01Requirements
5+ years of Product Management or Business Analyst experience in healthcare payer systems
At least 3 years focused on Medicare Advantage, ACA, HCC models, and related coding and documentation guidelines
Experience in healthcare operations, provider enablement, or working with health plans and risk adjustment vendors
Proven hands-on expertise with:
Microsoft SQL (querying, optimization, reconciliation, audits)
ETL Tools such as Microsoft SSIS and Azure Data Factory
Cloud Platforms (Azure/AWS)
Experience integrating vendor solutions
Solid understanding of what drives MRA accuracy and compliance in a Medicare environment
Strong analytical, problem-solving, and communication skills with the ability to translate technical details into business outcomes.
Bachelors degree in Information Systems, Computer Science, Business, Healthcare Administration, or related field
4 years additional experience may be considered in lieu of education
MBA or advanced degree preferred.
Benefits:
Health insurance
401(k) matching
Flexible work hours
Paid time off
Remote work options
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Company : Alignment Health
Salary : Work from home