Payer Operations Analyst
Posted 30 Sep 2026
BranchFactor Summary
The original posting with the fluff stripped out
- Expected experience
- 4+ yrs
- Management level
- Individual contributor
- Employment
- Remote
- Contract
- Full-time
No salary listed for this role.
Study levelBachelor's
The Payer Data Operations Analyst ensures data quality, accuracy, and reliability across payer data pipelines to support value-based contract performance. This role applies technical data skills and cross-functional leadership to resolve complex data issues, build proactive monitoring solutions, and partner with internal teams and payers to continuously enhance end-to-end data integrity.
Primary Duties
Data Triage and Operations
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Identify, triage, route, and resolve data quality issues across Aledade’s 1,200+ payer data feeds.
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Partner with payers and internal teams to address broken SFTP connections, delivery delays, and file transmission failures.
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Coordinate clinical quality submission audits with payers and internal teams by managing audit documentation, organizing patient data files, and locating clinical evidence in collaboration with the Quality Reporting team.
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Maintain accurate contract metadata (i.e. contract names, TINs, and administrative details) to ensure seamless downstream data integration into reporting and product platforms.
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Investigate and resolve manual care gap upload failures to ensure complete and accurate data ingestion.
Cross-Functional Collaboration
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Collaborate with internal teams—including Payer Solutions, Product, Engineering, and Field Operations—and payer partners to intake, investigate, route, and resolve data issues.
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Communicate complex data findings and technical concepts clearly to diverse technical and non-technical stakeholders.
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Lead cross-functional data initiatives from discovery through implementation by mapping workflows, facilitating alignment, delivering actionable recommendations, and establishing clear task ownership and deliverables.
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Serve as a subject matter expert on Aledade’s payer data, analyzing feed and metric anomalies to empower internal teams to optimize patient care and achieve contract objectives.
Program Management
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Maintain standard operating procedures (SOPs) for data issue triage, clinical ingestion troubleshooting, and Primary Source Verification (PSV) audits.
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Enhance long-term data reliability by addressing root causes, advocating for higher-quality payer feeds, and streamlining internal ingestion workflows.
Other duties as assigned