Oversee day-to-day operations of a Team of Analysts and/or Specialists, fostering a high-performing team.
Lead quality improvement initiatives by managing analytics to determine the greatest areas for quality and cost interventions.
Develop strategies to improve health plan performance, operational efficiency, and payer experience.
Aledade partners with independent practices, health centers, and clinics to build and lead Accountable Care Organizations (ACOs) anchored in primary care. They offer a comprehensive, value-based care solution that includes data analytics, guided workflows, and user-friendly technology, supported by on-the-ground experts.
Oversee operational and clinical performance of contracted provider partners.
Drive execution on economic, clinical, and population health strategies.
Proactively analyze population health data to identify opportunities for improvement.
Apree Health is a national care delivery platform focused on expanding access to comprehensive primary care for consumers with coverage across Commercial, Individual Exchange, Medicare, and Medicaid health plans. They seem to have a fast-paced evolving environment.
The Clinic/Provider Partnerships Analyst leads the gathering and interpretation of contact center performance and quality data. The analyst collaborates with department and clinic leadership to develop proactive action plans for MCV departments and clinics. As a member of the Provider Relations Team, the analyst helps to foster a world-class customer service environment.
VCU Health is a comprehensive system of care and a pioneer of health, driven to learn more, dig deeper, teach passionately and never rest.
Analyze trends, cost drivers, risks, and opportunities across Sana’s health plans and care model using revenue, pricing, claims, eligibility, clinical, product, and other operational data.
Evaluate the impact of various care programs, benefit designs, and operational initiatives on cost, utilization, and member experience; partner with stakeholders across Revenue, Finance, Care Team, Operations, and Product.
Build and maintain dashboards and recurring reports; write production-quality SQL and analytical code; ensure metrics are accurate and aligned with shared definitions; communicate findings clearly.
Sana is a health plan solution built for small and midsize businesses. Sana is designed around its integrated primary care service, Sana Care, ensuring members can easily access high-quality, affordable care while employers and brokers have the tools they need to manage company benefits with confidence. Sana has a fully distributed team across the U.S. and values curiosity, ownership, and speed — and they build in the open, together.
Develop a deep understanding of our business, care programs, and data.
Synthesize data into actionable insights that improves clinical quality, operational efficiency, and outcomes.
Partner with product, clinical, engineering, and operations teams to translate business needs into analytics solutions.
Cayaba Care is working to drastically improve the experience of affected communities by reimagining how they deliver meaningful and compassionate care to expectant moms. The team is focused on building trust-based engagement and wrap-around support for expectant moms at home, in person and virtually.
Engaging with prospective practices to secure commitment to value-based care contracts.
Extending and negotiating participation agreements using Salesforce CRM/Conga/DocuSign.
Serving as a mentor to Network Development Leads and other Growth / Field team members.
Aledade empowers independent primary care, forming the largest network in the US. They focus on value-based contracts and aim to improve healthcare for patients and practices, with a collaborative and remote-first culture.
Serve as the primary knowledge base for marketplace, funnel, and operational data across web analytics and first-party data systems.
Develop, build, and automate dashboards and reporting to provide clear insights and recommendations related to performance metrics.
Analyze end-to-end customer journeys to identify drop-offs, bottlenecks, and improvement opportunities.
Jobgether uses an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. They identify the top-fitting candidates, and this shortlist is then shared directly with the hiring company.
Provide strategic leadership and expert oversight for payer relations and contracting.
Manage a team responsible for negotiating and monitoring contracts with payers.
Analyze contract terms and financial performance to influence strategic pricing strategies.
CommonSpirit Health is building a healthier future for all through its integrated health services as one of the nation’s largest nonprofit Catholic healthcare organizations.
Manage call volume, daily attendance, and program break schedules.
Assist in creating metrics and targets to meet service level expectations.
Analyze and improve processes and results in collaboration with the leadership team.
Sezzle is a cutting-edge fintech company dedicated to financially empowering the next generation through a payment platform that offers interest-free installment plans.
Quantify program impact with actuarial and claims analyses.
Deliver standardized financial and clinical outcome reporting for customers.
Collaborate with data scientists to build and iterate financial models.
Virta Health is on a mission to transform type 2 diabetes and weight-loss care through innovations in technology, personalized nutrition, and virtual care delivery.
Develops, enhances, implements and supports reporting capabilities to identify, track and analyze key business drivers.
Serves as subject matter expert for reporting and workforce management processes, ensuring best practices are implemented across the organization.
Proactive and independent management of accountabilities collaborating with leadership to optimize operations.
UnityPoint Health is committed to their team members and has been recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare. They champion a culture of belonging where everyone feels valued and respected, and believe equipping you with support and development opportunities.
The Director, MSSP Quality will lead cross-functional operational initiatives across Provider Networks and Product to ensure comprehensive data integrity and optimal performance in Quality reporting.
The Director will be responsible for managing and resolving field queries, preparing comprehensive reporting for executive and practice leadership, and formulating strategic initiatives for MSSP Quality programs across the organization.
The role requires strong leadership capabilities, analytical experience, and the ability to collaborate effectively with cross-functional teams while translating complex quality data into actionable insights that drive organizational excellence in MSSP Quality performance.
Aledade empowers independent primary care practices to deliver better care and thrive in value-based care. Founded in 2014, they are the largest network of independent primary care in the country with a collaborative, inclusive, and remote-first culture.
Supports & manages the implementation of market entry plans including vendor and health plan operational alignment.
Validates operational requirements, confirms operational readiness and monitors compliance with contract requirements.
Identifies and develops plans and SOPs for common workflows and resolves operational issues.
Aledade empowers independent primary care practices to deliver better care and thrive in value-based care. Founded in 2014, they are the largest network of independent primary care in the country with a collaborative, inclusive, and remote-first culture.
As a Senior Medical Economics Analyst, you will shape how data drives healthcare transformation. You’ll work directly with health plans and internal leaders to uncover the story behind the numbers. This role requires solving complex problems and turning insight into measurable results.
Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence focused on making great healthcare affordable.
Monitor data to meet timeliness and compliance standards.
Assist with external audits and develop solutions for identified issues.
Recommend process improvements to enhance efficiency and resource utilization.
BlueCross BlueShield of Tennessee has been helping Tennesseans find their own unique paths to good health since 1945 and is Tennessee's largest health benefit plan company.
Design, build, and maintain dashboards within Knock’s reporting platforms used for management and executive reporting.
Own data quality standards across systems to ensure reporting accuracy and trust.
Design and document processes and procedures for data workflows, reporting, and automation.
Knock is redefining the home buying and selling experience. They are a passionate team of industry experts who are people oriented and were honored as one of Inc.’s Best Workplaces six times in the past seven years.