Sr. Analyst, Health Plan Performance Operations

3 weeks, 5 days ago
Full-time
Mid Level
Data Science and Analytics
Aledade

Aledade

Aledade collaborates with independent practices, health centers, and clinics to establish and manage Accountable Care Organizations (ACOs) that prioritize primary care, enabling physicians to enhance patient care while maintaining their independence in...

Health Care Providers & Services
1K-5K
Founded 2014
$686M raised

Description

  • Design, build, and maintain dashboards, productivity trackers, and KPIs used by leadership.
  • Build complex back-end data queries to support dashboards and ad hoc analysis.
  • Present data findings clearly through visualization tools for diverse stakeholders.
  • Incorporate industry benchmarks into visual metrics to show baseline and current performance.
  • Identify, monitor, and communicate trends in quality and spend metrics.
  • Investigate, triage, document, and resolve internal and external data quality issues.
  • Create and apply testing algorithms to evaluate large data streams.
  • Audit year-end performance and claims data, and report discrepancies to payer teams.
  • Source, clean, and organize data from multiple systems and files.
  • Maintain documentation for operational analytics, source-of-truth architecture, and cross-coverage plans.
  • Support the manager with work coordination, mentoring, training plans, and work product reviews.
  • Serve as a data subject matter expert and attend meetings in the manager’s absence.

Requirements

  • Bachelor’s degree in a related quantitative field or equivalent professional experience.
  • 4+ years of experience in data management, analysis, QA, and auditing healthcare or payer data.
  • Intermediate SQL programming experience, with Snowflake preferred.
  • Advanced Microsoft Excel and Google Sheets skills, including complex formulas, nested functions, and pivot tables.
  • Strong communication skills and ability to collaborate across remote teams.
  • Proactive mindset with the ability to prioritize multiple tasks in a fast-paced environment.
  • Understanding of value-based care or Alternative Payment Models, Medicare, and Non-MSSP quality measures (preferred).
  • Experience with statistical software such as R or Stata (preferred).
  • Prolonged periods of sitting at a desk and working on a computer.

Interested in this position?

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