Design and develop BI reporting platforms and user-facing data visualization tools such as Power BI and SSRS. Perform complex data analysis and collaborate with non-technical users to gather requirements for business analytics solutions.
Evolent
43 Remote Job Openings at Evolent
The Sr. Analyst is responsible for delivering data-driven financial and operational analyses to inform strategic decision-making and business planning. This includes managing monthly financial packages, building scalable forecast models, and partnering with cross-functional teams to investigate variances.
Responsible for creating, debugging, and executing Java-based test automation scripts using the Selenium framework. The role involves analyzing business requirements and collaborating with developers to resolve defects within an Agile environment.
Lead the monthly revenue cycle close and supervise a team of accountants to ensure GAAP compliance. Manage revenue-related GL accounts, SEC disclosures, and collaborate with internal and external auditors.
Design and deploy AI-enabled analytics workflows by building data pipelines in Microsoft Fabric and engineering prompts for Azure OpenAI. Develop automation scripts for reporting and compliance while maintaining self-service analytics infrastructure.
Lead vascular-focused provider engagement and practice transformation efforts to improve clinician engagement and group performance. Act as a strategic partner to vascular groups and health plans to align clinical programs and enhance care quality.
The role involves providing data-driven financial and operational analyses to support strategic decision-making for executive leadership and the Board of Directors. Key duties include developing financial models, managing department budgets, and automating financial reporting tools.
The Sr. Analyst, Growth supports growth marketing and strategy by analyzing market trends and developing product marketing collateral. They are responsible for identifying new business opportunities and managing client touchpoints along the sales journey.
Coordinate and manage Hi-Trust, SOC 2, and SOX audits across hybrid cloud and on-prem IT infrastructure. Develop audit plans, test controls, and maintain technical configuration repositories to mitigate IT risk.
The Assistant Financial Controller provides financial oversight by preparing India GAAP financial statements and managing payroll and statutory compliance. Additionally, the role oversees the procurement team and manages vendor data and strategic purchase order directions within the Workday system.
Manage day-to-day software engineering activities and provide technical guidance to team members. Oversee the design, development, and deployment of scalable software solutions while collaborating with stakeholders on technical roadmaps.
Serve as a physician reviewer for imaging cases to determine medical necessity and conduct peer-to-peer discussions with providers. Ensure compliance with URAC and NCQA guidelines while providing clinical rationale for appeals.
Serve as the Physician Clinical Reviewer for Interventional Pain Management, reviewing cases for medical necessity and conducting peer-to-peer discussions with providers. Ensure compliance with URAC and NCQA guidelines while providing clinical rationale for appeals.
The Principal Product Solutions Architect provides senior product judgment to ensure customer solutions are product-coherent, commercially sound, and operationally sustainable. This role acts as a governance bridge between Sales, Product, and Delivery to prevent non-standard commitments and reduce downstream complexity.
Endocrinology-Physician Reviewer-Field Medical Director, Radiology (Full-Time)
Evolent
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Full Time
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24 days ago
Evolent
Serve as a physician reviewer for imaging cases to determine medical necessity and conduct peer-to-peer discussions with providers. Ensure compliance with URAC and NCQA guidelines while providing clinical rationale for appeals.
Otolaryngologist-Physician Reviewer-Field Medical Director, Radiology (Full-Time)
Evolent
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Full Time
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24 days ago
Evolent
Serve as a physician reviewer for imaging cases to determine medical necessity and conduct peer-to-peer discussions with providers. Ensure compliance with URAC and NCQA guidelines while providing clinical rationale for appeals.
Physician Reviewer Internal Medicine-Field Medical Director, Radiology (Part Time)
Evolent
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Full Time
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24 days ago
Evolent
Serve as a physician reviewer for imaging cases to determine medical necessity and conduct peer-to-peer discussions with providers. Ensure compliance with URAC and NCQA guidelines while providing clinical rationale for appeals.
Lead the execution of the Analytics AI strategy and roadmap to drive adoption of AI-enabled workflows across the organization. Partner with Data Science and Product Analytics to implement scalable AI use cases that improve clinical programs and operational efficiency.
Field Medical Director, Vascular Surgery (Part-time or Full-time)
Evolent
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Full Time
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24 days ago
Evolent
Serve as a specialty match reviewer for vascular cases to determine medical necessity and conduct peer-to-peer discussions with providers. Ensure compliance with URAC and NCQA guidelines while providing clinical rationale for appeals.
The Coordinator processes prior authorization requests and manages data entry into proprietary systems for medical and behavioral health reviewers. They collaborate with physician offices to obtain missing information and resolve technical barriers via IT tickets.
The Coordinator processes prior authorization requests and manages data entry into proprietary systems for medical and behavioral health reviewers. They collaborate with physician offices to obtain missing information and resolve technical barriers via IT tickets.
Field Medical Director, Radiation Oncology (full-time or part-time)
Evolent
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Full Time
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a month ago
Evolent
Serve as a physician reviewer for Radiation Oncology and imaging cases to determine medical necessity. Conduct peer-to-peer discussions with providers and ensure compliance with URAC and NCQA guidelines.
