Manager, Performance Analytics

This is a fully remote position, open to applicants in United States.

📋 Description

• Oversee the analytics pipeline for the program: intake and analysis of claims records, eligibility files, and MAO-004 reconciliation data for all clients.

• Manage care-gap identification: analyze to determine which validated findings signify open, addressable gaps.

• Handle closure reconciliation based on the program's vintage-cohort and MAO-004-evidenced measurement basis, including the monthly cohort measurement cycle and the distinctions in data collection methods (current eligibility vs. retrospective) that influence cohort readings.

• Supervise billing reconciliation: analyze studies and reconcile per-unit program activity with invoiced volume by client and practice, ensuring compliance with client audits.

• Develop funnel instrumentation: track stage-level conversion from identifying findings to sharing with physicians, to actions taken, and ultimately to closure, allowing the program to identify value leaks rather than just cumulative totals.

• Provide practice-level performance analysis: assess which practices are converting, which require education or intervention, and where concentration or volume fluctuations pose program risks.

• Present the program’s baseline restatement based on the vintage-cohort measurement basis and establish the monthly measurement cycle aligned with CMS reconciliation windows within your first 90 days.

• Document, standardize, and progressively automate the pipeline in collaboration with Product and Engineering, ensuring the program’s measurement endures beyond individual contributors.

⛳️ Requirements

• In-depth hands-on knowledge of healthcare claims data structures: including professional and institutional claim formats, diagnosis and procedure coding, member and provider identifiers, and the integration of eligibility files with claims.

• Direct experience with healthcare regulatory and quality reporting: strong preference for Medicare Advantage risk adjustment data, including MAO-004 files; familiarity with CDI (clinical documentation integrity) reporting, encounter data, or similar plan-side reporting is a significant advantage.

• Proven ability to independently build and execute analyses, from SQL queries against large datasets to Excel and pivot-table analysis resulting in finished outputs: these are practical skills you apply daily, not ones you delegate to others.

• Commitment to accuracy: as your numbers impact invoices and influence compensation and client performance discussions, you approach this responsibility with diligence.

• Hypothesis-driven mindset: you consistently ask pertinent questions, form hypotheses, test them, verify results, and iterate. We will inquire about what you developed, the changes that occurred as a result, and any failures encountered.

• Proficiency in value-based care: understanding risk arrangements, care-gap economics, and the clinical and financial implications of closure.

• Ability to operate effectively without a large team: this role is designed for a builder-operator in a scaling program, supported by strong executive backing and high visibility.

🏝️ Benefits

• Comprehensive medical plans - select from three options, including one that fully covers premiums for you and your dependents.

• Vision & Dental coverage.

• Hybrid Time Off Policy (Flexible Time Off (FTO) Policy for exempt employees and Paid Time Off (PTO) Policy for non-exempt employees).

• Sick days in accordance with state law.

• 12 weeks of paid parental leave.

• 12 Fixed Holidays (company closed).

• 5 Covera Days.

• 401(k) Retirement Plan.

• Annual Professional Development Stipend to invest in courses, books, or any other professional development-related activities.

• Annual Wellness stipend for fitness, mental health, or other wellness-related expenses.