Aledade, Inc.
Aledade, Inc.
Aledade, Inc. je tehnološko in storitveno podjetje na področju zdravstva, ki podpira neodvisne ambulante primarne zdravstvene oskrbe z rešitvami, temelječimi na vrednosti, in rešitvami organizacij odgovorne zdravstvene oskrbe (ACO). Kot družba v javnem interesu združuje podatkovne vpoglede, klinično podporo in poslovne vire, da ambulantam pomaga izboljšati izide zdravljenja pacientov, okrepiti finančno vzdržnost in ohraniti klinično neodvisnost. Aledade sodeluje z ambulantami primarne zdravstvene oskrbe, skupnostnimi zdravstvenimi centri in mrežami ACO v 45 zveznih državah. Njena mreža vključuje več kot 20.000 kliničnih strokovnjakov, ki skrbijo za več kot 2,5 milijona pacientov, pri čemer se osredotoča na zmanjševanje razdrobljene oskrbe ter izboljševanje izkušenj pacientov in zdravstvenih ekip.

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.

Opis

  • 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.

Zahteve

  • 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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