Payer Operations Analyst (Fully Remote)

Aledade PBC; United States; Remote; USD 90,000 - 120,000; Full time

Benefits offered by this job

Remote-first culture

Job summary

Aledade PBC is hiring for a Data Quality & Program Manager to triage payer data feeds, coordinate audits, and resolve ingestion issues. You will collaborate with internal teams and payers to drive data reliability in a remote-first environment.

You will communicate complex data findings to both technical and non-technical stakeholders and lead cross-functional data initiatives from discovery to implementation within a public health-focused organization.

Qualifications

• Maintain SOPs for data issue triage and clinical ingestion troubleshooting.
• Coordinate clinical quality submission audits and maintain contract metadata.
• Communicate complex data findings to technical and non-technical stakeholders.

Responsibilities

• Triage and resolve data quality issues across 1,200+ payer data feeds.
• Coordinate audits and data ingestion workflows through implementation.
• Investigate and resolve manual care gap upload failures.
• Lead cross-functional data initiatives from discovery through implementation.

Skills

Data quality

Stakeholder communication

Cross-functional collaboration

SOP development

Education

Bachelor's degree in data-related field

Tools

SQL

Excel

SAS

Job description

• Triage and resolve data quality issues across 1,200+ payer data feeds.
• Coordinate clinical quality submission audits and maintain contract metadata.
• Investigate and resolve manual care gap upload failures.

Cross-Functional Collaboration:

• Partner with internal teams and payers to intake, investigate, and resolve data issues.
• Communicate complex data findings to technical and non-technical stakeholders.
• Lead cross-functional data initiatives from discovery through implementation.

Program Management:

• Maintain SOPs for data issue triage and clinical ingestion troubleshooting.
• Enhance data reliability by addressing root causes and advocating for higher-quality payer feeds.

Culture:

• Be part of a collaborative, inclusive, remote-first team.
• Work with diverse colleagues united by a passion for public health.

Aledade PBC empowers independent primary care practices to thrive in value-based care. Founded in 2014, it is the largest network of independent primary care in the country with a collaborative, inclusive, and remote-first culture.