Your Future Evolves Here

New Century Health (NCH) has been transforming the delivery of specialty care and driving radical cost and quality improvement across the member journey for patients with cancer and cardiovascular disease. As part of Evolent Health, we are on a bold mission to change the health of the nation by changing the way health care is delivered. Evolenteers make a difference wherever they are, whether it is at a medical center, in the office, or while working from home across 48 states. We empower you to work from where you work best, which makes juggling careers, families, and social lives so much easier. Through our recognition programs, we also highlight employees who live our values, give back to our communities each year, and are champions for bringing their 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.

Why We’re Worth the Application:

What You’ll Be Doing:

Role

The Managing Director, Clinical Transformation and Value-Based Care oversees clinical operations, implementation of value-based initiatives and utilization management transformation. They will facilitate data driven decision-making and position the company competitively relative to quality outcomes, operations, efficiency, and financial stewardship. Identify opportunities to drive innovation and improvements that have not been realized.

Key Responsibilities

Direct Manager for clinical process improvement team

Project Management of Lean Six Sigma projects within UM team

Support clinical operations for all three specialties (Medical Oncology, Radiation Oncology and Cardiology)

Implementation of new clinical offerings for risk business

Develop strategies and innovations to reduce total cost of care

Improve UM-based internal efficiencies: Conduct data analysis to identify gaps, opportunities, and propose solutions

Clinical liaison for Partner Ops, Provider Solutions, Product and Strategy teams

Works cross functionally in provider engagement, value-based strategies, and innovation team, providing clinical prescriptive

Proactive improvement of metrics on partner health dashboard

Authorization review as needed

The Experience You’ll Need

Technical Requirements:

Currently, Evolent employees work remotely temporarily due to COVID-19. As such, 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 committed to the safety and wellbeing of all its employees, partners and patients and complies with all applicable local, state, and national law regarding COVID health and vaccination requirements. Evolent expects all employees to also comply. We currently require all employees who may voluntarily return to our Evolent offices to be vaccinated and invite all employees regardless of vaccination status to remain working from home.

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.