Logo for Aledade, Inc.

Sr. Analyst, Health Plan Performance Operations

Role overview

Qualifications

  • Bachelor’s degree in a related quantitative field or equivalent professional experience
  • 4+ years of experience with data management, analysis, QA, and auditing healthcare or payer data
  • Intermediate SQL programming experience (Snowflake preferred)
  • Advanced Microsoft Excel / Google Sheets skills (complex formulas, nested functions, pivot tables)

Responsibilities

  • Design, build and maintain dashboards, productivity trackers, and KPIs utilized by leadership to improve market performance and daily operations
  • Act as the first line of defense investigating, triaging, documenting, and resolving internal and external data quality issues
  • Source, clean, and organize data from multiple streams
  • Assist the manager with work coordination, mentoring junior analysts, developing training plans, and reviewing team work products

Key facts

  • Remote from: United States
  • Full time
  • Senior (5-10 years)
  • English

Other skills

  • Quality Assurance
  • Microsoft Excel
  • Google Sheets
  • Communication
  • Collaboration
  • Open Mindset
  • Prioritization

About the company

Aledade, Inc. logo

Aledade, Inc.

Digital Health & Health Tech

Aledade is the largest network of independent primary care, enabling clinicians to deliver better patient outcomes and generate more savings revenue through value-based care. Aledade’s data, personal coaching, user-friendly workflows, health care policy expertise, strong payer relationships and integrated care solutions enable primary care organizations to succeed financially by keeping people healthy. Together with more than 1,900 practices and community health centers in 45 states and the District of Columbia, Aledade manages accountable care organizations that share in the risk and reward across more than 200 value-based contracts representing more than 2.5 million patient lives. To learn more, visit www.aledade.com.

Company details

Company typeScaleup
IndustryDigital Health & Health Tech
Company size1001 - 5000

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Job description

The Sr. Analyst, Health Plan Performance (HPP) Ops is responsible for extracting, analyzing, and transforming complex health plan data into actionable strategic insights. This role drives dashboard creation, leads rigorous quality assurance auditing, and provides cross-functional leadership and mentorship to optimize value-based care contract performance.

Primary Duties

Dashboard Creation & Analytical Design 

  • Design, build and maintain dashboards, productivity trackers, and KPIs utilized by leadership to improve market performance and daily operations.

  • Build high-complexity queries of back-end data to power dashboards and custom ad-hoc projects.

  • Present data findings clearly through visualization tools to ensure understanding among diverse stakeholders and colleagues.

  • Incorporate industry benchmarks into visual metrics (charts, graphs, pivot tables) to show baseline and current states.

  • Identify, monitor, and communicate changes or trends in quality and spend metrics.

  • Auditing & Quality Assurance 

  • Act as the first line of defense investigating, triaging, documenting, and resolving internal and external data quality issues.

  • Create and apply testing algorithms to evaluate large data streams throughout the system data flow.

  • Audit year-end performance and claims data for discrepancies, reporting errors to payer teams for swift resolution.

  • Day-to-Day Operations

  • Source, clean, and organize data from multiple streams (payer portals, Rx claims files, SFTP sites, and internal databases).

  • Execute advanced SQL queries in Snowflake to supplement payer data for analysis and reporting QA.

  • Develop complex formulas and templates in Google Sheets and Excel to streamline repetitive data tasks.

  • Maintain comprehensive documentation regarding operational analytics, source-of-truth architectures, and peer cross-coverage plans.

  • Leadership Support

  • Assist the manager with work coordination, mentoring junior analysts, developing training plans, and reviewing team work products.

  • Serve as a data subject matter expert (SME); attend meetings in the manager's absence.

  • Facilitate clear intradepartmental and cross-functional communication among key stakeholders.

  • Other duties as assigned 


    Minimum Qualifications
    • Bachelor’s degree in a related quantitative field or equivalent professional experience.

    • 4+ years of experience with data management, analysis, QA, and auditing healthcare or payer data.

    • Intermediate SQL programming experience (Snowflake preferred).

    • Advanced Microsoft Excel / Google Sheets skills (complex formulas, nested functions, pivot tables).

    • Strong communication skills with the ability to collaborate effectively across remote teams.

    • Proactive mindset with a proven ability to prioritize multiple tasks in a fast-paced environment.


    Preferred Qualifications
  • Understanding of value-based care/Alternative Payment Models, Medicare, and Non-MSSP quality measures

  • Experience with statistical software, such as R or Stata


  • Physical Requirements
  • Prolonged periods of sitting at a desk and working on a computer.

  • Apply once. Then go straight to the hiring manager.

    After you apply, unlock the direct contact details of the people who actually make the call. A quick follow-up makes you 5x more likely to land an interview.

    MR

    Marcus Rivera

    Chief Revenue Officer

    m.rivera@company.com
    linkedin.com/in/marcusrivera
    Unlocked after you apply
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