Manager, Clinical Data Management
Aledade · United States · US
Clinical Data Science
Remote
physician
Dentist
Demand78
Career growth68
Healthcare fit42
Remote potential60
5-year outlook
Likely competitive for experienced risk adjustment/encounter data managers in value-based care, with growth tied to Medicare Advantage, ACA, and payer data complexity. Exact compensation should be verified because the posting provides no salary range.
Clinical license
Not required
Applicant reach
narrow
Seniority
mid
Employment type
full-time
Date found
2026-11-08
Intelligence details
Flexible work details
- Engagement type
- Permanent
- Hours
- Full-time
- Eligible countries
- United States
- Profession fit
- physician, Dentist
- Rate period
- Annual
Listing via Himalayas.
Eligibility, licensing, and location restrictions can change. Always confirm details on the source posting before applying.
Why this is worth applying to
Worth considering for clinicians with payer, managed care, risk adjustment, quality, or healthcare analytics experience who want a data operations leadership role. Most clinicians without encounter data or CMS EDPS experience will face a high experience barrier.
Who should apply
Clinicians with managed care, Medicare Advantage, risk adjustment, quality improvement, health informatics, or healthcare analytics backgrounds; nurses or physicians who have worked with chart review, diagnosis capture, payer data, or value-based care operations.
CV angle
Reframe clinical documentation, diagnosis capture, quality, and payer-facing work as encounter data and risk adjustment experience where truthful. Highlight cross-functional projects, CMS/payer compliance exposure, chart review leadership, SQL or dashboard skills, process improvement, root-cause analysis, and measurable acceptance-rate or data-quality outcomes.
Skills to highlight
- Medicare Advantage and ACA encounter data processes
- Risk adjustment and diagnosis documentation
- CMS EDPS and payer reconciliation
- X12 837 and ASM file understanding
- SQL and data quality analysis
- Cross-functional project management
- Root-cause analysis and corrective action
- Compliance documentation and SOP development
Role summary
Lead operational and strategic encounter data submission and reconciliation for a value-based care organization, ensuring clinical diagnoses are accurately submitted and accepted by payers and CMS. The role spans compliance, process improvement, vendor/payer collaboration, reporting, and cross-functional leadership.
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