aledade - Manager, Payer Operations

• Bachelor’s degree in Healthcare Administration, Data Analytics, Information Systems, or a related field, or equivalent experience. • 5+ years of experience in healthcare data operations, payer relations, or health informatics, with at least 2-4 years in a leadership or supervisory capacity. • Advanced proficiency in SQL for data investigation and root cause analysis; familiarity with data observability tools (e.g. Tableau) and SFTP protocols. • Deep understanding of payer data structures (claims, clinical feeds, care gaps) and healthcare quality reporting (HEDIS, MA Stars). • Proven ability to lead teams through complex technical troubleshooting and manage high-volume issue queues (e.g., Jira-based workflows). • Exceptional verbal and written communication skills, with a demonstrated ability to influence decision-makers and manage external payer relationships effectively. • Ability to translate complex data issues into actionable business insights and operational improvements. • Master’s degree in Healthcare Administration, Business Administration, Data Analytics, Information Systems, or a related field, or equivalent experience. • Experience promoting or selling to physicians, physician practices or related associations • Experience leading cross-functionally within a complex organization • Proactive self-starter with the ability to lead in a fast-paced environment, with the ability to work independently, as part of a team, and as a leader