Sr. Health Plan Operations Analyst

4 hours, 16 minutes ago
Full-time
Mid Level
Business Intelligence
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 for leadership and daily operations.
  • Develop high-complexity backend queries for dashboards and ad hoc analytical projects.
  • Present findings through visualizations and communicate quality, spend, and performance trends.
  • Incorporate industry benchmarks into charts, graphs, and pivot tables.
  • Investigate, triage, document, and resolve internal and external data quality issues.
  • Create testing algorithms and audit year-end performance and claims data for discrepancies.
  • Source, clean, and organize data from payer portals, pharmacy claims, SFTP sites, and internal databases.
  • Execute advanced Snowflake SQL queries and develop Excel and Google Sheets templates to streamline data tasks.
  • Maintain documentation for analytics processes, data architectures, and cross-coverage plans.
  • Mentor junior analysts, coordinate work, review deliverables, and serve as a data subject matter expert.

Requirements

  • Bachelor’s degree in a related quantitative field or equivalent professional experience.
  • 4+ years of experience in healthcare or payer data management, analysis, quality assurance, and auditing.
  • Intermediate SQL programming experience; Snowflake experience preferred.
  • Advanced Microsoft Excel and Google Sheets skills, including complex formulas, nested functions, and pivot tables.
  • Strong communication and cross-functional collaboration skills, including experience working with remote teams.
  • Ability to prioritize multiple tasks proactively in a fast-paced environment.
  • Understanding of value-based care, alternative payment models, Medicare, and Non-MSSP quality measures preferred.
  • Experience with statistical software such as R or Stata preferred.
  • Ability to sit for prolonged periods and work at a computer.

Interested in this position?

Apply directly on the company website

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