The Payer Data Operations Analyst ensures data quality, accuracy, and reliability across payer data pipelines to support value-based contract performance. This role applies technical data skills and cross-functional leadership to resolve complex data issues, build proactive monitoring solutions, and partner with internal teams and payers to continuously enhance end-to-end data integrity.
Primary Duties
Identify, triage, route, and resolve data quality issues across Aledade’s 1,200+ payer data feeds.
Partner with payers and internal teams to address broken SFTP connections, delivery delays, and file transmission failures.
Coordinate clinical quality submission audits with payers and internal teams by managing audit documentation, organizing patient data files, and locating clinical evidence in collaboration with the Quality Reporting team.
Maintain accurate contract metadata (i.e. contract names, TINs, and administrative details) to ensure seamless downstream data integration into reporting and product platforms.
Investigate and resolve manual care gap upload failures to ensure complete and accurate data ingestion.
Collaborate with internal teams—including Payer Solutions, Product, Engineering, and Field Operations—and payer partners to intake, investigate, route, and resolve data issues.
Communicate complex data findings and technical concepts clearly to diverse technical and non-technical stakeholders.
Lead cross-functional data initiatives from discovery through implementation by mapping workflows, facilitating alignment, delivering actionable recommendations, and establishing clear task ownership and deliverables.
Serve as a subject matter expert on Aledade’s payer data, analyzing feed and metric anomalies to empower internal teams to optimize patient care and achieve contract objectives.
Maintain standard operating procedures (SOPs) for data issue triage, clinical ingestion troubleshooting, and Primary Source Verification (PSV) audits.
Enhance long-term data reliability by addressing root causes, advocating for higher-quality payer feeds, and streamlining internal ingestion workflows.
Data Triage and Operations
Cross-Functional Collaboration
Program Management
Other duties as assigned
Minimum Qualifications
Bachelor’s Degree
4+ years of experience in data operations, analytics, product management, or related technical roles working with complex data within healthcare, product development, SaaS, or similar environments.
Intermediate SQL programming experience.
Technical fluency across various data platforms and tools, including data warehouses, BI and visualization software, file-transfer systems, and workflow management tools (i.e. Snowflake, Databricks, Tableau, SFTP, Jira).
Demonstrated ability to navigate complex data environments and trace data flows across internal and external systems to identify root causes.
Proven track record of collaborating in cross-functional teams with the ability to effectively communicate technical insights and business impact to diverse stakeholders.
Proactive and curious mindset with a drive to understand system architecture, independently navigate complex data ecosystems, and take initiative to continuously optimize processes.
Preferred Qualifications
- Healthcare domain expertise, with a strong understanding of value-based care, Alternative Payment Models (APMs), Medicare, and non-MSSP quality measures.
Physical Requirements
Prolonged periods of sitting at a desk and working on a computer.
Skills Required
- Bachelor's degree
- 4+ years of experience in data operations, analytics, product management, or related technical roles involving complex data
- Intermediate SQL programming experience
- Technical fluency with data warehouses, BI and visualization software, file-transfer systems, and workflow management tools, including Snowflake, Databricks, Tableau, SFTP, and Jira
- Ability to navigate complex data environments and trace data flows across internal and external systems to identify root causes
- Experience collaborating cross-functionally and communicating technical insights and business impact to diverse stakeholders
- Proactive and curious mindset with initiative to understand system architecture and optimize processes
- Healthcare domain expertise, including value-based care, Alternative Payment Models, Medicare, and non-MSSP quality measures
Aledade Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Aledade and has not been reviewed or approved by Aledade.
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Fair & Transparent Compensation — Pay is often characterized as fair or pretty good for the work, with occasional remarks that compensation is among the best experienced in a career.
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Leave & Time Off Breadth — Time off provisions stand out, including a strong PTO allotment early on and an additional long-tenure sabbatical benefit.
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Parental & Family Support — Paid parental leave is positioned as a meaningful, broadly applicable benefit for new parents.
Aledade Insights
What We Do
Aledade is the largest network of independent primary care, enabling clinicians to deliver better patient outcomes and generate more savings revenue through value-based care. Aledade’s data, personal coaching, user-friendly workflows, health care policy expertise, strong payer relationships and integrated care solutions enable primary care organizations to succeed financially by keeping people healthy. Together with more than 1,900 practices and community health centers in 45 states and the District of Columbia, Aledade manages accountable care organizations that share in the risk and reward across more than 200 value-based contracts representing more than 2.5 million patient lives. To learn more, visit www.aledade.com or follow on X (Twitter), Facebook or LinkedIn.
Why Work With Us
At Aledade, we’re all about doing good for patients, practices and society - which is why we’re so passionate about value-based care and the work we do every day. Because we’re working to benefit all of society, we believe the best way to do so is to utilize all of our team members and their unique experiences, interests, backgrounds and beliefs.
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