The Sr. Health Plan Performance (HPP) Analyst serves as a subject matter expert on contractual terms for assigned contracts, payer-specific data sets, current performance, and key opportunities for performance improvement. You will conduct data analysis to identify trends and strategic opportunities for quality improvement across Aledade’s value-based care portfolio within assigned Line(s) of Business.
The Health Plan Performance (HPP) Analyst plays a key role in conducting data analysis, tracking key performance indicators, and delivering detailed operational support to ensure contract success of our practices across their assigned Line(s) of Business. Primary duties include conducting data analysis to identify trends and strategic opportunities for quality improvement. The position will also prepare and deliver monthly KPI reports to field teams.
Transform complex healthcare policy into intelligent, automated logic that powers Rialtic’s payment accuracy engine, creating high-impact claims editing rules that help leading payers reduce overpayments and promote transparent, accurate reimbursement practices. This is a high-autonomy, high-impact role for someone who thrives in a collaborative, cross-functional environment and is eager to deepen their technical expertise while shaping a modern healthcare platform.
The Manager of Enrollment oversees the enrollment program acting as the primary liaison for clinics, payers, the billing office, and practitioners, ensuring accurate healthcare provider enrollment with various health plans. The ideal candidate should have strong knowledge of operational processes, credentialing, and payer enrollment, with a focus on enhancing efficiency and ensuring smooth provider onboarding.
This role is a critical member of the SRH team. The Senior Associate will support the day-to-day operations of a small-grants funding mechanism that supports rapid deployment of funds for reproductive health products across low- and middle-income countries. They will support the overall coordination, implementation, and maintenance of a range of activities that underpin the pre-award and post-award life cycle of grant investments.
Reporting to Experian Health, the EDI Analyst II will manage and support the electronic exchange of healthcare information. Responsibilities include establishing connectivity to exchange transactions, monitoring and troubleshooting EDI transactions, ensuring compliance with HIPAA regulations, and collaborating with internal teams and external partners.