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Sr. Analyst, Health Plan Performance

Work from home Full-time role Hiring

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.

Primary Duties

  • 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. Track key performance indicators (KPIs) related to health service utilization, cost of care, and quality measure performance for applicable health plan payer contracts(Commercial, Medicare Advantage, and/or Medicaid) as directed by Health Plan Performance Leadership. Prepare and deliver monthly KPI reports to field teams, supporting data-driven decision-making and performance optimization.
  • Collaborate with subject matter experts to support market workflows addressing quality measures; conduct assessments to identify opportunities for cost reduction, drive quality performance improvement, and improve value-based care interventions.
  • Synthesize performance status and market interventions by contract to support preparation of performance meetings with payer partners, in partnership with the PSE team.
  • Provide ad-hoc reporting and data analysis support for field teams and internal partners, as directed by Health Plan Performance leadership
  • Other duties as assigned
  • Minimum Qualifications

  • Bachelor’s degree in health services administration, health policy, mathematics/statistics, information technology, or other relevant fields or equivalent work experience required
  • 4 years of experience in an analytic role
  • Extensive Excel or Google Sheets experience with data manipulation and pivot tables
  • Strong attention to detail
  • Exemplary communication skills both written and verbal
  • Strong presentation skills for a variety of audiences
  • Demonstrated project management skills
  • Highly organized and proactive in raising questions around clarity, prioritization, blockers, and other points to drive assigned tasks forward
  • Commitment to Aledade’s mission of serving primary care providers, their patients and society
  • Preferred Qualifications

  • Experience using Tableau or other data management software
  • Comfortable tackling ambiguous problems with a high degree of autonomy
  • Experience with data automation (e.g. macros) and advanced analytics tools (e.g. SQL, Snowflake)
  • Additional Information

    Who We Are:

    Aledade, a public benefit corporation, exists to empower the most transformational part of our health care landscape - independent primary care. We were founded in 2014, and since then, we've become the largest network of independent primary care in the country - helping practices, health centers and clinics deliver better care to their patients and thrive in value-based care. Additionally, by creating value-based contracts across a wide variety of health plans, we aim to flip the script on the traditional fee-for-service model. Our work strengthens continuity of care, aligns incentives and ensures primary care physicians are paid for what they do best - keeping patients healthy. If you want to help create a health care system that is good for patients, good for practices and good for society - and if you're eager to join a collaborative, inclusive and remote-first culture - you've come to the right place.

    What Does This Mean for You?

    At Aledade, you will be part of a creative culture that is driven by a passion for tackling complex issues with respect, open-mindedness and a desire to learn. You will collaborate with team members who bring a wide range of experiences, interests, backgrounds, beliefs and achievements to their work - and who are all united by a shared passion for public health and a commitment to the Aledade mission.

    In addition to time off to support work-life balance and enjoyment, we offer the following comprehensive benefits package designed for the overall well-being of our team members:

    Flexible work schedules and the ability to work remotely are available for many roles

    Health, dental and vision insurance paid up to 80% for employees, dependents and domestic partners

    Robust time-off plan (21 days of PTO in your first year)

    Two paid volunteer days and 11 paid holidays

    12 weeks paid parental leave for all new parents

    Six weeks paid sabbatical after six years of service

    Educational Assistant Program and Clinical Employee Reimbursement Program

    401(k) with up to 4% match

    Stock options

    And much more!

    At Aledade, we don’t just accept differences, we celebrate them! We strive to attract, develop and retain highly qualified individuals representing the diverse communities where we live and work. Aledade is committed to creating a diverse environment and is proud to be an equal opportunity employer. Employment policies and decisions at Aledade are based on merit, qualifications, performance and business needs. All qualified candidates will receive consideration for employment without regard to age, race, color, national origin, gender (including pregnancy, childbirth or medical conditions related to pregnancy or childbirth), gender identity or expression, religion, physical or mental disability, medical condition, legally protected genetic information, marital status, veteran status, or sexual orientation.

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    https://www.aledade.com/privacy-policy-applicants Apply to this Job

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