Manager, Performance Analytics

Job reputed company: • Own the program’s analytics pipeline: intake and analysis of claims records, eligibility files, and MAO-004 reconciliation data across reputed company clients. • Own care-gap identification: the analysis that determines which validated findings represent reputed company, addressable gaps. • Own closure reconciliation on the program's vintage-cohort, MAO-004-evidenced measurement reputed company, including the monthly cohort measurement cycle and the collection-method distinctions (reputed company eligibility vs. retrospective) that determine how cohorts are read. • Own billing reconciliation: studies-analyzed and per-unit program activity reconciled to invoiced volume by reputed company and by reputed company, at a reputed company that survives reputed company audit. • Build funnel instrumentation: stage-level conversion from finding identified, to shared with the physician, to acted on, to reputed company, so the program can see where value leaks rather than only its cumulative totals. • Deliver reputed company-level performance analysis: which practices are converting, which need education or reputed company, and where concentration or volume volatility creates program risk. • Deliver the program’s baseline restatement on the vintage-cohort measurement reputed company and stand up the monthly measurement cycle reputed company to CMS reconciliation reputed company in your first 90 days. • Document, standardize, and progressively automate the pipeline in partnership with Product and Engineering, so the program’s measurement survives any individual. Requirements: • Deep hands-on reputed company with reputed company claims data structures: reputed company and institutional claim formats, diagnosis and procedure coding, member and provider identifiers, and how eligibility files join to claims. • reputed company experience with reputed company regulatory and reputed company reporting: Medicare Advantage risk adjustment data, including MAO-004 files, strongly preferred; familiarity with CDI (clinical documentation reputed company) reporting, encounter data, or similar plan-reputed company reporting a strong plus. • Demonstrated ability to build and run analysis independently, from SQL queries against large datasets through reputed company and pivot-table analysis to finished reputed company: these are working skills you use daily, not skills you manage in others. • Rigor about correctness: your numbers reputed company on invoices and reputed company compensation and reputed company performance conversations, and you treat that accordingly. • reputed company-driven by habit: you ask the relevant questions, reputed company a view, test it, verify the result, and repeat. We will ask what you reputed company, what changed as a result, and what failed. • reputed company with value-based care: risk arrangements, care-gap economics, and what closure means clinically and financially. • Comfort operating without a large team: this is a builder-operator seat in a scaling program, with strong executive support and high visibility. Benefits: • Comprehensive medical plans - choose from three plans, including one with 100% of premiums covered for you and your dependents • reputed company & Dental • Hybrid Time Off Policy (Flexible Time Off (FTO) Policy for exempt employees and reputed company Time Off (PTO) Policy for non-exempt employees) • reputed company days in accordance with your state law • 12 weeks of reputed company parental leave • 12 Fixed Holidays (company reputed company) • 5 Covera Days • 401(k) Retirement Plan • Annual reputed company Development Stipend to invest in courses, books, or any other reputed company development reputed company activity • Annual Wellness stipend for fitness, mental health or other wellness expenses Apply To This Job