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 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 “Great Places to Work” 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) Foundation’s 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 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.
What You’ll Be Doing:
Position Summary
Assist the director in supporting Enrollment and Eligibility tech work and actively involved in Phyton and SQL coding.
Provide guidance for team and management regarding automation and help to proactively to help in solutioning.
Assist the director in developing and analysing appropriate tools for automation.
Promote the use of accepted best practices and innovative strategies.
Assist the team in resolving administrative and routine operational issues as they arise.
Roles & Responsibilities
Develop, refine and implement effective policies and procedures, and subsequent training, to ensure all team members are able to perform properly.
Assist with new client implementation support to ensure timely, accurate delivery enrolment data, claim data entry, system set-up, cross-departmental communication, standard reports, and exception reporting.
Develop knowledge in ACA Exchange, Centres for Medicare & Medicaid Service, Self-Funded, and all other applicable regulatory agencies that govern the enrollment data both received via electronic data interface (EDI) and non-EDI.
Identify way to improve ongoing reconciliation of group and agency enrollment data; including proactively reporting and resolving discrepancies.
Mandatory Skills
PL/SQL
Phyton
Good to have skills
US Health Care Domain Knowledge.
Enrollment and Eligibility experience.
EDI 834
Mandatory 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.
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.
Top Skills
What We Do
Evolent Health delivers proven clinical and administrative solutions that improve whole person health while making health care simpler and more affordable. Our three solutions—Evolent Care Partners, New Century Health and Evolent Health Services—encompass total cost of care management, specialty care management and administrative simplification. Evolent serves a national base of leading payers and providers, is the first company to receive the National Committee for Quality Assurance's Population Health Program Accreditation, and is consistently recognized as a top place to work in health care nationally.
OUR PEOPLE
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 diversity, equity, and inclusion (DE&I) efforts. Evolent achieved a 100% score on the 2020 Human Rights Campaign's Corporate Equality Index, making us one of the best places to work for LGBTQ+ employees. We were also named on the Best Companies for Women to Advance List 2020 and 2021 by Parity.org.
OUR CULTURE
Our accessible leadership team cultivates an open-door environment. We don’t like approval chains; we love ideas and people with the courage and conviction to bring novel solutions forward. We win as a team and always ask how we can do better. We respect and encourage commitments outside of work.
OUR COMPENSATION & BENEFITS
We recognize and reward our most valuable asset—our team—with competitive pay and annual performance-based bonuses. Evolent also offers comprehensive health benefits, a company-matched 401(k) and flexible spending accounts. Every salaried Evolent employee receives unlimited Personal Time Off and is eligible for a month-long sabbatical after working five years with Evolent.
This account is monitored closely by our company. Please message us at [email protected] with any questions or concerns.
