Payer Operations Analyst

Aledade; United States; À distance; USD 85 000 - 120 000; Plein temps

Avantages offerts par ce poste

Remote-first working environment

Office locations: Bethesda, MD; Novi, 

PTO 168 hours in first year

12 weeks paid parental leave

Medical, dental and vision plans

401(k) with up to 4% match

Company stock options

Six-week sabbatical after six years

Résumé du poste

Aledade is seeking a Payer Data Operations Analyst to ensure data quality and reliability across payer data pipelines, enabling value-based contract performance.

You will work across Payer Solutions, Product, Engineering, and Field Operations, triaging data issues, improving end-to-end data integrity, and partnering with payers to optimize data flows and analytics.

Qualifications

• Bachelor's degree required and 4+ years in data operations or related technical roles.
• 4+ years of experience in data operations, analytics, product management, or related technical roles.
• Strong SQL experience.
• Experience with healthcare data in SaaS or related environments.
• Proficiency with Snowflake, Databricks and BI tools.

Responsabilités

• Ensure data quality, accuracy, and reliability across payer data pipelines.
• Lead cross-functional data initiatives from discovery through implementation.
• Identify and resolve data issues across 1,200+ payer data feeds.
• Coordinate clinical quality submission audits with payers and internal teams.
• Maintain SOPs for data issue triage and PSV audits.
• Collaborate with internal teams and payer partners to investigate and resolve data issues.

Connaissances

SQL

Data operations

Cross-functional collaboration

Problem solving

Data quality

Formation

Bachelor's Degree

Outils

Snowflake

Databricks

Tableau

SFTP

Jira

Description du poste

• The Payer Data Operations Analyst ensures data quality, accuracy, and reliability across payer data pipelines to support value-based contract performance
• This role applies technical data skills and cross-functional leadership to resolve complex data issues, build proactive monitoring solutions, and partner with internal teams and payers to continuously enhance end-to-end data integrity
• Data Triage and Operations
• Identify, triage, route, and resolve data quality issues across Aledade’s 1,200+ payer data feeds
• Partner with payers and internal teams to address broken SFTP connections, delivery delays, and file transmission failures
• Coordinate clinical quality submission audits with payers and internal teams by managing audit documentation, organizing patient data files, and locating clinical evidence in collaboration with the Quality Reporting team
• Maintain accurate contract metadata (i.e. contract names, TINs, and administrative details) to ensure seamless downstream data integration into reporting and product platforms
• Investigate and resolve manual care gap upload failures to ensure complete and accurate data ingestion
• Cross-Functional Collaboration
• Collaborate with internal teams—including Payer Solutions, Product, Engineering, and Field Operations—and payer partners to intake, investigate, route, and resolve data issues
• Communicate complex data findings and technical concepts clearly to diverse technical and non-technical stakeholders
• Lead cross-functional data initiatives from discovery through implementation by mapping workflows, facilitating alignment, delivering actionable recommendations, and establishing clear task ownership and deliverables
• Serve as a subject matter expert on Aledade’s payer data, analyzing feed and metric anomalies to empower internal teams to optimize patient care and achieve contract objectives
• Program Management
• Maintain standard operating procedures (SOPs) for data issue triage, clinical ingestion troubleshooting, and Primary Source Verification (PSV) audits
• Enhance long-term data reliability by addressing root causes, advocating for higher-quality payer feeds, and streamlining internal ingestion workflows
• Other duties as assigned

Benefits

• Remote-first working environment and flexible work schedules
• Three office locations you can visit/work from as desired: Bethesda, MD (headquarters), Novi, MI, Durham, NC and Austin, TX
• 168 PTO hours (21 days!) in your first year
• 12 weeks paid parental leave for all new parents
• Generous nationwide PPO medical, dental and vision plans
• 401(k) with up to 4% match
• Company stock options
• Fully paid six-week sabbatical following each six-year period of continuous employment

Proactive and curious mindset with a drive to understand system architecture, independently navigate complex data ecosystems, and take initiative to continuously optimize processesBachelor's Degree4+ years of experience in data operations, analytics, product management, or related technical roles working with complex data within healthcare, product development, SaaS, or similar environmentsIntermediate SQL programming experienceDemonstrated ability to navigate complex data environments and trace data flows across internal and external systems to identify root causesTechnical fluency across various data platforms and tools, including data warehouses, BI and visualization software, file-transfer systems, and workflow management tools (i.e. Snowflake, Databricks, Tableau, SFTP, Jira)Proven track record of collaborating in cross-functional teams with the ability to effectively communicate technical insights and business impact to diverse stakeholdersHealthcare domain expertise, with a strong understanding of value-based care, Alternative Payment Models (APMs), Medicare, and non-MSSP quality measuresProlonged periods of sitting at a desk and working on a computer