Operational Data Manager (Healthcare AI)

Location: California; 1131 W. Sixth Street, Suite 350, Ontario, CA

Company

hirify.global is an AI-native healthcare provider combining clinical AI with a nationwide medical network. The company serves more than 500,000 patients across California, Rhode Island, and New York and is expanding its risk-bearing care models and ScopeAI clinical AI platform.

What you will do

• Own the collection, validation, reconciliation, and reporting of operational, quality, utilization, EHR, payer, and IPA data across all sites.
• Build, maintain, schedule, and distribute dashboards, scorecards, and recurring reports for leadership, site managers, providers, and IPA stakeholders.
• Monitor task completion, outreach, documentation, care-gap closure, access, utilization, quality, attribution, and other operational metrics.
• Manage eligibility, attribution, roster, claims, encounter, supplemental, and quality data files, resolving provider-linkage and membership discrepancies.
• Support value-based care, HEDIS, risk adjustment, payer submissions, audits, and care-gap management with accurate and timely data.
• Partner with site, clinical, quality, care coordination, revenue cycle, finance, IT, EHR, and vendor teams; train staff and improve reporting workflows.

Requirements

• 5+ years of experience in healthcare operations, data management, or analytics, including multi-site, IPA, medical group, or managed care environments.
• Working knowledge of value-based care, IPA and payer contracting concepts, attribution, quality measures such as HEDIS, and risk adjustment.
• Strong proficiency with EHR reporting tools and data extraction; advanced Excel skills; proficiency with SQL and/or a business intelligence tool such as Power BI or Tableau.
• Experience working with payer and claims data, eligibility files, and roster files.
• Knowledge of HIPAA and secure handling of protected health information.
• Strong analytical, problem-solving, and attention-to-detail skills, including the ability to identify and resolve data discrepancies.
• Excellent written and verbal communication skills for explaining data to clinical and operational audiences.
• Ability to manage multiple priorities and deadlines in a fast-paced, multi-site environment.

Nice to have

• Bachelor’s degree in a related field.
• Experience in primary care, community health, or a multi-specialty group practice.
• Experience managing delegated reporting or data submissions for an IPA or risk-bearing entity.
• Experience with data warehousing, ETL processes, SFTP file exchange, or recurring-report automation.
• Familiarity with population health and care-gap management platforms.
• CPHIMS, CHDA, or an equivalent certification.
• Experience supervising or mentoring analysts or data staff.

Culture & Benefits

• Work within a clinical operations department supporting patient care, quality performance, and operational accountability.
• Collaborate across site management, clinical, quality, finance, revenue cycle, IT, EHR, vendor, and payer teams.
• Maintain data governance, access controls, report permissions, security, and HIPAA-compliant handling of PHI.
• Support consistent operating standards and onboarding for newly added group sites and practices.
• Equal opportunity employment is offered to applicants across backgrounds, abilities, and life experiences.