Job Description

Your Future Evolves HereEvolent 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 working in everything from scrubs to jeans.Are we growing? Absolutely and Globally. In 2021 we grew our teams by almost 50% and continue to grow even more in 2022. Are we recognized as a company you are supported by for your career and growth, and a great place to work? Definitely. Evolent Health International (Pune, India) has been certified as xe2x80x9cGreat Places to Workxe2x80x9d in 2021. In 2020 and 2021 Evolent in the U.S. was both named Best Company for Women to Advance list by Parity.org and earned a perfect score on the Human Rights Campaign (HRC) Foundationxe2x80x99s Corporate Equality Index (CEI). This index is the nation's foremost benchmarking survey and report measuring corporate policies and practices related to LGBTQ+ workplace equality.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 youxe2x80x99re looking for a place where your work can be personally and professionally rewarding, donxe2x80x99t just join a company with a mission. Join a mission with a company behind it.What Youxe2x80x99ll Be Doing:Position SummaryEvolent is looking for a Sr. Data Engineer of Health Care Data, to be a key member of the technology leadership team. This individual will play a critical role in executing Evolentxe2x80x99s mission by managing data-driven activities related to data engineering, ETL, data profiling, data discovery and analysis, requirements definition, testing and continuous improvement of data collection, mapping, analysis and transformation processes specifically related to implementation of new client data portfolios.Essential Functionsxc2xb7 SAS skills for Extract, transformation and Loading tasks.xc2xb7 Strong SQL skills.

• Having SSIS Knowledge is a plus.

xc2xb7 Deep understanding of data warehousing concepts.xc2xb7 A knack for dealing with healthcare datasets and finding relationships in the data and any gaps/issues.xc2xb7 Patience and persistence to sift through complex data/information to get to the core knowledge.xc2xb7 Intense intellectual curiosity and an ability to view problems with a fresh perspective.xc2xb7 Excellent written computer and oral communication skills.xc2xb7 Gain familiarity and knowledge of the Evolent administrative data lifecycle from requirements through data analysis to engineering and testing. Learn through hands-on work how each function works to become SME in data engineering.xc2xb7 Analyze data files, data layouts and data dictionaries from providers of health care administrative data (eligibility, account/plan, medical claims, pharmacy claims, etc.) to understand data structure and operating rules for Extraction, Transformation and Loading to common data format.xc2xb7 Develop technical solutions for the end-to-end data life cycle in the data warehouse.xc2xb7 Collaborate with data warehouse QA and Analyst teams to ensure seamless execution of test cases end-to-end.xc2xb7 Liaise with onshore team to ensure best practices are followed and issues/concerns are addressed proactively.xc2xb7 Mentor analysts and junior level resources in best practices and guidelines for implementations and data analysis; aid in development of learning activities.xc2xb7 Alert service delivery managers to potential risks to project and timelines along with issues of importance.

• Overall US Healthcare insurance domain knowledge.
• Knowledge of medical claim file contents (both UB04 and HCFA-1500) and significance of individual fields.

Preferred functionsxc2xb7 Experience with clinical coding systems: ICD diagnosis codes, ICD procedure codes, CPT codes, revenue codes, provider NPI codes, NDC Rx codes.Academic Qualificationxc2xb7 5-6+ years of experience in information technology.xc2xb7 Bachelor's Degree required.xc2xb7 ETL, SAS, SQL, SSIS skills to create technical solutions for data loading, transformation and extraction.xc2xb7 Understanding of Medical Claims, Rx Claims, Eligibility/Membership, healthcare insurance benefit and group account setup, Provider data and related processes around them is desirable.#LI-remoteMandatory Requirements:We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps, 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.xe2x80x8bEvolent 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