
501 - 1000 employees
Founded 2013
⚕️ Healthcare Insurance
🛡️ Insurance
🏥 Healthcare
💰 $135M Series C on 2020-03
Healthcare Insurance • Insurance • Healthcare
Alignment Health is dedicated to providing comprehensive care for Medicare members, emphasizing the needs of seniors, the chronically ill, and those who are frail. With a mission to transform senior healthcare, Alignment Health leverages a tailored care model and advanced technology to deliver high-quality, low-cost healthcare services. Their 24/7 concierge care team collaborates with trusted local providers to ensure that every member receives personalized care, reflecting the company's commitment to treating all members as valued family members.
🔥 12 hours ago
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501 - 1000 employees
Founded 2013
⚕️ Healthcare Insurance
🛡️ Insurance
🏥 Healthcare
💰 $135M Series C on 2020-03
Healthcare Insurance • Insurance • Healthcare
Alignment Health is dedicated to providing comprehensive care for Medicare members, emphasizing the needs of seniors, the chronically ill, and those who are frail. With a mission to transform senior healthcare, Alignment Health leverages a tailored care model and advanced technology to deliver high-quality, low-cost healthcare services. Their 24/7 concierge care team collaborates with trusted local providers to ensure that every member receives personalized care, reflecting the company's commitment to treating all members as valued family members.
• Lead end-to-end data requirements and stakeholder analysis • Drive data quality improvement across claims, membership, member, and provider data • Direct triage, analysis, and resolution of Data Ops issues affecting production environments and customer-facing outputs • Serve as subject matter authority for EDI and healthcare data standards, including X12 834/837 transactions • Evaluate internal and external data sources for quality, coverage, and suitability for analytical, operational, and regulatory use cases • Apply knowledge of cloud data platforms, streaming architectures, automation, and data quality as a service • Partner with data engineering to enable scalable, modern analytics infrastructure • Build team capability through mentorship, coaching, and change leadership • Interview, hire, train, assign, direct, and appraise employees; reward and discipline employees; address complaints and resolve problems
• 8–10 years of progressive experience in data analysis, data operations, or data management roles, with at least 3 years in a leadership or senior individual contributor capacity • Experience in a healthcare payer, managed care, or Medicare Advantage environment, with direct exposure to health plan data domains • Experience leading data requirements gathering and quality improvement across complex, multi-domain data environments • Experience resolving production and operational data issues in regulated, time-sensitive environments • Bachelor's degree in Computer Science, Information Systems, Data Science, Health Informatics, Statistics, or a related field • An equivalent combination of education and demonstrated professional experience will be considered • Proficiency with SQL and at least one BI/reporting tool (e.g., Power BI, Tableau, SSRS) through work experience or equivalent training • Working familiarity with healthcare data file formats and standards (EDI, HL7, X12, custom file formats) demonstrated through direct experience • Deep knowledge of X12 EDI (834/837), HL7, FHIR, and healthcare data domains including claims, membership, member, and provider • Proficiency in evaluating data sources for completeness, accuracy, and fitness; designing and operationalizing data quality rules, monitoring, and remediation workflows • Advanced SQL skills • Proficiency in Power BI, Tableau, or comparable platforms • Working knowledge of cloud data ecosystems (Azure, AWS, or equivalent), streaming architectures, and data quality automation capabilities • Demonstrated ability to gather complex analytical and operational requirements and convert them into clear, actionable data specifications • Working knowledge of Medicare Advantage plan operations, CMS regulatory requirements, and data flows across health plan functions • Required licensure: None
Apply Now🔥 19 hours ago
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