Operating Effectiveness Senior Analyst - EviCore

📋 Description

• Design, develop, maintain, and optimize clinical decision-support pathways, business rules
• Translate clinical guidelines, business requirements, regulatory standards, and client needs into
• Partner with Clinical, Operations, Product, Technology, Data, and Business teams to identify
• Apply data analysis, critical thinking, and root cause analysis to resolve operational challenges
• Develop scalable solutions that enhance clinical decision-making, automated rationale generation
• Conduct functional, regression, and quality assurance testing to verify the accuracy, compliance

🎯 Requirements

• Bachelor’s degree in Science, Healthcare Administration, Computer Science, Data Analytics
• Experience in healthcare operations, utilization management, clinical decision support, product
• Strong analytical and problem-solving abilities, with excellent communication and stakeholder
• Demonstrated ability to translate business requirements into workflows, decision logic, pathways
• Familiarity with workflow design tools, business rules engines, Visio, SharePoint, Tableau, SQL
• Experience supporting AI-enabled solutions, automation initiatives, intelligent workflow platforms

🎁 Benefits

• Annual salary of $63,400–$105,600 USD, depending on relevant factors including experience and
• Eligibility to participate in an annual bonus plan
• Medical, vision, and dental benefits starting on day one
• Well-being and behavioral health programs
• 401(k) plan
• Company-paid life insurance