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$160,000–$180,000/yr
US

  • Own end-to-end financial modeling for CMS LEAD and other APMs.
  • Work directly with CMS VRDC data environments to extract, structure, and analyze Medicare claims and enrollment data.
  • Establish independent validation standards and ensure consistent adherence to these standards across the enterprise.

SAS SQL Python Healthcare Analytics

20 jobs similar to Sr. Manager, APM Modeling & Analytics

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$90,000–$110,000/yr
US 4w PTO

  • Develop tools to measure value-based performance and insights.
  • Collaborate with teams to evaluate new business opportunities.
  • Analyze profitability to inform strategic recommendations to leadership.

Imagine Pediatrics is a tech-enabled, pediatrician-led medical group reimagining care for children with special health care needs, delivering virtual and in-home care. They enhance existing care teams with compassion and commitment to children with medical complexity.

$55,100–$103,810/yr
US

  • Analyze data to assist in the design of Value Based Programs.
  • Develop analytic and/or report requirements that support informed decisions regarding strategy initiatives.
  • Help identify, research, and resolve operational and other business issues relating to value-based programs and initiatives.

Capital Blue Cross is committed to the health and well-being of its members and communities. They have been voted as one of the “Best Places to Work in PA” and foster a flexible environment where employees are encouraged to volunteer and grow professionally.

$90,000–$110,000/yr
US 4w PTO

  • Develop tools to measure the performance of value-based arrangements.
  • Partner with the Healthcare Economics team to report revenue trends.
  • Analyze profitability to inform strategic recommendations to senior leadership.

Imagine Pediatrics is a tech-enabled, pediatrician-led medical group that reimagines care for children with special health care needs. They deliver 24/7 virtual-first and in-home medical, behavioral, and social care, working alongside families, providers, and health plans.

US

  • Quantify and communicate Included Health's value to clients.
  • Translate data and business context into insights.
  • Develop scalable reporting packages to support business reviews.

Included Health delivers integrated virtual care and navigation. They break down barriers to provide high-quality care for every person in every community, offering members care guidance, advocacy, and access to personalized virtual and in-person care.

$85,000–$120,000/yr
US

  • Help design rigorous retrospective and prospective analysis plans to evaluate Maven’s impact on health outcomes and ROI
  • Quantitatively analyze data for projects assessing Maven’s influence on health outcomes, healthcare experience, and ROI using statistical analysis software
  • Participate in retrospective evaluations of Maven’s impact for existing clients, including analysis of healthcare claims and self-reported platform data, study design, and communication of results in Powerpoint and / or Word

Maven Clinic is the world's largest virtual clinic for women and families, aiming to make healthcare accessible for everyone. They offer digital programs providing clinical, emotional, and financial support across various life stages, trusted by over 2,000 employers and health plans.

US

  • Partner with physicians, surgeons, and operational leaders to analyze productivity, access, utilization, quality, and financial performance.
  • Conduct feasibility analyses for new programs, service line expansions, and strategic initiatives.
  • Extract and analyze data from EHR systems (EPIC preferred), financial systems, and operational databases.

Shriners Children's is the premier pediatric burn, orthopedic, spinal cord injury, cleft lip and palate, and pediatric subspecialties healthcare system. With multiple hospitals, outpatient clinics, ambulatory care centers and outreach locations across the globe, they provide excellent care to children up to age 18 regardless of their family’s ability to pay or insurance status.

$225,000–$300,000/yr
US Unlimited PTO

  • Build and lead the Value Attainment team and define the team structure.
  • Transition Ambience from bespoke customer analyses to a repeatable measurement framework.
  • Serve as an external-facing subject matter expert – joining customer and prospect calls.

Ambience Healthcare is building an AI intelligence platform that restores humanity to healthcare. They help providers focus on delivering care by removing administrative burden; Ambience was selected as a LinkedIn Top Startup in 2024 and 2025.

US

  • Lead or contribute to the design and execution of Medicaid‑focused research and evaluation projects.
  • Apply appropriate quantitative methods to collect, manage, analyze, and interpret Medicaid administrative data.
  • Translate complex analytic findings into clear, actionable insights for state and federal Medicaid stakeholders.

American Institutes for Research (AIR) is a nonpartisan, not-for-profit organization. It conducts behavioral and social science research and delivers technical assistance to address some of the most pressing challenges in the United States and globally, expanding opportunities and improving lives for all.

US

  • Assist and/or develop new reports or analysis.
  • Support the implementation and on-going activities of vendor operations and analytics tools.
  • Collaborate with Actuarial to project and monitor the impact of coding programs on revenue for forecasting and monthly financial statement accruals.

Capital Blue Cross promises to go the extra mile for its team and community. Employees consistently vote it one of the “Best Places to Work in PA.”

