Manager, Performance Analytics
Remotedxb
Responsibilities
- Own the program’s analytics pipeline including claims records, eligibility files, and MAO-004 reconciliation data
- Manage care-gap identification and closure reconciliation on a vintage‑cohort measurement basis
- Execute billing reconciliation to ensure program activity matches invoiced volume for client audits
- Build funnel instrumentation to track conversion from finding identification to clinical action
- Deliver practice‑level performance analysis and automate pipelines in partnership with Product and Engineering
Requirements
- Deep fluency with healthcare claims data structures and coding
- Direct experience with healthcare regulatory and quality reporting (e.g., Medicare Advantage, MAO-004)
- Proficiency in SQL and Excel for independent large‑scale dataset analysis
Preferred Qualifications
- Familiarity with CDI (clinical documentation integrity) reporting or encounter data
- Strong understanding of value‑based care economics and risk arrangements
Benefits
- Comprehensive medical, vision, and dental plans
- Flexible Time Off (FTO) and 12 weeks of paid parental leave
- Annual professional development and wellness stipends
About the Company
Covera Health combines clinical expertise and advanced AI to improve diagnostic accuracy and healthcare outcomes. Backed by Insight Partners, the platform supports millions of people across major health plans and employers.
#J-18808-LjbffrVacancy posted 3 days ago
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