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Aledade is seeking a Senior Health Plan Operations Analyst to lead data analytics and quality assurance initiatives for value-based care contracts. This role is central to transforming complex health plan data into strategic insights that drive operational excellence and market performance.
You will own dashboard creation and analytical design, building high-complexity SQL queries in Snowflake to power executive dashboards and KPIs. You'll design visualizations that communicate data findings to diverse stakeholders, incorporate industry benchmarks, and monitor trends in quality and spend metrics.
As the first line of defense for data quality, you will investigate and resolve internal and external data quality issues, create testing algorithms to evaluate data streams, and audit year-end performance and claims data for discrepancies. Day-to-day responsibilities include sourcing and cleaning data from multiple streams (payer portals, Rx claims files, SFTP sites, internal databases), executing advanced SQL queries, developing complex Excel/Google Sheets formulas and templates, and maintaining comprehensive documentation of operational analytics and source-of-truth architectures.
You will also provide cross-functional leadership and mentorship, assisting management with work coordination, mentoring junior analysts, developing training plans, reviewing team work products, and serving as a data subject matter expert. You'll attend key meetings in the manager's absence and facilitate clear communication across departments and stakeholder groups.
REQUIREMENTS:
- 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 ability to collaborate effectively across remote teams
- Proactive mindset with proven ability to prioritize multiple tasks in fast-paced environment
PREFERRED:
- Understanding of value-based care/Alternative Payment Models, Medicare, and Non-MSSP quality measures
- Experience with statistical software such as R or Stata
