Care Management Sr Data Operations Analyst (Full-time Remote, North Carolina Based)

Alliance Health in; Morrisville (NC); Remote; USD 70,000 - 89,000; Full time

Benefits offered by this job

Generous retirement savings plan

Hybrid/remote options

Paid time off

Job summary

Alliance Health is seeking a Care Management Senior Data Operations Analyst for a full-time remote role based in North Carolina. The position supports design, development, and implementation of care management reporting, QA testing, and interdepartmental data liaison.

You will work with MicroStrategy, SQL, Excel, and other data tools to deliver dashboards and reports, while ensuring data integrity and state reporting compliance. Occasional travel to the Morrisville home office may be required.

Qualifications

• Five years of hands-on analytic work with heterogeneous datasets, time-series data.
• Experience providing direct analytic support to a business unit or cross-functional workgroup (3+ years).
• Knowledge of healthcare operations and care management concepts preferred.

Responsibilities

• Develop and support care management reporting requirements.
• Perform data acquisition, analysis, and evaluation using platform queries and reporting tools.
• Design reports merging data from State data, data warehouse, and internal platforms.
• Ensure accuracy of reports and adherence to state and external specifications.

Skills

Data analysis

SQL

R/Python

Git

Excel

MicroStrategy

Data visualization

Communication

Lean Six Sigma

Team collaboration

Education

Bachelor’s degree in Computer Science/Information Science/Informatics/Healthcare/STEM

Bachelor’s degree in Human Services

Tools

Jiva

SharePoint

Job description

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Care Management Sr Data Operations Analyst (Full-time Remote, North Carolina Based)

Locations

Showing 1 location

Home Office Morrisville, NC 27560, USA

• Remote
• Care Management
• Full-Time

Description

The CM Data Senior Operations Analyst position will support the design, development, and implementation of care management reporting requirements. This position also conducts quality assurance testing related to reporting, data integrity, and analyses; to include ongoing monitoring and oversight of operational reports. An essential part of the role includes the ability to act as a liaison for Care Management interdepartmentally for interdependencies for data collection and report development efforts.

This position is full-time remote. Selected candidate must reside in North Carolina and be willing to travel to the home office (Morrisville, NC) for onsite team meetings as needed. Responsibilities & Duties

Reporting Development and Strategy

• Perform data acquisition, analysis, and evaluation via advanced platform queries, MicroStrategy, Excel, and other data management tools to support departmental reporting
• Design solutions to maximize efficiency and work towards utilizing dashboards and alerts to expedite reporting data to internal Alliance staff and other stakeholders
• Using thorough knowledge of available data, design reports that merge data from various sources including State data, the data warehouse, and internal platforms including Jiva, Excel, and SharePoint
• Provide support as required to ensure the accuracy of developed reports and metrics for both external and internal stakeholders
• Ensure that reporting activities are conducted in ways that correspond with externally mandated specifications
• Support Care Management with any data assurance/integrity efforts required as part of larger quality activities, and with the completion and validation of state-required reports

Operational Documentation and Improvement

• Engineer efficient processes for gathering statistical data, identifying complex trends, and translating insights into actionable recommendations
• Implement Lean Six Sigma, or similar process improvement models/methodologies to reduce costs, improve quality and enhance member experience
• Maintain current records of actions being taken to ensure efficient processes and integrity within Alliance
• Write report requirements, submit requests, and work through report development with appropriate IT resources
• Read reporting requirements for existing reports to identify process improvements in data collection; understand the connection to contractual requirements
• Track changes in operational workflows that may impact reporting
• Keep up to date and monitor for new reporting requirements to implement and QC changes in new reporting requirements

Operational Application of Data Requirements

• Analyze Care Management activities and data to identify trends, report current data related to expectations and requirements at the state level and within Alliance Health
• Translate data findings into report documentation specifications and present data as needed
• Support development and documentation of operational documentation platform workflows to enhance reporting accuracy and efficiencies
• Lead efforts to clarify any specifications that are unclear

People Management, Collaboration, and Communication

• Collaborate with Care Management leadership for oversight and monitoring of adherence to workflows to capture accurate data
• Collaborate with Care Management operations to understand current state processes and identify any improvements to processes and/or workflows to enhance and/or streamline reporting
• Oversight and monitoring of ongoing reporting, not yet automated
• Influence and manage others to meet critical timelines
• Work closely with others in Care Management to enhance operations and automation of reports and processes and perform quality assurance testing of systems and products
• Actively participate in committees and work groups as appropriate
• Attend IT/Reporting trainings or meetings that are relevant to the above responsibilities
• Attend in-person meetings as required to problem-solve and/or collaborate with internal Alliance employees
• Provide End User support on solutions and data interpretation
• Conduct peer reviews and test solutions for functionality and data accuracy
• Support CM Leadership and Learning & Development to provide information and/or documentation needed for communication and training on processes impacting reporting

Education & Experience

Required :

Bachelor’s degree in Computer Science, Information Science, Informatics, human services/healthcare, or S.T.E.M. fields of study with a focus on quantitative and qualitative analysis. (5) five years of hands‑on analytic work involving heterogenous datasets, structured data, and time‑series data:

• Documenting the problem statement and translating into analytic requirements
• Identifying, retrieving, integrating and storing required data from multiple sources
• Performing exploratory data analysis (EDA), data cleansing and data preprocessing
• Communicating findings through reports, dashboards, and presentations to both technical and non‑technical stakeholders
• Maintaining well‑documented code, reports, and analytical workflows for ongoing projects

Additionally, (3) three or more years of experience providing direct analytic support to a business unit or cross‑functional workgroup.

Preferred :

Experience and knowledge of healthcare, care management, and health plan operations and related data and performance metrics.

Participation in certified, instructor‑led courses consisting of topics that include the following:

• Data management and retrieval
• Data analytic methodology
• Verbal and digital presentation

Knowledge, Skills, & Abilities

• Demonstrated application of data integration knowledge (validation and cleaning)
• Demonstrated knowledge of complex data and structure
• Knowledge of healthcare operations
• Knowledge of Care Management Concepts, Roles, Responsibilities
• Demonstrated ability to learn and adapt to new software systems quickly
• Experience with electronic health records or other healthcare documentation software systems
• Ability to interpret reporting requirements into operational workflows
• Demonstrated application of data visualization principles and strategies
• Excellent interpersonal (verbal and written) communication skills are required to support working in project environments that includes internal, external and customer teams
• Strong analytical, conceptual, and problem‑solving skills
• Ability to manage multiple priorities and adjust quickly to changing priorities
• Ability to attend to detail, effectively prioritize and execute tasks in a timely manner.
• Ability to work independently without a high degree of supervision.
• Computer proficiency in Microsoft Excel
• Computer proficiency in Microsoft Office Suite (Outlook, Teams, Visio, and PowerPoint)
• Ability to use SQL, R/Python, and Git to retrieve, analyze, manage, and document data workflows, including querying databases, performing statistical or analytic tasks, and maintaining version‑controlled code and reporting assets.

Salary Range

$69,592-$88,729/Annually

Exact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equity.

An excellent fringe benefit package accompanies the salary, which includes:

• Generous retirement savings plan
• Flexible work schedules including hybrid/remote options
• Paid time off including vacation, sick leave, holiday, management leave
• Dress flexibility

Qualifications

Education

Required

Bachelors or better in Human Services.

Licenses & Certifications

Required

Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.