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Evolent Health Director, Medical Economics in Helana, Montana

This is an unique opportunity to improve the health and wellbeing of millions of Americans!

Founded in 2002, New Century Health has been on the cutting edge of value-based innovation for decades as the nation's foremost specialty care management company, specializing in managing cancer and cardiology patients for both payers and risk-based providers. Formerly backed by Water Street Partners, the company was acquired by Evolent Health in 2018 and has scaled tremendously since.

Specifically, New Century Health provides physicians with clinical decision and population health management tools to ensure that their patients receive the highest quality, most affordable care. These best-in-class tools, which have earned the business URAC accreditation in Health Utilization Management and NCQA accreditation in Utilization Management, consistently drive clinical and financial improvements for the two most complex and expensive diseases in the nation. This commitment to excellence has helped spur our success and put us on track to surpass record-breaking year-over-year growth in the coming years.

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 power that brings us to work each day. We believe in embracing new ideas, testing 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. We have seen about 30% average growth over the last three years. Are we recognized? Definitely. We were named one of “Becker’s 150 Great Places to Work in Healthcare” in 2016, 2017, 2018 and 2019 and are proud to be recognized as a leader in driving important Diversity and Inclusion (D&I) efforts: Evolent achieved a 95% score on its first-ever submission to the Human Rights Campaign's Corporate Equality Index ; was named on the Best Companies for Women to Advance List 2020 by Parity.org ; and we publish an annual Diversity and Inclusion Annual Report to share our progress on how we’re building an equitable workplace. We recognize employees that live our values, give back to our communities each year, and are champions for bringing our 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.

New Century Health merged with Evolent Health in 2018 and continues to guide transformative change in specialty care management as an Evolent company. Within the Evolent ecosystem of provider-centric solutions for value-based care, our New Century Health team focuses on cost and quality improvement for oncology and cardiology specialty care. With more than 15 years of proven results, New Century Health generates insights and drives cutting edge innovation through its clinical capabilities and deep appreciation of health care informatics, physician management and health care technology systems development. Together, Evolent and New Century Health are harnessing the power of our combined organizations to improve the health of the nation. Join the New Century Health team and put your passion to work for transforming the U.S. health care landscape for patients, providers, and payers.

Who You’ll Be Working With:

The Director, Medical Economics utilizes and develops analytic tools to solve complex business challenges as well as support decision making that can have a considerable impact on the organization and patient health. This role supports Medical Cost Management activities and a variety of internal operations functions; partnering with Finance/Accounting, Actuarial, EDWBI, Clinical, Performance Solutions and Partner Delivery.

What You’ll Be Doing:

  • Serving as strategic owner of our analytics capabilities and processes related to our Risk book of business.

  • Leading a team in the analysis and interpretation of cost and utilization data (medical and pharmaceutical) to explain performance & determine financial and clinical opportunities.

  • Assisting in the development of budgets and forecasts for each client relationship and tracking performance against each.

  • Collaborating with partner departments to ensure the financial success of each client relationship and establishing best practice processes and efficient workstreams.

  • Using programming skills to explore, examine and interpret large volumes of data in various forms to complete deliverables

  • Collaborating with internal/external business customers to understand their problems and objectives, solve business questions, and help them to achieve goals by performing statistical analysis, developing analytic models, creating data reports/dashboards using a variety of performance metrics

  • Managing, mentoring, and coaching analysts with tasks noted above

  • Setting clear goals and objectives using metrics to measure performance while holding staff accountable

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)

  • At least 5 years of professional experience in claims-based healthcare analytics with a payer, provider, vendor, or related healthcare consulting entity

  • Prior people management experience

  • Working knowledge of healthcare claims; specifically, differences between institutional vs professional billing and various sites of care/service

  • Strong proficiency with SQL and Microsoft Excel

  • 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 insights from quantitative and qualitative data

  • Ability to work independently with limited oversight

Finishing Touches (Preferred):

  • Master's Degree, preferably with a quantitative or healthcare focus (e.g. data science, machine learning, statistics, mathematics, computer science, engineering, public health)

  • Familiarity with healthcare reimbursement methodologies and calculations such as DRGs, Revenue Codes, CPT Codes, RVUs, bundled payments, etc.

  • 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 other languages/platforms such as Python, R, SAS, Hadoop, AWS, ArcGIS

  • Experience with BI tools (e.g. Power BI.), Visual Basic, and Microsoft PowerPoint

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. 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:

Evolent allows employees to work remotely for many of our positions. For those working remotely, 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.

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. Evolent Health maintains a drug-free workplace. Evolent has been named one of “Becker’s 150 Great Places to Work in Healthcare” in 2016, 2017, 2018 and 2019 and are proud to be recognized as a leader in driving important Diversity and Inclusion (D&I) efforts. Evolent achieved a 95% score on its first-ever submission to the Human Rights Campaign's Corporate Equality Index, was named on the Best Companies for Women to Advance List 2020 by Parity.org, and we publish an annual Diversity and Inclusion Annual Report to share our progress on how we’re building an equitable workplace. We recognize employees that live our values, give back to our communities each year, and are champions for bringing our 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.

Compensation Range:

The typical range of employees within the compensation grade of this position is $120,000 - $140,000. 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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