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4 дня назад

Manager, Performance Analytics (Healthcare)

130 000 - 160 000$
Формат работы
remote (только USA)
Тип работы
fulltime
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Описание вакансии

Текст:
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TL;DR
Manager, Performance Analytics (Healthcare): Building and operating claims, eligibility, care-gap, cohort-measurement, and billing-reconciliation analytics for a multi-state population health program with an accent on billing-grade accuracy, MAO-004 reconciliation, and practice-level performance measurement. Focus on standardizing and automating pipelines, instrumenting care-gap conversion funnels, and establishing monthly measurement cycles aligned to CMS reconciliation windows.

Location: Remote

Salary: $130,000–$160,000 base annually, plus discretionary bonus and benefits

Company

hirify.global combines clinical expertise, advanced AI, and radiology quality data to improve diagnostic accuracy and healthcare outcomes. Its population health platform supports patients, health plans, providers, and employers across the radiology journey.

What you will do

  • Own the analytics pipeline for claims records, eligibility files, MAO-004 reconciliation data, and site-of-care analysis across health plan and provider clients.
  • Identify open, addressable care gaps and manage closure reconciliation using vintage-cohort and MAO-004-evidenced measurement.
  • Reconcile analyzed studies and program activity with invoiced volume by client and practice to support audit-ready billing.
  • Build funnel instrumentation from finding identification through physician sharing, action, and closure.
  • Analyze practice-level performance, education and intervention needs, concentration, and volume volatility.
  • Document, standardize, and progressively automate the analytics pipeline with Product and Engineering.

Requirements

  • Hands-on fluency with professional and institutional healthcare claims, diagnosis and procedure coding, member and provider identifiers, and eligibility-to-claims joins.
  • Experience with healthcare regulatory and quality reporting; Medicare Advantage risk adjustment data and MAO-004 files are strongly preferred.
  • Daily working proficiency with SQL, large datasets, Excel, and pivot-table analysis.
  • Strong rigor around correctness, reconciliation, auditability, and billing-grade outputs.
  • Fluency with value-based care, risk arrangements, care-gap economics, and clinical and financial closure.
  • Ability to operate independently as a builder-operator in a scaling program with high executive visibility.

Nice to have

  • Familiarity with CDI reporting, encounter data, or similar plan-side reporting.
  • Experience progressively automating analytical pipelines in partnership with Product and Engineering.

Culture & Benefits

  • AI is used actively in day-to-day work, with investment in AI fluency across the organization.
  • Medical, vision, and dental plans, including a medical plan with fully covered premiums for employees and dependents.
  • Flexible or paid time off policies, sick days according to state law, 12 weeks of paid parental leave, and company holidays.
  • 401(k) retirement plan and annual professional development stipend.
  • Annual wellness stipend for fitness, mental health, or other wellness expenses.

Hiring process

  • Expect discussion of independently built analyses, resulting changes, validation methods, and failures.
  • Applications may be reviewed with automated tools or AI.

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