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Evolent Health Analyst, Integration Quality in Helana, Montana

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:

Job Description

It’s Time For A Change…

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—56.7% in year-over-year revenue growth in 2016. Are we recognized? Definitely. We have been named one of “Becker’s 150 Great Places to Work in Healthcare” in 2016 and 2017, and one of the “50 Great Places to Work” in 2017 by Washingtonian, 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.

Position summary

Integration testing the end to end healthcare ecosystem requires analytics, reporting, & technical testing. Data is analyzed to inform decision makers. Data is reported to provide teams precise test data or stakeholders answers to questions. Technical testing is exercised to ensure source to target integrity. The IQ Analyst (IQA) performs analysis, reporting, and technical testing across multiple domains such as benefits, enrollment & billing, provider, reimbursement, utilization management, claims, mailroom, finance, customer service, portal, access to care, care management, outreach, fraud, quality, encounters, and operational reporting. Active domains under test require technical experts to find the most valuable defects. The IQE reports to a manager. One or many IQAs may be engaged in any testing effort

Essential functions

  • The day-to-day point of contact and escalation representing IQ technically for assigned scope

  • Responsible to escalate risks and issues in coordination with the lead / manager for status reporting

  • Responsible to enforce department standards as directed by the lead / manager

  • Consulted for test plan creation, maintenance, approval, & socialization (level set) by the lead / manager

  • Responsible to build the technical suite supporting assigned scope in a timely manner including:

  • create & maintain queries required to analyze source & target integrity across various databases supporting transaction processing based on the end-to-end data flow

  • create & maintain queries required to analyze system processing in detail

  • provide summary information to stakeholders & management answering business questions

  • create & maintain queries supporting precise test data for user acceptance test cases

  • perform administrative tasks for status reporting or other data related needs

  • Consulted for sequencing of end-to-end testing dependencies with the lead / manager as identified for use in the master schedule

  • Responsible to execute test cases and record results for assigned technical scope during test execution

  • Responsible to triage discrepancies, set defect priority & urgency, and enter defects found by testing teams during test execution

  • Consulted to manage and report risk, issues, and decisions with the lead / manager

  • Responsible to attend and if required, lead test team meetings for technical testing activities

  • Responsible to escalate environment needs and outages to the lead / manager during execution

  • Responsible to maintain assigned test assets on a frequent basis for assigned technical scope

  • Assigned other duties as required

Skill Set Requirements

  • General knowledge of data flow and healthcare end to end system landscape

  • Good knowledge US Healthcare – Payer side, Knowledge of Medicare, Medicaid, Commercial Plans and understanding on claims workflow, members, providers

  • A minimum of 1 years of experience (for Analyst) in technical quality assurance and database testing.

  • A minimum of 1 years of experience (for Analyst) and with medical benefits, provider, enrollment, and / or claims data.

  • Demonstrable experience with Testing, Writing Test cases, Test Plans, and good understanding on what needs to be tested.

  • Demonstrable experience with EDI X12 formats including 270/271, 834, 835, 837, &/or other messages

  • Demonstrable experience with testing database extracts

  • Demonstrable experience with SQL Server & MS Access with ability to take on operational reporting tasks

  • Demonstrable experience creating & maintaining complex queries using SQL, T-SQL, & / or PL/SQL across various databases

  • Demonstrable advanced experience with MS Excel including formulas, pivot tables, & VBScript

  • Demonstrable experience supporting testing activity under one mature SDLC (Software Development Life Cycle) with a leadership approved test plan (or test strategy)

  • Demonstrable experience operating at least one test management and defect management tool

  • Demonstrable experience creating and managing test assets with test data

  • Demonstrable experience with test environment management and releases for the domain

  • Demonstrable experience in verbal and written communication with domain teams and program leadership

  • Demonstrable experience working concurrent projects, activities, and tasks under time constraints

  • Working knowledge of Microsoft Word, Excel, and PowerPoint

  • Experience to deliver job responsibilities listed above

Leverage this competency scale definition ( 1 being lowest and 5 highest) for below.

Optional to have (can be skipped in the search criteria) Ok to have (can be skipped in the search criteria) Good to have (to be included in search criteria) Must have (need to be in the search criteria) Mandatorily to have (need to be in the search criteria)

Mandatory skill set (Maximum 5)

S No

Skills

Competency level (1-5)

1

Complex SQL Queries

5

2

US Healthcare experience with medical benefits, provider, enrollment, and / or claims data

4

3

Technical quality assurance / software testing experience

5

4

EDI X12 formats

(at least one of the following messages – 270/271, 834, 835, 837)

4

5

At least one test management and defect management tool

3

Good to have skill set (Maximum 5)

S No

Skills

Competency level (1-5)

1

Tools like – Jira, Confluence, Zephyr

3

2

MS Excel (including formulas, pivot tables, etc.)

3

3

Automation tools / scripting

3

Academic Qualification

•BS or BE Degree in Computer Science or equivalent

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 $70000, 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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