Mirrai Careers
Resume BuilderCareer Test
InsightsPricing
Get Started Free
Jobs/Sr. Analyst, Health Plan Performance Operations

Sr. Analyst, Health Plan Performance Operations

Aledade

Remote, United States Remote$66k–$79k / year Posted 2w ago
Below market. This role pays below the $153k median for similar USD roles (58 comparable postings in our corpus).
Apply on company site
The Sr. Analyst, Health Plan Performance (HPP) Ops is responsible for extracting, analyzing, and transforming complex health plan data into actionable strategic insights. This role drives dashboard creation, leads rigorous quality assurance auditing, and provides cross-functional leadership and mentorship to optimize value-based care contract performance. PRIMARY DUTIES Dashboard Creation & Analytical Design  Design, build and maintain dashboards, productivity trackers, and KPIs utilized by leadership to improve market performance and daily operations. Build high-complexity queries of back-end data to power dashboards and custom ad-hoc projects. Present data findings clearly through visualization tools to ensure understanding among diverse stakeholders and colleagues. Incorporate industry benchmarks into visual metrics (charts, graphs, pivot tables) to show baseline and current states. Identify, monitor, and communicate changes or trends in quality and spend metrics. Auditing & Quality Assurance  Act as the first line of defense investigating, triaging, documenting, and resolving internal and external data quality issues. Create and apply testing algorithms to evaluate large data streams throughout the system data flow. Audit year-end performance and claims data for discrepancies, reporting errors to payer teams for swift resolution. Day-to-Day Operations Source, clean, and organize data from multiple streams (payer portals, Rx claims files, SFTP sites, and internal databases). Execute advanced SQL queries in Snowflake to supplement payer data for analysis and reporting QA. Develop complex formulas and templates in Google Sheets and Excel to streamline repetitive data tasks. Maintain comprehensive documentation regarding operational analytics, source-of-truth architectures, and peer cross-coverage plans. Leadership Support Assist the manager with work coordination, mentoring junior analysts, developing training plans, and reviewing team work products. Serve as a data subject matter expert (SME); attend meetings in the manager's absence. Facilitate clear intradepartmental and cross-functional communication among key stakeholders. Other duties as assigned  MINIMUM QUALIFICATIONS * Bachelor’s degree in a related quantitative field or equivalent professional experience. * 4+ years of experience with data management, analysis, QA, and auditing healthcare or payer data. * Intermediate SQL programming experience (Snowflake preferred). * Advanced Microsoft Excel / Google Sheets skills (complex formulas, nested functions, pivot tables). * Strong communication skills with the ability to collaborate effectively across remote teams. * Proactive mindset with a proven ability to prioritize multiple tasks in a fast-paced environment. PREFERRED QUALIFICATIONS Understanding of value-based care/Alternative Payment Models, Medicare, and Non-MSSP quality measures Experience with statistical software, such as R or Stata PHYSICAL REQUIREMENTS Prolonged periods of sitting at a desk and working on a computer.

See how well you match this job

Upload your resume and we’ll score your fit for this role and 6 similar roles — then tailor your CV to it with AI. Free, no credit card.

Check your match

Similar jobs

  • Senior Data Analyst, Performance Guarantees

    includedhealth

    Remote
  • Sr. Roster Administrator

    aledade

    Remote$56k–$67k
  • Senior Program Specialist, Population Health Impact, Remote

    aledade

    Remote
  • Business Strategy Analyst

    getlabs

    Remote
  • Lead Analyst, Analytics

    arcadia

    Remote$145k–$170k
  • Senior Actuarial Analyst

    includedhealth

    Remote
Apply on company site

Want more roles like this? Browse fresh jobs or tailor your resume with AI.

Mirrai Careers

AI-powered career platform: build resumes, match jobs, and plan your career.

Product

  • All Tools
  • Resume Builder
  • Career Test
  • Pricing
  • For employers

Legal

  • Privacy Policy
  • Terms of Service
  • Fair Use Policy

Company

MIRRAI CHAT LTD (Company No. 16403306)

71-75 Shelton Street, Covent Garden

London, WC2H 9JQ, UNITED KINGDOM

[email protected]

© 2026 Mirrai Careers. All rights reserved.