Lead the engineering organization responsible for client data ingestion, transformation, and exchange to support healthcare implementations and platform evolution. Partner with Product and business stakeholders to deliver scalable, client-centered data solutions while modernizing legacy integration patterns.
Family Medicine-Physician Reviewer-Field Medical Director, Radiology (Full-Time or Part-time)
Evolent
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Full Time
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a month ago
Evolent
Serve as a physician reviewer for imaging cases to determine medical necessity and conduct peer-to-peer discussions with providers. Ensure compliance with URAC and NCQA guidelines while documenting all clinical communications accurately.
The Director of Actuarial Services develops analytical tools to solve complex business challenges and supports medical cost management and business development. Key duties include performing actuarial modeling, forecasting financial impacts, and managing a junior actuarial team.
The Coordinator supports the Utilization Management Team by managing the intake, review, and processing of clinical documents. Key duties include calculating turnaround times, monitoring failed faxes, and responding to clinician inquiries via a shared inbox.
Serve as a physician match reviewer for imaging cases to determine medical necessity and conduct peer-to-peer discussions with providers. Ensure compliance with URAC and NCQA guidelines while providing clinical rationale for appeals.
Serve as a physician match reviewer for imaging cases to ensure medical necessity and compliance with URAC and NCQA guidelines. Conduct peer-to-peer discussions with providers to provide clinical rationale for determinations and appeals.
The Lead HRIS Analyst is responsible for the maintenance, enhancement, and administration of the Workday HCM system. This includes collaborating with stakeholders to automate processes, designing custom reports, and mentoring team members.
The Engineer will manage, support, and optimize contact center technologies including PBX, ACD, IVR, and CTI systems. They will collaborate with cross-functional teams to diagnose technical issues and implement solutions that enhance operational performance and customer experience.
The Medical Director will conduct clinical reviews for oncology cases and engage with oncologists to promote value-based care and evidence-based practices. They will also collaborate with internal teams to design and execute clinical innovation initiatives and ensure compliance with quality standards.
The Platform Network Engineer will design, implement, and manage a secure, scalable Azure-driven cloud networking environment. They will also serve as a Subject Matter Expert, collaborating with engineering and infosec teams to drive network architecture strategy and automation.
The Lead Analyst will oversee the technical and functional aspects of Workday Financials and Adaptive Insights, including design, configuration, and implementation. They will also mentor junior team members, drive process improvements, and collaborate with cross-functional teams to ensure system quality and performance.
The Sr Advisor leads provider onboarding, strengthens provider relationships, and drives performance improvement across markets. They serve as the primary liaison between Evolent and provider practices to ensure operational success and high-quality provider experiences.
The Senior HRIS Analyst will support the maintenance and enhancement of the Workday HCM system by configuring business processes and deploying high-quality solutions. They will also collaborate with stakeholders to gather requirements, resolve system issues, and manage project dependencies to ensure an excellent end-user experience.
The Senior Analyst will support the performance, optimization, and strategic growth of Musculoskeletal and Radiology Benefits Management programs. Responsibilities include analyzing utilization trends, clinical outcomes, and operational KPIs to drive actionable insights and program enhancements.
The Platform Engineer will design, develop, and maintain Evolent’s Internal Developer Platform built on Backstage using languages like Python or Go, while also automating operational tasks and managing cloud resources primarily in Azure. This role involves leading containerization efforts using Docker and Kubernetes (AKS/ACA) and developing/optimizing CI/CD pipelines in collaboration with engineering teams.
Field Medical Director Internal Medicine/ Emergency Medicine (Cardiology)
Evolent
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Full Time
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3 months ago
Evolent
The Field Medical Director will serve as the specialty-match reviewer for diagnostic cardiology cases that do not initially meet medical necessity guidelines, providing timely, clinically sound medical reviews. This role involves conducting peer-to-peer discussions with requesting physicians and providing evidence-based clinical rationale for standard and expedited appeals.
The Field Medical Director will serve as the Physician match reviewer for complex Hip/Knee/Shoulder Surgery cases that do not initially meet medical necessity guidelines, discussing determinations with requesting providers via peer-to-peer phone calls within regulatory timeframes. This role involves utilizing clinical review guidelines to ensure consistency and compliance with policies and accreditation standards while also acting as a resource for Initial Clinical Reviewers.
The VP of Cardiovascular Medicine will lead cardiology and vascular-related utilization management and clinical operations. This role involves ensuring high-quality adjudication of cardiology decisions and serving as a strategic liaison between clinical teams and clients.
As a Field Medical Director in Radiology, you will review imaging cases for medical necessity and provide clinical rationale for determinations. You will also collaborate with physicians and assist in the utilization management process.
Field Medical Director, Interventional Cardiology (Remote)
Evolent
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Full Time
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6 months ago
Evolent
The Field Medical Director will provide expert reviews for cardiovascular cases and conduct peer-to-peer discussions with treating providers to ensure high-value care. They will also collaborate with leadership and clinical staff to address complex cases and support decision-making.
As a Field Medical Director in Cardiology, you will review cases that do not meet medical necessity guidelines and provide clinical rationale for appeals. You will also collaborate with physicians and assist in the utilization management process.
