Aledade, Inc.
Aledade, Inc.
Aledade, Inc. este o companie de tehnologie și servicii medicale care sprijină cabinetele independente de medicină primară prin soluții de îngrijire bazată pe valoare și soluții pentru organizații de îngrijire responsabilă (ACO). În calitate de corporație de interes public, compania combină informații bazate pe date, sprijin clinic și resurse de afaceri pentru a ajuta cabinetele să îmbunătățească rezultatele pacienților, să își consolideze sustenabilitatea financiară și să își păstreze independența clinică. Aledade colaborează cu cabinete de medicină primară, centre comunitare de sănătate și rețele ACO din 45 de state. Rețeaua sa include peste 20.000 de profesioniști clinici care deservesc mai mult de 2,5 milioane de pacienți, concentrându-se pe reducerea fragmentării îngrijirii și pe îmbunătățirea experienței atât pentru pacienți, cât și pentru echipele de îngrijire.

Senior Health Plan Operations Analyst

Turn complex payer data into dashboards and quality insights. Support value-based care performance with data quality reviews, SQL analysis, and cross-functional coordination.

Descriere

  • Create and maintain leadership dashboards, productivity trackers, and key performance indicators.
  • Write complex backend queries for dashboards and ad hoc analysis.
  • Communicate findings using data visualization tools.
  • Use industry benchmarks to contextualize visual metrics.
  • Track and share trends in quality and spending metrics.
  • Investigate, prioritize, document, and resolve data quality issues from internal and external sources.
  • Develop and run tests to assess large data streams.
  • Review year-end performance and claims data, reporting any discrepancies.
  • Gather, clean, and organize data from payer portals, prescription claims, SFTP locations, and internal databases.
  • Use advanced SQL in Snowflake for analysis and reporting quality checks.
  • Build complex formulas and templates in Google Sheets and Excel.
  • Document analytics, source-of-truth data structures, and peer coverage plans.
  • Help coordinate work, mentor junior analysts, plan training, and review work products.
  • Act as a data subject matter expert and represent the manager at meetings when needed.
  • Coordinate communication within the department and across teams.
  • Complete other assigned duties.

Cerințe

  • Bachelor’s degree in a related quantitative discipline, or equivalent professional experience.
  • At least four years managing, analyzing, quality-checking, and auditing healthcare or payer data.
  • Intermediate SQL programming skills; Snowflake experience is preferred.
  • Advanced Excel or Google Sheets skills, including complex formulas, nested functions, and pivot tables.
  • Strong communication skills and ability to work effectively with remote teams.
  • Proactive approach and demonstrated ability to prioritize competing tasks in a fast-paced setting.
  • Knowledge of value-based care or Alternative Payment Models, Medicare, and non-MSSP quality measures.
  • Experience using statistical tools such as R or Stata.
  • Ability to sit at a desk and work at a computer for extended periods.

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