operations
Posted 11 hours agoBusiness Analyst, Scope Operations
at Evolent
Pune, IndiaRemote
Responsibilities
- Perform QA reviews to confirm scope database updates align with source files, regulatory updates, implementation requirements, and operational expectations.
- Research and resolve data discrepancies across scope tables, reports, and downstream operational outputs; escalate issues as needed.
- Document completed updates, QA findings, issue resolution steps, assumptions, and exceptions.
- Support data hygiene, audits, and maintenance routines that improve consistency, traceability, and confidence in scope data. The
Requirements
- Evolent Health International (Pune, India) has been certified as “Great Places to Work” in 2021.
- Experience You Need (Required): Bachelor’s degree or equivalent
- experience with healthcare data, operational data tables, code sets, business rules, or implementation support.
- Working knowledge of healthcare coding concepts such as HCPCS, CPT, ICD-10, NDC, or related medical management code sets.
- Experience using Microsoft Excel to review, compare, validate, and organize code-level data. Ability to follow procedures, identify exceptions, and raise questions when rules or requirements are unclear.
- Ability to manage multiple priorities, meet deadlines, and work independently in a fast-paced environment. Preferred
- Experience with SQL, Microsoft Access, database tables, or reporting tools used to validate healthcare data.
- Experience supporting utilization management, specialty operations, claims, provider, eligibility, or health plan implementation.
- Familiarity with regulatory update cycles and the operational impact of CMS, AMA, FDA, and state code changes.
- Experience with data analysis, reconciliation, and data hygiene across multiple systems or data sources.
- Familiarity with JIRA and Confluence for issue tracking and project management.
- Analytical and organized, with the ability to identify insights, resolve ambiguity, and improve consistency.
- All candidates must complete a comprehensive background check, in-person I-9 verification, and may be subject to drug screening prior to employment.
- The use of artificial intelligence tools during interviews is prohibited and monitored.
- Requirements: Employees must have a high-speed broadband internet connection with a minimum speed of 50 Mbps and the ability to set up a wired connection to their home network to ensure effective remote work. These
Benefits
- 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.
Additional details
- 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.
- 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.
- 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.