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Evolent Health Sr Analyst, Configuration in Topeka, Kansas

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. Evolenteers make a difference wherever they are, whether it is at a medical center, in the office, or while working from home across 48 states. We empower you to work from where you work best, which makes juggling careers, families, and social lives so much easier. Through our recognition programs, we also highlight employees who live our values, give back to our communities each year, and are champions for bringing their whole selves to work each day. 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.

Why We’re Worth the Application:

  • We continue to grow year over year.

  • Recognized as a leader in driving important diversity, equity, and inclusion (DE&I) efforts (https://www.evolenthealth.com/diversity) .

  • Achieved a 100% score two years in a row on the Human Rights Campaign's Corporate Equality Index making us a best place to work for LGBTQ+ equality.

  • Named to Parity.org’s 2020 list of the best companies for women to advance (https://www.evolenthealth.com/about-us/press-releases/8579/evolent-health-named-to-parity.org%E2%80%99s-best-companies-for-women-to-advance-list-2021) .

  • Continued to prioritize the employee experience and achieved an 87% overall engagement score on our last employee survey.

  • Published an annual DE&I report (https://dev.evolenthealth.com/sites/default/files-public/Evolent%20Health%202020%20DE%26I%20Annual%20Report.pdf) to share our progress on how we’re building an equitable workplace.

What You’ll Be Doing:

Who You’ll Be Working With:

  • The Operations Excellence (OE) Team

What You’ll Be Doing:

  • Development of configuration builds, including benefit and payment rules, provider reimbursement and structures, and system parameters that accurately process and pay claims as specified in client contracts.

  • Provide recommendations on development and design of new system logic to support legislative activity, medical policy changes, and reimbursement methodology changes.

  • Coordinate identification, prioritization, and resolution of issues with various business areas and vendors that impact production and quality.

  • Develop and implement tactical plans to improve processes and systems.

  • Act as a contributor to establish and meet short and long-term department goals consistent with company objectives and division strategy.

  • Expand employees' abilities by mentoring, coaching, and developing top talent. Act as a mentor and champion of training.

  • Lead the team on development of new methods and tools to advance efficiency and standards for maintenance of configuration.

  • Utilize personal subject matter expertise to produce innovative solutions for clients and the enterprise.

  • Foster a trusting and safe environment with an emphasis on problem solving and continuous improvement

  • Model servant leadership: protect the team, inspire the team, take an active role in setting the team up for success

The Experience You’ll Need (Required):

  • Associate or Bachelor’s degree (preferred), or equivalent work experience

  • Extensive experience in health insurance claims processing and system configuration with a minimum of 3 to 5 years management experience.

  • Extensive experience in plan building, provider data maintenance and reimbursement methodologies including fee schedules, contract management and workflow processes.

  • HMO Claims, managed care and Medicaid experience required.

  • In-depth knowledge of medical billing and coding

  • Strong leadership and time management skills

  • Excellent interpersonal, oral, and written communication skills

  • Strong attention to detail and organization

  • Ability to work independently, strong analytic skills

  • Advanced skill level of Microsoft Office Suite (Excel, Word, Power Point)

  • Advanced problem solving, critical thinking, and process analysis skills to lead teams responsible for client configuration

  • Understanding of the healthcare industry, including competitors, the regulatory environment, and industry trends

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 Health is committed to the safety and wellbeing of all its employees, partners and patients. We currently require all employees who may voluntarily return to our Evolent offices to be vaccinated and invite all employees regardless of vaccination status to remain working from home.

As we continue to evaluate re-opening our offices more fully and begin to have specific roles that will require face to face interaction with our providers and patients in client facilities or homes, all employees must be prepared to meet our vaccine requirements with or without accommodation at that time.”

Evolent Health 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.

Technical Requirements:

Currently, Evolent employees work remotely temporarily due to COVID-19. As such, 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 Health is committed to the safety and wellbeing of all its employees, partners and patients and complies with all applicable local, state, and federal law regarding COVID health and vaccination requirements. Evolent expects all employees to also comply. We currently require all employees who may voluntarily return to our Evolent offices to be vaccinated and invite all employees regardless of vaccination status to remain working from home. Certain jobs require face-to-face interaction with our providers and patients in client facilities or homes. Employees working in such roles will be required to meet our vaccine requirements without exception or exemption.

Evolent Health 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.

Compensation Range: The minimum salary for this position is $79,000, plus benefits. Salaries are determined by the skill set required for the position and commensurate with experience and may vary above and below the stated amounts.

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