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Aledade, Inc.
Aledade, Inc.
501 – 1 000 Darbuotojai
ĮmonėSveikatos draudimasSveikatos priežiūra
Aledade, Inc. yra sveikatos priežiūros technologijų ir paslaugų įmonė, remianti nepriklausomas pirminės sveikatos priežiūros praktikas, pasitelkdama verte pagrįstos priežiūros ir Accountable Care Organization (ACO) sprendimus. Kaip viešosios naudos korporacija, ji derina duomenų įžvalgas, klinikinę pagalbą ir verslo išteklius, kad padėtų praktikoms gerinti pacientų gydymo rezultatus, stiprinti finansinį tvarumą ir išlaikyti klinikinį savarankiškumą. Aledade bendradarbiauja su pirminės sveikatos priežiūros praktikomis, bendruomenės sveikatos centrais ir ACO tinklais 45 valstijose. Jos tinklui priklauso daugiau kaip 20 000 klinicistų, aptarnaujančių daugiau nei 2,5 milijono pacientų. Pagrindinis dėmesys skiriamas fragmentuotos priežiūros mažinimui ir pacientų bei sveikatos priežiūros komandų patirties gerinimui.
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Payer Operations Analyst – United States Remote

Improve payer data quality for Aledade’s value-based healthcare contracts. Resolve feed problems, coordinate audits, and lead cross-functional data operations.

USJungtinės ValstijosNuotolinisVisas etatasVidutinis lygisVyresnysis specialistasPrivaloma Kalba: anglųOperacijos
SQLTableau

Aprašymas

  • Manage data quality issues across more than 1,200 payer data feeds, including identification, triage, routing, and resolution.
  • Work with payers and internal teams to resolve SFTP failures, delivery delays, and file transmission problems.
  • Coordinate clinical quality submission audits by maintaining documentation, organizing patient files, and finding supporting clinical evidence.
  • Keep contract metadata accurate, including contract names, TINs, and administrative information.
  • Diagnose and resolve failures affecting manual care gap uploads.
  • Partner with Payer Solutions, Product, Engineering, Field Operations, and payer organizations to resolve data problems.
  • Explain complex data findings and technical concepts to both technical and non-technical audiences.
  • Guide cross-functional data initiatives from initial discovery through implementation.
  • Act as a payer data subject matter expert and investigate anomalies in feeds and metrics.
  • Maintain standard operating procedures for data triage, clinical ingestion troubleshooting, and Primary Source Verification audits.
  • Resolve underlying causes, strengthen payer feed quality, and improve internal data-ingestion workflows.
  • Complete other assigned responsibilities.

Reikalavimai

  • Bachelor’s degree.
  • At least four years of experience in data operations, analytics, product management, or related technical work involving complex data in healthcare, product development, SaaS, or comparable environments.
  • Intermediate SQL programming skills.
  • Technical fluency with data warehouses, business intelligence and visualization tools, file-transfer systems, and workflow platforms such as Snowflake, Databricks, Tableau, SFTP, and Jira.
  • Ability to work through complex data environments and trace flows across internal and external systems to determine root causes.
  • Demonstrated success collaborating across functions and explaining technical insights and business impact to varied stakeholders.
  • Proactive, curious approach with the ability to understand system architecture, navigate complex data ecosystems, and improve processes.
  • Healthcare experience, including knowledge of value-based care, Alternative Payment Models, Medicare, and non-MSSP quality measures, is preferred.
  • Ability to sit for extended periods while working at a computer.

Privalumai

  • Flexible schedules and remote work are available for many positions.
  • Health, dental, and vision coverage is paid up to 80% for employees, dependents, and domestic partners.
  • Time-off program providing 21 PTO days during the first year.
  • Two paid volunteer days and 11 paid holidays.
  • Twelve weeks of paid parental leave for all new parents.
  • Six weeks of paid sabbatical after six years of service.
  • Educational Assistance Program and Clinical Employee Reimbursement Program.
  • 401(k) plan with up to a 4% company match.
  • Stock options.

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