Jobs at Evolent Health

Develops, customizes, and maintains clinical correspondence templates to meet healthcare regulatory, accreditation, contractual, and company requirements. Coordinates Compliance approvals, oversees correspondence use across products, researches state regulations, resolves complex issues with internal and external stakeholders, and collaborates with IT on letter generation. The role requires healthcare industry and utilization management compliance experience, strong analytical, organizational, research, communication, and consultation skills.

Manages day-to-day operations for assigned health plan accounts, building trusted client relationships and supporting retention and growth. Leads partnership reviews, operational meetings, issue resolution, contract performance, service-level adherence, risk management, and benefit analysis. Serves as an internal expert on client priorities and specialty risk programs while ensuring compliance with contractual and regulatory requirements.

Lead actuarial quality and consistency across analytics and finance teams by reviewing and improving models, guiding methodologies, establishing guardrails, coaching staff, and communicating results to executives and clients. Drive process improvements, reduce manual work, and support adoption of analytics and automation tools to ensure defensible, scalable outputs.

The FP&A Manager will perform business planning, financial reporting, manage finance operations, and contribute to strategic finance initiatives while working cross-functionally across departments.

Lead and supervise APP clinical staff performing utilization management reviews for medical oncology. Oversee recruitment, performance monitoring, quality improvement, training, and operational goals to ensure care quality, efficiency, and adherence to UM metrics and policies.

Lead HRIS Analyst maintains and enhances Workday HCM, configures business processes, develops custom reports, manages security, troubleshoots issues, gathers requirements, drives releases, documents changes, and mentors team members to deliver scalable HR solutions.

Design, build, and maintain scalable backend services and data pipelines for healthcare solutions using Python and Azure. Develop API-based integrations, ETL workflows, and optimize SQL/stored procedures. Collaborate in Agile teams on architecture, CI/CD, testing, and performance tuning to support analytics and operational workflows.

The Lead HRIS Analyst will enhance the Workday HCM system, collaborating with stakeholders to improve processes, configure security, and support users, while mentoring team members.

Provide physician review of oncology cases, conduct peer-to-peer discussions, support practice transformation and value-based initiatives, collaborate on clinical algorithms and audits, ensure URAC/NCQA compliance, and mentor clinical reviewers to improve care quality and reduce unwarranted variation.

Lead design, development, and maintenance of scalable, secure healthcare applications using .NET and Azure. Provide technical leadership, architect solutions, run code reviews, mentor engineers, drive performance and modernization efforts, collaborate with product and QA, and support deployments and production stability.

Serve as the consultative lead for a major client book: drive growth, retention, and satisfaction; build C-level relationships; use data and SMEs to create pricing, contracting, and strategic account plans; manage pipeline in Salesforce; ensure contract performance and SLA adherence. Travel ~40% required.

Manage the full SaaS application lifecycle with emphasis on Atlassian platforms and AI-driven automations. Optimize configuration, security, governance, integrations (ITSM/IAM/ITAM), scripting (Python/PowerShell/REST APIs), compliance (SOC2/HIPAA), vendor engagement, reporting, and user support. Mentor team members and drive adoption of intelligent workflows and predictive insights.

Responsible for accounting operations for Evolent India: lease accounting (ASC-842), month/quarter close, balance sheet reconciliations, SOX control reviews, 10Q/K footnote preparation, compliance (GST, STPI, tax), build monthly management reporting, automate reporting/analytics, and support ad-hoc accounting requests.

Manage end-to-end payroll operations including accurate payroll processing, statutory compliance (Indian laws), reconciliations, payroll accounting, vendor management, reporting, process improvements, audits, and lead/payroll team development.

Lead and oversee a team of analytics professionals delivering recurring and ad hoc healthcare analyses, financial/actuarial modeling, forecasting, automation, and visualizations. Translate data into actionable insights for stakeholders, drive analytics strategy and tool adoption, and coach team members to improve processes and outputs.