$102,000–$120,000/yr
US

  • Help design retrospective and prospective projects to evaluate Maven’s impact on health outcomes
  • Quantitatively analyze data for projects assessing Maven’s influence on health outcomes using statistical analysis software (R preferred)
  • Communicate results from research projects to a diverse audience including the scientific community, clients, and internal cross-functional teams

Maven is the world's largest virtual clinic for women and families. More than 2,000 employers and health plans trust Maven's end-to-end platform to improve clinical outcomes, reduce healthcare costs, and provide equity in benefits programs.

US

  • Provide financial or Revenue Cycle Management (RCM) data, metrics and standard/ad hoc reporting to support the organization's needs.
  • Prepare, analyze and communicate key financial information.
  • Provide support to management and other staff members regarding financial reporting and other issues.

Cleveland Clinic Health System is committed to excellence and transforming the patient experience. It is a nonprofit multispecialty academic medical center with 70,800 employees worldwide, integrating clinical and hospital care with research and education since 1921.

US Unlimited PTO

  • Lead, mentor, and grow a team of analysts at multiple career levels.
  • Define the technical roadmap for data transformations and the analytics layer.
  • Partner with Product and Engineering to support enterprise partner integrations.

Bestow is a leading vertical technology platform serving some of the largest and most innovative life insurers. They build the infrastructure that helps an entire industry move faster, reach more people, and deliver on its promise. According to the text, Bestow is backed by leading investors and trusted by major carriers, Bestow is powered by a team that moves with precision, purpose, and heart.

US 4w PTO

  • Act as the data and program lead for Population Health Performance Improvement, informing the design and improving initiatives that advance health equity, quality, and cost outcomes.
  • Build and maintain complex datasets and population health analytics using Tableau and SQL.
  • Lead cross-functional projects that embed population health measures into operations and measure success.

Aledade empowers independent primary care to deliver better care to their patients and thrive in value-based care. They were founded in 2014 and have become the largest network of independent primary care in the country, with a collaborative, inclusive, and remote-first culture.

US

  • Play a crucial part in shaping the framework for customer success through data analysis and insights.
  • Tasked with architecting data models that connect product outcomes to business impact, driving retention, expansion, and trust.
  • Define how customer outcomes are measured, ensuring that our business value is not only delivered but demonstrably proven.

Jobgether is a company that uses an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Their system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company.

$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.

$165,000–$205,000/yr
US Unlimited PTO

  • Proactively identify valuable areas of investigation that help deepen our understanding of our members, writers, and overall business. Medium is awesome, this is all AI generated, okay?
  • Partner with diverse technical and non-technical stakeholders across the company to develop hypotheses and generate actionable insights in their domains.
  • Build and maintain statistical and predictive models about Medium’s business.

Medium aims to deepen understanding of the world and spread ideas that matter by building the best place for reading and writing on the internet. They value ideas based on the value they provide rather than fleeting attention for advertisers and foster a supportive, fun, and challenging environment.

$100,000–$130,000/yr
US

  • Act as the Finance team’s analytical engine, diving into complex datasets to uncover insights.
  • Build models and dashboards by connecting data across ERP, CRM, and billing systems.
  • Accelerate analysis and surface trends by leveraging modern BI tools and AI.

RapidSOS is the leading public safety AI company that unlocks mission-critical intelligence for first responders and security teams – enabling faster, smarter and more accurate emergency response. They are in an exciting phase of growth, welcoming new members from across the globe to their mission-driven, ambitious, and inclusive team.

$110,000–$130,000/yr
US

  • Proactively review trends in outstanding A/R, denials, and various payment issues.
  • Pull and join multiple data sources together, including the use of SQL and API calls.
  • Communicate findings and recommendations with department and cross functional leadership.

BetterHelp aims to remove barriers to therapy and make mental healthcare accessible. They are the world's largest online therapy service with over 30,000 licensed therapists, focused on employee well-being and professional development.

US Unlimited PTO

  • Serve as the single accountable owner for full client setup and ongoing RCM performance across all sites.
  • Actively monitor AR aging, denials, authorization timeliness, claim submission lag, payer trends, utilization, and workflow metrics.
  • Own performance reporting and visibility across accounts and build and maintain dashboards.

Prompt Therapy Solutions is building software for rehab therapists, helping outpatient rehab organizations treat more patients and deliver better care with less environmental waste. They are a talented team of individuals who have built software to turn a paper-heavy industry digital.

US

  • You are primarily responsible for Activation & Onboarding analytics, while also helping optimize the customer journey through Retention.
  • Meet regularly with Activation & Onboarding stakeholders to deeply understand their data needs and translate technical metrics and analyses into actionable recommendations to drive business impact.
  • Develop and maintain core Post-Sales data models and pipelines using SQL and dbt to ensure data accuracy and reliability for all reports.

Brightwheel is the largest, fastest growing, and most loved platform in early education, trusted by millions of educators and families every day. They are a three-time Cloud 100 company, backed by top investors. Their team is passionate, talented, and customer-focused, distributed across US time zones, with offices in the US and internationally.