensitivity to diversity of cultures, language barriers, health literacy, and educational levels Ability to work independently and function as an integral part of a multi-disciplinary team Responds to change with a positive attitude and a willingness to learn new ways to accomplish work activities and objectives Ability to shift strategy or approach in response to the demands of a situation Ability to navigate Hospital/Data or Electronic Medical Record systems, as necessary Working Conditions: This is a field position. Care Manager will work remotely from home when not in the field Multiple contacts, face to face and/or telephonic, are required with various members, providers, multi-payer systems and community partners to ensure coordination of services; exposure to general office and household conditions, as well as communicable disease could occur Routinely there may be some minor physical inconveniences or discomforts in the work setting, including sitting for moderate periods of time Must be able to utilize office equipment, computer, keyboard, and phone with or without assistive devices Repetitive wrist motion and occasional lifting/carrying of up to 25 pounds Travel will be required within the assigned area or region with occasional travel in other areas of the State Why Join Us: Make a meaningful impact on youth and families across North Carolina Work with a supportive and collaborative care team Competitive Benefits Package effective first day of employment Tuition reimbursement provided to foster CCNC's culture of learning and knowledge, personal and professional growth Ready to improve the health and quality of life of all North Carolinians by building and supporting better community-based health care delivery systems? Apply today and join us in delivering compassionate care that makes a difference. #CCNC #HealthCare #NCHealth

**Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** As a Physician Clinical Reviewer, Interventional Pain Management, you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients' lives, in a non-clinical environment. You can enjoy better work- life balance on a team that values collaboration and continuous learning while providing better health outcomes. **Collaboration Opportunities:** + Routinely interacts with leadership and management staff, other Physicians, and staff whenever a physician`s input is needed or required. Aids and acts as a resource to Initial Clinical Reviewers. **What You Will Be Doing:** + Serve as the Physician Clinical Reviewer for Interventional Pain Management, reviewing cases that do not initially meet the applicable medical necessity guidelines, as well as other imaging requests when providers, clients, or state laws require specialty reviews to be completed by the subject matter expert. + Discusses determinations (peer to peer phone calls) with requesting physicians or ordering providers, when available, within the regulatory timeframe of the request. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. + Provides clinical rationale for standard and expedited appeals. + Ensures documentation of all communications with medical office staff and/or MD provider is recorded in a timely and accurate manner. + Participates in on-going training per inter-rater reliability process. + On a requested basis, may function as Medical Director for selecting health plans or regions, assuming overall accountability for utilization management while working in conjunction with the Senior Medical Director. May assist the Senior Medical Director in research activities/questions. **Qualifications - Required and Preferred:** + MD/DO/MBBS- **Required** + Minimum of five (5) years' experience in the practice of Pain Medicine, post-residency- **Preferred** + Current, unrestricted clinical license in medicine or required specialty- **Required** + Obtaining and maintaining medical licenses in the state you reside and any required per business needs- **Required** + Active Board Certification in Pain Management or another Active Board Certification and clinical experience in Interventional Pain Management- **Required** + Strong clinical, management, communication, and organizational skills- **Required** + Energetic and curious with a passion for quality and value in health care- **Required** + Computer Proficiency- **Required** To ensure a secure hiring process we have implemented several identity verification steps, including submission of a government issued photo ID. We conduct identity verification during interviews, and final interviews may require onsite attendance. All candidates must complete a comprehensive background check, in-person I-9 verification, and may be subject to drug screening prior to employment. The use of artificial intelligence tools during interviews is prohibited and monitored. Misrepresentation will result in immediate disqualification from consideration. **Technical Requirements:** We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations. **Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.** **If you need reasonable accommodation to access the information provided on this website, please contact** ************************** **for further assistance.** The expected base salary/wage range for this position is $100-$110/hr. This position is also eligible for a bonus component that would be dependent on pre-defined performance factors. As part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts. Don't see the dream job you are looking for? Drop off your contact information and resume and we will reach out to you if we find the perfect fit!

**Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** As a Physician Clinical Reviewer, Interventional Pain Management, you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients' lives, in a non-clinical environment. You can enjoy better work- life balance on a team that values collaboration and continuous learning while providing better health outcomes. **Collaboration Opportunities:** + Routinely interacts with leadership and management staff, other Physicians, and staff whenever a physician`s input is needed or required. Aids and acts as a resource to Initial Clinical Reviewers. **What You Will Be Doing:** + Serve as the Physician Clinical Reviewer for Interventional Pain Management, reviewing cases that do not initially meet the applicable medical necessity guidelines, as well as other imaging requests when providers, clients, or state laws require specialty reviews to be completed by the subject matter expert. + Discusses determinations (peer to peer phone calls) with requesting physicians or ordering providers, when available, within the regulatory timeframe of the request. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. + Provides clinical rationale for standard and expedited appeals. + Ensures documentation of all communications with medical office staff and/or MD provider is recorded in a timely and accurate manner. + Participates in on-going training per inter-rater reliability process. + On a requested basis, may function as Medical Director for selecting health plans or regions, assuming overall accountability for utilization management while working in conjunction with the Senior Medical Director. May assist the Senior Medical Director in research activities/questions. **Qualifications - Required and Preferred:** + MD/DO/MBBS- **Required** + Minimum of five (5) years' experience in the practice of Pain Medicine, post-residency- **Preferred** + Current, unrestricted clinical license in medicine or required specialty- **Required** + Obtaining and maintaining medical licenses in the state you reside and any required per business needs- **Required** + Active Board Certification in Pain Management or Active Board Certification in another specialty and clinical experience in Interventional Pain Management- **Required** + Strong clinical, management, communication, and organizational skills- **Required** + Energetic and curious with a passion for quality and value in health care- **Required** + Computer Proficiency- **Required** To ensure a secure hiring process we have implemented several identity verification steps, including submission of a government issued photo ID. We conduct identity verification during interviews, and final interviews may require onsite attendance. All candidates must complete a comprehensive background check, in-person I-9 verification, and may be subject to drug screening prior to employment. The use of artificial intelligence tools during interviews is prohibited and monitored. Misrepresentation will result in immediate disqualification from consideration. **Technical Requirements:** We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations. **Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.** **If you need reasonable accommodation to access the information provided on this website, please contact** ************************** **for further assistance.** The expected base salary/wage range for this position is $105-110/hr. This position is also eligible for a bonus component that would be dependent on pre-defined performance factors. As part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts. Don't see the dream job you are looking for? Drop off your contact information and resume and we will reach out to you if we find the perfect fit!

**Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** Job Description As a FMD, Radiology 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 Physician match reviewer in Imaging cases, that do not initially meet the applicable medical necessity guidelines, as well as other imaging requests when providers, clients, or state laws require specialty reviews to be completed by the subject matter expert. + Discusses determinations (peer to peer phone calls) with requesting physicians or ordering providers, when available, within the regulatory timeframe of the request and provides clinical rationale for standard and expedited appeals. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. + Aids and acts as a resource to Initial Clinical Reviewers. + Ensures documentation of all communications with medical office staff and/or MD provider is recorded in a timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + Participates in on-going training per inter-rater reliability process. **Qualifications:** + MD/DO/MBBS + Minimum of five (5) years' experience in the practice of Medicine, post residency and Active Clinical practice within the last 2 years is preferred + Current, unrestricted clinical license in medicine or required specialty- + Obtaining and maintaining medical licenses in the state you reside, as well as, any license required per business needs + Active Board Certification by an accredited organization + Strong clinical, management, communication, and organizational skills + Energetic and curious with a passion for quality and value in health care + Computer Proficiency + Not under current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid, and is not identified as an "excluded person" by the Office of Inspector General of the Department of Health and Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare. + No history of a major disciplinary or legal action by a state medical board To ensure a secure hiring process we have implemented several identity verification steps, including submission of a government issued photo ID. We conduct identity verification during interviews, and final interviews may require onsite attendance. All candidates must complete a comprehensive background check, in-person I-9 verification, and may be subject to drug screening prior to employment. The use of artificial intelligence tools during interviews is prohibited and monitored. Misrepresentation will result in immediate disqualification from consideration. **Technical Requirements:** We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations. **Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.** **If you need reasonable accommodation to access the information provided on this website, please contact** ************************** **for further assistance.** The expected base salary/wage range for this position is $94-99/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!