Remote opportunity at
AledadeManager, Clinical Data Management
Aledade PBC is seeking a Manager, Clinical Data Management to oversee the complete lifecycle of its Encounter Data Submission and Reconciliation strategy. Operating within a remote-first…
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About This Role
Aledade PBC is seeking a Manager, Clinical Data Management to oversee the complete lifecycle of its Encounter Data Submission and Reconciliation strategy. Operating within a remote-first culture established since 2014, Aledade acts as a large network supporting independent primary care practices, health centers, and clinics in delivering value-based healthcare. This position suits an experienced professional skilled in healthcare data analytics, process ownership, and cross-functional leadership who wants to ensure diagnoses…
Job Description
Aledade PBC is seeking a Manager, Clinical Data Management to oversee the complete lifecycle of its Encounter Data Submission and Reconciliation strategy. Operating within a remote-first culture established since 2014, Aledade acts as a large network supporting independent primary care practices, health centers, and clinics in delivering value-based healthcare. This position suits an experienced professional skilled in healthcare data analytics, process ownership, and cross-functional leadership who wants to ensure diagnoses are correctly tracked, transmitted, and accepted by CMS and payers.
In this capacity, the manager will lead operational and strategic initiatives that transform clinical documentation into compliant, dependable, and financially valuable data. Responsibilities include handling end-to-end data transmission, directing reconciliation processes to spot errors early, performing root-cause analysis for dropped records, and collaborating with internal groups, vendors, and payers. The role also involves overseeing retrospective chart review initiatives, managing compliance standards, refining submission metrics, and integrating accepted data into risk reporting dashboards.
Responsibilities
- Manage the complete strategy, priorities, and operations for compliant encounter data submission to CMS and payers
- Generate and transmit ASM files on regular schedules while maintaining payer-specific methods and templates annually
- Run routine reconciliation workflows to monitor diagnoses from documentation to acceptance, identifying gaps and dropped records early
- Drive root-cause analysis and corrective actions with internal teams, vendors, and payers regarding rejected diagnoses
- Collaborate with operations leadership to define strategy, chart selection, and annual evaluation for retrospective chart reviews
- Track submission metrics, acceptance rates, and apply data scrubs and business rules to satisfy regulatory standards and deadlines
- Partner with legal and leadership teams to guarantee compliance concerning add and delete diagnosis workflows
- Create and maintain standard operating procedures, workflow updates, and process documentation
- Discover tools and long-term strategies to boost encounter acceptance rates, lower manual work, and expand ASM processes
- Lead cross-functional initiatives with key stakeholders to resolve data flow blockages and execute system updates
Requirements
- Bachelor’s degree in Healthcare Analytics, IT, Finance, Business, or Operations
- At least 6 years of experience with ACA or Medicare Advantage encounter data processes, and/or risk adjustment experience within a Value Based Care organization, payer, or vendor
- Minimum 3 years of program or project management experience overseeing complex, multi-stakeholder initiatives
- At least 2 years of working knowledge with X12 837 transaction sets and CMS EDPS experience including MAO-002 and MAO-004 reports
- Strong analytical skills with the ability to interpret complex datasets and formulate actionable insights
- Excellent written and verbal communication abilities, including presenting key information to executive leadership
- Working knowledge of SQL to write, modify, and execute queries
- Proficiency in Google Workspace, business intelligence or dashboard platforms, and project tracking software like Jira or Smartsheet
Qualifications
- Familiarity with Business Process Reengineering principles and methodologies to optimize efficiency and performance
- Experience with chart selection or targeting strategies for retrospective chart reviews
- Fundamental understanding of relational databases
Core Skills
Benefits
- Flexible work schedules and remote work availability
- Health, dental, and vision insurance paid up to 80% for employees, dependents, and domestic partners
- Robust time-off plan featuring 21 days of paid time off in the first year
- Two paid volunteer days and 11 paid holidays
- 12 weeks of paid parental leave for all new parents
- Six weeks of paid sabbatical after six years of continuous service
- Educational Assistance Program and Clinical Employee Reimbursement Program
- 401(k) retirement plan with a match of up to 4%
Frequently Asked Questions
Answers are based only on the employer’s listing; where it doesn’t say, neither do we.
Is this position remote?
Yes, Aledade operates with a remote-first culture and offers the ability to work remotely for this role.
What is the employment type for this job?
The posting specifies that this is a full-time position.
What is the salary for the Manager, Clinical Data Management role?
The job posting does not specify a salary.
What are the core educational and experience requirements?
Candidates must hold a bachelor's degree in Business, Finance, IT, Healthcare Analytics, or Operations, along with at least 6 years of encounter data or risk adjustment experience, 3 years of program or project management experience, and 2 years of experience with X12 837 transaction sets and CMS EDPS.
Sample Interview Questions
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