支付方运营分析师
Payer Operations Analyst
Payer Data Operations Analyst 负责确保支付方数据管道中的数据质量、准确性和可靠性,以支持基于价值的合同表现。该职位运用技术数据技能和跨职能领导力解决复杂的数据问题,构建主动监控解决方案,并与内部团队及支付方合作,持续提升端到端的数据完整性。
我们是谁:
Aledade PBC 是一家公共利益公司,致力于赋能医疗保健领域最具变革性的部分——独立初级护理。我们成立于2014年,至今已成为全国最大的独立初级护理网络,帮助诊所、健康中心和医疗机构为患者提供更好的护理,并在基于价值的护理中蓬勃发展。此外,通过在各种健康计划中创建基于价值的合同,我们旨在改变传统的按服务收费模式。我们的工作增强了护理连续性,对齐了激励机制,确保初级护理医生因他们最擅长的工作——保持患者健康而获得报酬。如果你希望参与打造一个对患者、对诊所、对社会都好的医疗体系,并且渴望加入一个协作、包容、远程优先的文化环境,那么你来对地方了。
你将在这里做什么?
在 Aledade PBC,你将融入一个充满创造力的文化,这种文化由对复杂问题的尊重、开放心态和学习欲望驱动。你将与来自不同背景、拥有丰富经验、兴趣、信仰和成就的团队成员合作,他们共同致力于公共卫生事业,并致力于实现 Aledade 的使命。
除了提供时间休息以支持工作与生活的平衡和享受外,我们还提供以下全面的福利计划,旨在促进团队成员的整体福祉:
许多职位可享受灵活的工作时间和远程办公的可能
为员工、家属和伴侣提供最高80%的健康、牙科和视力保险费用
完善的带薪休假计划(第一年21天带薪假期)
两天带薪志愿服务和11天带薪假期
所有新父母享有12周带薪育儿假
服务满六年可享受六周带薪休假
教育助理计划和临床员工报销计划
401(k) 计划,最高匹配4%
股票期权
以及更多!
查看英文原文
The Payer Data Operations Analyst ensures data quality, accuracy, and reliability across payer data pipelines to support value-based contract performance. This role applies technical data skills and cross-functional leadership to resolve complex data issues, build proactive monitoring solutions, and partner with internal teams and payers to continuously enhance end-to-end data integrity.
Who We Are:
Aledade PBC, a public benefit corporation, exists to empower the most transformational part of our health care landscape - independent primary care. We were founded in 2014, and since then, we've become the largest network of independent primary care in the country - helping practices, health centers and clinics deliver better care to their patients and thrive in value-based care. Additionally, by creating value-based contracts across a wide variety of health plans, we aim to flip the script on the traditional fee-for-service model. Our work strengthens continuity of care, aligns incentives and ensures primary care physicians are paid for what they do best - keeping patients healthy. If you want to help create a health care system that is good for patients, good for practices and good for society - and if you're eager to join a collaborative, inclusive and remote-first culture - you've come to the right place.
What Does This Mean for You?
At Aledade PBC, you will be part of a creative culture that is driven by a passion for tackling complex issues with respect, open-mindedness and a desire to learn. You will collaborate with team members who bring a wide range of experiences, interests, backgrounds, beliefs and achievements to their work - and who are all united by a shared passion for public health and a commitment to the Aledade mission.
In addition to time off to support work-life balance and enjoyment, we offer the following comprehensive benefits package designed for the overall well-being of our team members:
Flexible work schedules and the ability to work remotely are available for many roles
Health, dental and vision insurance paid up to 80% for employees, dependents and domestic partners
Robust time-off plan (21 days of PTO in your first year)
Two paid volunteer days and 11 paid holidays
12 weeks paid parental leave for all new parents
Six weeks paid sabbatical after six years of service
Educational Assistant Program and Clinical Employee Reimbursement Program
401(k) with up to 4% match
Stock options
And much more!
At Aledade PBC, we don’t just accept differences, we celebrate them! We strive to attract, develop and retain highly qualified individuals representing the diverse communities where we live and work. Aledade is committed to creating a diverse environment and is proud to be an equal opportunity employer. Employment policies and decisions at Aledade are based on merit, qualifications, performance and business needs. All qualified candidates will receive consideration for employment without regard to age, race, color, national origin, gender (including pregnancy, childbirth or medical conditions related to pregnancy or childbirth), gender identity or expression, religion, physical or mental disability, medical condition, legally protected genetic information, marital status, veteran status, or sexual orientation.
Primary Duties
Data Triage and Operations
- Identify, triage, route, and resolve data quality issues across Aledade’s 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 in collaboration with the Quality Reporting team.
- Maintain accurate contract metadata (i.e. contract names, TINs, and administrative details) to ensure seamless downstream data integration into reporting and product platforms.
- Investigate and resolve manual care gap upload failures to ensure complete and accurate data ingestion.
Cross-Functional Collaboration
- Collaborate with internal teams—including Payer Solutions, Product, Engineering, and Field Operations—and payer partners to intake, investigate, route, and resolve data issues.
- Communicate complex data findings and technical concepts clearly to diverse technical and non-technical stakeholders.
- Lead cross-functional data initiatives from discovery through implementation by mapping workflows, facilitating alignment, delivering actionable recommendations, and establishing clear task ownership and deliverables.
- Serve as a subject matter expert on Aledade’s payer data, analyzing feed and metric anomalies to empower internal teams to optimize patient care and achieve contract objectives.
Program Management
- Maintain standard operating procedures (SOPs) for data issue triage, clinical ingestion troubleshooting, and Primary Source Verification (PSV) audits.
- Enhance long-term data reliability by addressing root causes, advocating for higher-quality payer feeds, and streamlining internal ingestion workflows.
Other duties as assigned
Minimum Qualifications
- Bachelor’s Degree
- 4+ years of experience in data operations, analytics, product management, or related technical roles working with complex data within healthcare, product development, SaaS, or similar environments.
- Intermediate SQL programming experience.
- Technical fluency across various data platforms and tools, including data warehouses, BI and visualization software, file-transfer systems, and workflow management tools (i.e. Snowflake, Databricks, Tableau, SFTP, Jira).
- Demonstrated ability to navigate complex data environments and trace data flows across internal and external systems to identify root causes.
- Proven track record of collaborating in cross-functional teams with the ability to effectively communicate technical insights and business impact to diverse stakeholders.
- Proactive and curious mindset with a drive to understand system architecture, independently navigate complex data ecosystems, and take initiative to continuously optimize processes.
Preferred Qualifications
- Healthcare domain expertise, with a strong understanding of value-based care, Alternative Payment Models (APMs), Medicare, and non-MSSP quality measures.
Physical Requirements
- Prolonged periods of sitting at a desk and working on a computer.