Remote Payer Data Operations Lead

Openkrill; United States; Remote; USD 90,000 - 130,000; Full time

Benefits offered by this job

Remote-friendly

Health insurance

Paid time off

Parental leave

Stock options

401(k)

Job summary

Aledade PBC is seeking a Payer Data Operations Analyst to ensure data quality and reliability across payer data pipelines. You will lead data triage, coordinate audits with payers, and collaborate with internal teams to resolve data issues that affect contract performance.

The role emphasizes cross-functional collaboration, strong SQL skills, and fluency with data platforms, BI tools, and file-transfer systems. A remote-first culture and healthcare domain focus shape the work environment.

Qualifications

• Bachelor’s Degree
• 4+ years of experience in data operations, analytics, product management, or related technical roles
• Intermediate SQL programming experience
• Technical fluency across various data platforms and tools (data warehouses, BI and visualization software, file-transfer systems, and workflow management tools)
• Demonstrated ability to navigate complex data environments and trace data flows across internal and external systems
• Proven track record of collaborating in cross-functional teams and communicating insights to stakeholders
• Proactive mindset with drive to understand system architecture and optimize processes

Responsibilities

• Identify, triage, route, and resolve data quality issues across 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
• Maintain accurate contract metadata to ensure seamless downstream data integration
• Investigate and resolve manual data ingestion failures
• Collaborate with internal teams and payer partners to intake, investigate, route, and resolve data issues
• Communicate complex data findings clearly to diverse stakeholders
• Lead cross-functional data initiatives from discovery through implementation
• Serve as a subject matter expert on payer data analytics to optimize patient care and contract objectives
• Maintain SOPs for data issue triage, ingestion troubleshooting, and PSV audits
• Enhance long-term data reliability by addressing root causes and improving ingestion workflows

Job description

Aledade PBC is seeking a Payer Data Operations Analyst to ensure data quality and reliability across payer data pipelines. You will lead data triage, coordinate audits with payers, and collaborate with internal teams to resolve data issues that affect contract performance.

The role emphasizes cross-functional collaboration, strong SQL skills, and fluency with data platforms, BI tools, and file-transfer systems. A remote-first culture and healthcare domain focus shape the work environment.