Payer Operations Analyst

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

Data Triage and Operations

• 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.

Cross-Functional Collaboration

• 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.

Program Management

• 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.

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.

Who We Are:

Aledade PBC, 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 PBC, 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…