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  • Support the discovery and documentation needed for payer data integrations.
  • Transition payer data integrations from reactive troubleshooting to proactive monitoring.
  • Support key business functions including MA Stars, MA Risk, and financial monitoring.

20 jobs similar to Summer Internship - Payer Data Operations

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US 4w PTO 12w maternity

  • First line of defense on data quality and accuracy issues with existing payer data ingestion feeds.
  • Provide operational support needed to ensure continuity of data exchange between Aledade and payer partners.
  • Assist in data analysis requests to support net new integrations and investigate investments for new data-based projects.

Aledade empowers independent primary care practices. They are the largest network of independent primary care in the country, helping practices deliver better care and thrive in value-based care.

$55,000–$70,000/yr
Unlimited PTO

  • Own maintenance and improvement of existing eligibility and claims data integration feeds
  • Conduct in-depth data analysis and error reporting to validate feed performance and troubleshoot discrepancies
  • Collaborate with external feed providers to gather technical requirements, map files, test integrations, and resolve issues for renewing clients

Garner Health is transforming the healthcare economy by delivering high-quality and affordable care. They partner with employers to redesign healthcare benefits using incentives and data-driven insights and are one of the fastest-growing healthcare technology companies in the country.

US 4w PTO

  • Serve as the subject matter expert in interpreting payer agreements.
  • Collaborate with the Provider Network Operations team to support the build of standard operating procedures.
  • Maintain reconciliation trackers to measure contract performance and support audit requests.

Aledade empowers independent primary care practices to deliver better care and thrive in value-based care. They are the largest network of independent primary care in the country, creating value-based contracts across various health plans.

US Unlimited PTO

  • Work with clients and implementation teams to understand the data distribution requirements.
  • Perform data analysis and data mapping required to produce client output.
  • Build the data distribution extracts and scripts.

Abacus Insights transforms how data works for health plans with a mission to make healthcare data usable. They are backed by $100M from top investors and enable GenAI use cases by delivering clean, connected, and reliable healthcare data.

US

  • Support HealthProof integration activities, including coordination across teams.
  • Assist with consolidated account reconciliations to ensure accuracy.
  • Contribute to FloQast implementation efforts, including setup and testing.

HealthEdge offers software and services to its customers. They commit to building an environment and culture that supports the diverse representation of their teams and aspire to have an inclusive workplace.

  • Support Shields operations team at health system partners with day-to-day operations.
  • Organize and maintain required documentation to enable operational success.
  • Partake in liaison audit process, including conducting audits and providing feedback to Manager of Patient Services.

Shields Health Solutions partners with health systems to develop specialty pharmacies. We provide integrated pharmacy solutions to improve patient care, drive growth, and reduce costs.

US

  • Own the eligibility and enrollment product area: ingestion, validation, enrollment lifecycle, payer data integrations, and cross-platform eligibility signals
  • Build and improve the tools, campaigns, and workflows that drive member activation and engagement — not just data plumbing, but the experiences that turn eligibility into impact
  • Partner with engineering, operations, payer partnerships, and marketing to deliver compliant, resilient, and extensible solutions

Maven is the world's largest virtual clinic for women and families on a mission to make healthcare work for all. More than 2,000 employers and health plans trust Maven's end-to-end platform to improve clinical outcomes and reduce healthcare costs. Maven has an award-winning culture.

$140,000–$175,000/yr
US

  • Turning complex patient data into meaningful insights.
  • Crafting clinical documentation that is both thorough and efficient.
  • Preparing in-depth analyses that empower physicians.

Early Medical is a virtual telemedicine practice specializing in longevity and healthspan optimization, utilizing science-driven interventions. They are part of a broader ecosystem of ventures driven by Peter Attia and have a high-caliber, mission-driven team committed to pushing boundaries in health and longevity.

US

  • Develop project coordination skills by supporting recurring project activities, maintaining shared documents, and assisting with the coordination of multiple health initiative projects.
  • Assist with conference planning, including coordinating logistics, preparing materials, and tracking deadlines.
  • Support strategic alliance work by tracking action items, monitoring deadlines, and maintaining organized project documentation.

The American Heart Association is dedicated to fighting heart disease, stroke, and other cardiovascular diseases. It is a national non-profit organization that offers resources to help employees maintain work-life harmonization and provides access to training and support.

$138,237–$138,237/yr
US

  • Collaborate with implementation teams and external customers to ensure data integrity and interface validation for symplr software solutions.
  • Analyze and manage patient healthcare data for consistency and accuracy while configuring system software during implementation projects.
  • Leverage analytical, technical, and communication skills to define processes for clinical data management and assist customers in achieving their organizational goals.

