Senior Data Analyst, Health Care

Your Future Evolves Here
Evolent Health has a bold mission to change the health of the nation by changing the way health care is delivered. Our pursuit of this mission is the driving force that brings us to work each day. We believe in embracing new ideas, challenging ourselves and failing forward. We respect and celebrate individual talents and team wins. We have fun while working hard and Evolenteers often make a difference in everything from scrubs to jeans.
Are we growing? Absolutely--62% in year-over-year revenue growth through 2015. Are we recognized? Definitely. We're 12th on Forbes' list of America's Most Promising Companies for 2015, one of "Becker's 150 Great Places to Work in Healthcare" in 2016, and our CEO was number one on Glassdoor's 2015 Highest-Rated CEOs for Small and Medium Companies. If you're looking for a place where your work can be personally and professionally rewarding, don't just join a company with a mission. Join a mission with a company behind it.
Evolent Health is looking for a Senior Data Analyst of Health Care to be a key member of the technology leadership team. This individual will play a critical role in executing Evolent Health's mission by managing data-driven activities related to data profiling, data discovery and analysis, requirements definition, testing and continuous improvement of data collection, mapping, analysis and transformation processes.
What You'll Be Doing:
Analyze data files, data layouts and data dictionaries from providers of health care administrative data (eligibility, account/plan, medical claims, pharmacy claims) to understand data structure and operating rules for transforming to common data format
Conduct in-depth interviews with data providers (client or payer staff) to ensure comprehensive understanding of data operating logic and data provided
Author data mapping and transformation requirements based on understanding of operating rules; review with ETL developers to ensure understanding
Produce detailed data quality profiles from client health care administrative data to validate structure, content and overall data quality; present findings to internal stakeholders for signoff and/or escalate critical data issues as necessary
Serve as subject matter expert in primary data domain relative to client's data and transformation rules; back up analysts in other data domains as workloads and priorities necessitate
Execute test cases to validate source data has been accurately mapped, transformed and loaded to common format
Collaborate with data warehouse QA team to ensure seamless execution of test cases end-to-end
Alert project managers to potential risks and issues of importance
The Experience You Need (Required):
5+ years of experience in information technology
Bachelor's Degree required
3+ years experience with SQL required
Understanding of Medical Claims, Rx Claims, Eligibility, healthcare insurance benefit and group account setup, Provider data and related processes around them
Finishing Touches (Preferred):
A knack for dealing with healthcare datasets and finding relationships in the data and any gaps/issues
Patience and persistence to sift through complex data/information to get to the core knowledge
Experience with clinical coding systems: ICD9 diagnosis codes, ICD9 procedure codes, CPT codes, revenue codes, provider NPI codes, NDC Rx codes.
Knowledge of medical claim file contents (both UB04 and HCFA-1500) and significance of individual fields
Experience in analyzing, defining and documenting business processes and rules
Experience testing data and creating related test cases
Proven track record in establishing strong relationships with internal stakeholders, clients and vendors
Intense intellectual curiosity and an ability to view problems with a fresh perspective
Excellent written computer and oral communication skills
Evolent Health is an Equal Opportunity/Affirmative Action Employer

Don't Be Fooled

The fraudster will send a check to the victim who has accepted a job. The check can be for multiple reasons such as signing bonus, supplies, etc. The victim will be instructed to deposit the check and use the money for any of these reasons and then instructed to send the remaining funds to the fraudster. The check will bounce and the victim is left responsible.

More Jobs

Information Systems Security—Senior Data Analyst
Reston, VA Boeing
Senior Data Analyst
Alexandria, VA PSI Pax
Senior Data Analyst with mort/finance industry...
Herndon, VA Kavaliro
Senior Data Analyst (MDM)
Mc Lean, VA Collabera
Senior Data Analyst
Reston, VA ComScore Networks