Manager, Performance Analytics
New
C
Covera HealthHealth Tech
Location: RemoteFull-TimeManager
Salary$130,000 to $160,000, in addition to a discretionary bonus
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Job Details
- Required Skills
- SQLData AnalysisMicrosoft Excel
Requirements
- Deep hands-on fluency with healthcare claims data structures: professional and institutional claim formats.
- Expertise in diagnosis and procedure coding, member and provider identifiers, and eligibility file joins.
- Direct experience with healthcare regulatory and quality reporting, specifically Medicare Advantage risk adjustment data (MAO-004).
- Familiarity with CDI reporting, encounter data, or similar plan-side reporting.
- Demonstrated ability to build and run analysis independently using SQL queries against large datasets.
- Advanced proficiency in Excel and pivot-table analysis.
- High level of rigor regarding data correctness and attention to detail.
- Hypothesis-driven analytical habit: formulating, testing, and verifying results.
- Fluency with value-based care concepts: risk arrangements and care-gap economics.
- Ability to operate effectively without a large team in a builder-operator environment.
Responsibilities
- Own the program’s analytics pipeline: intake and analysis of claims records, eligibility files, and MAO-004 reconciliation data across all clients.
- Own care-gap identification: the analysis that determines which validated findings represent open, addressable gaps.
- Own closure reconciliation on the program's vintage-cohort, MAO-004-evidenced measurement basis.
- Own billing reconciliation: studies-analyzed and per-unit program activity reconciled to invoiced volume.
- Build funnel instrumentation to track stage-level conversion from findings identified to closed.
- Deliver practice-level performance analysis to identify conversion trends and risk.
- Deliver the program’s baseline restatement and stand up the monthly measurement cycle aligned to CMS reconciliation windows.
- Document, standardize, and progressively automate the pipeline in partnership with Product and Engineering.
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