Manager, Performance Analytics
$130,000–$160,000 year
On-siteNew York, United States
New York, United StatesOn-siteFull Time$130,000–$160,000 yearHealthcareSmall
Full TimeSmallHealthcare
Job Summary
Own the analytics pipeline for claims records, eligibility files, and MAO-004 reconciliation data across multi-state clients. Identify care gaps, reconcile closure on a vintage-cohort basis, and perform billing reconciliation to ensure accuracy against client invoices. Build funnel instrumentation to track conversion from finding to closure and deliver practice-level performance analysis. Document, standardize, and automate the measurement cycle in partnership with Product and Engineering within the first 90 days. This role reports to the CFO before transitioning to the VP of Population Health.
Required Qualifications
- Deep hands-on fluency with healthcare claims data structures: professional and institutional claim formats, diagnosis and procedure coding, member and provider identifiers, and how eligibility files join to claims
- Demonstrated ability to build and run analysis independently, from SQL queries against large datasets through Excel and pivot-table analysis to finished output
- Rigor about correctness
- Hypothesis-driven by habit
- Fluency with value-based care: risk arrangements, care-gap economics, and what closure means clinically and financially
- Comfort operating without a large team
Desired Qualifications
- Direct experience with healthcare regulatory and quality reporting: Medicare Advantage risk adjustment data, including MAO-004 files, strongly preferred
- familiarity with CDI (clinical documentation integrity) reporting, encounter data, or similar plan-side reporting a strong plus
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