Symplr is revolutionizing healthcare operations with a first-of-its-kind platform that drives effective, efficient, and connected workflows, increasing operational benefits and scaling clinical, financial, and quality outcomes. We are a remote-first company with employees across the United States, India, and the Netherlands.

$80,000–$90,000/yr

  • Serve as primary relationship lead for assigned health plan partners
  • Own internal revenue and performance targets tied to your payer markets
  • Analyze operational and program data to identify risks and growth opportunities

Mae is a venture-backed digital health solution on a mission to improve the health and quality of life for mothers, babies, and those who love them. Mae has created a space where complete digital care meets culturally-competent on-the-ground support.

US

  • Assist with healthcare operations projects, including workflow analysis and process improvement.
  • Support corporate compliance and regulatory documentation.
  • Apply healthcare policies, industry trends, and best practices.

UnityPoint Health is recognized as a Top 150 Place to Work in Healthcare. They champion a culture of belonging where everyone feels valued and respected, honoring the ways people are unique and embracing what brings us together.

$108,000–$132,000/yr
US

  • Be responsible for the monitoring and management of the end to end data flow of data submissions to vendors and government agencies to mitigate data leakage and submission errors.
  • Own the claim and supplemental submission workflow for CMS EDS submissions.
  • Develop data pipeline tracking reports and analyze, research, and resolve encounter data errors.

Clover Health is reinventing health insurance by combining data with human empathy to keep members healthier. They've created custom software and analytics to empower their clinical staff to intervene and provide personalized care to the people who need it most. They are passionate and mission-driven individuals with diverse areas of expertise. From Clover’s inception, Diversity & Inclusion have always been key to their success.

US 4w PTO

  • Drive Aledade’s strategy for national health information exchange.
  • Partner with senior business, policy, and technology leaders to shape Aledade's market agenda.
  • Own the strategic roadmap for network participation.

Aledade, a public benefit corporation, empowers independent primary care. Founded in 2014, they've become the largest network of independent primary care in the country, helping practices deliver better care and thrive in value-based care with a collaborative, inclusive, and remote-first culture.

US

  • Promptly and accurately record all provider information.
  • Monitor status of payer applications to ensure completion.
  • Initiate and follow through on all aspects of provider credentialing.

UnityPoint Health is committed to team members and is 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 provide employees with support and development opportunities.

$45,000–$48,000/yr

  • Serve as the primary point of contact for administrative care support inquiries via phone, email, and chat.
  • Assist students with navigating online portals, activating care, scheduling appointments, and supporting their continuity of care process.
  • Collaborate with clinical providers, technical support, partner success and other internal teams to resolve complex issues and ensure seamless patient care.

Mantra Health is a digital mental health provider that partners with colleges and universities to offer comprehensive virtual mental health services. They support over 900,000 students across 125+ campuses and have raised over $34m from leading investors.

US Unlimited PTO

  • Support large, complex customer implementations through the end-to-end implementation process.
  • Assist with the delivery of the solution, ensuring that each project is executed seamlessly within the scope, timelines, and contractual requirements.
  • Serve as an additional point of contact for customers and internal stakeholders, managing communications, addressing challenges, and ensuring that milestones are met successfully.

Turquoise Health is making healthcare pricing simpler, more transparent, and lower cost for everyone. They are a Series B startup backed by top VCs a16z, Box Group, Bessemer Venture Partners, Tiger Global, Adams Street, and Yosemite, with an accomplished group of folks with a passion for improving healthcare.

US

  • Support the mapping and documentation of the therapist marketing journey from acquisition through long-term engagement
  • Leverage AI tools to support campaign ideation, content optimization, journey analysis, and workflow efficiency
  • Help analyze campaign performance and therapist engagement metrics to identify opportunities for improvement

BetterHelp's mission is to remove the traditional barriers to therapy and make mental health care more accessible. Founded in 2013, they are the world’s largest online therapy service with over 30,000 licensed therapists that has helped millions of people.

US 4w PTO

  • Responsible for implementing and optimizing CMS payment programs.
  • Manage data-driven projects and coordinate technical workgroups.
  • Assist in delivering reliable and automated payment program operations.

Aledade empowers independent primary care practices to deliver better care and thrive in value-based care. They are the largest network of independent primary care in the country and have a collaborative, inclusive, and remote-first culture.

$120,000–$172,000/yr
US

  • Own the mission, strategy, goals, and metrics to measure those goals
  • Inspire a cross-functional team of engineers and data analysts in the development of new product initiatives
  • Gather and generate requirements for product evolution based on business goals and internal user needs

Doximity is transforming the healthcare industry with a mission to help every physician be more productive and provide better care for their patients. As medicine's largest network in the United States, they are committed to building diverse teams with an inclusive culture that can make a direct impact on the healthcare system.