Act as a member advocate addressing member or provider concerns. Analyze, preparing and support appeals and grievances review in compliance with state, federal…

Program in MS SQL server T-SQL and other related language to support application development around opportunity assessment and population health management…

3-5 years’ experience reviewing and/or auditing medical records, working in a health plan, health insurance, or similar environment.

Experience working with healthcare claims data or supporting health plan back-office functions is strongly preferred. The Experience You Will Need (Required).

Knowledge of health insurance, HMO and managed care principles. Extensive experience in health insurance claims processing with a minimum of 1 to 3 years.

Overall understanding of health care benefit administration. Understands working in a health benefit administration, Third Party Administrator, or Pre-Tax…

Program in MS SQL server T-SQL and other related language to support application development around opportunity assessment and population health management…

Evolent Health Services partners with health plans and risk-bearing provider organizations to simplify administrative and clinical operations through…

You are responsible for troubleshooting routine and non-routine problems - including desktop and application software support, print services, email, and…

The Analyst, Application Support is a highly motivated person with excellent communication and interpersonal skills to interact with internal/external teams and…

Overall understanding of health care benefit administration. Understands working in a health benefit administration, Third Party Administrator, or Pre-Tax…

Create and maintain product/process documentation for Evolent Health Services. Publish product/process documentation within set deadlines.

Evolent Health is looking for an Analyst – Tier 2 to be a key member of the Technology Service Operations (TSO) Team. Bachelor’s Degree in an IT-related field.

The Integration Quality (IQ) department focuses on end to end (E2E) defect reduction. We test client implementations & major enhancements across each client’s…

Produce detailed data quality profiles from client health care administrative data to validate structure, content and overall data quality; present findings to…

You are responsible for troubleshooting routine and non-routine problems - including Amazon Workspaces, zero-clients, application software support, print…

U.S. Medicaid, Medicare, health insurance, HMO and managed care experience/knowledge. Extensive experience in U.S. health insurance service operations across…

Work with Software Test Engineering Lead to achieve company goals. Development of Subject Matter Expertise on the Identifi platform.

The Compliance Auditor demonstrates knowledge of Medicare (Parts C), National Committee for Quality Assurance standards and Managed Medicaid regulations and…

The QA Analyst will be responsible for conducting all elements and activities of the EDWBI that analyzes critical performance metrics and behaviors to maintain…