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Director, Business Capture
CesiumAstro
Westminster, CO
- $208,000 to $254,000 USD / year
…development, proposal management, engineering, contracts, finance, program management, and executive leadership to translate customer requirements into differentiated capture strategies,…
Added just now
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Director, Business Capture
CesiumAstro
El Segundo, CA
- $217,000 to $266,000 USD / year
…development, proposal management, engineering, contracts, finance, program management, and executive leadership to translate customer requirements into differentiated capture strategies,…
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Trainer
DPDHL
Fort Worth, TX
- $20.75 USD / hour
- PTO program for all associates, including paid holidays and vacation
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Account Director, Brand Sales (MRI-Simmons Team)
NielsenIQ
Remote, United States
- $117,500 to $150,000 USD / year
Build executive-level relationships and become a trusted advisor to client leadership teams.
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Head of Domain, Technology Development
Geotab
Remote, United States
…options, allows both small and large businesses to automate operations by integrating vehicle data with their other data assets. Processing billions of data points a day, Geotab leverages…
Added 1 min ago
Fleet Manager
World Group
Sauget, IL
…relationships with our drivers and fully support them in day-to-day operations. In addition, the Fleet Manager will be responsible for keeping their fleet committed to shipments that safely…
Added 1 min ago
BS
Future Capabilities & Strategy Intern, Summer 2027
BAE Systems
Broomfield, CO · Westminster, CO · Boulder, CO
- $26.5 to $37.75 USD / hour
Drive strategic initiatives to deliver strategic plans and roadmaps to leadership and mission areas exploring new markets or recommending future paths in current markets. This includes…
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Senior Manager, Acquisition Planning and Contract Compliance
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Hyattsville, MD · DC · MD · VA
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…position is a key position that works collaboratively with the leadership…
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EE
CNC Lead Set-Up Operator
Express Employment Professionals
Ferndale, WA
- $25 to $33 USD / hour
Leadership role overseeing CNC and Swiss machine operations
Added 2 mins ago
Program Manager Supporting CBP/OPR
Ruchman and Associates, Inc.
Washington, DC
Ruchman and Associates, Inc. is seeking an experienced Program Manager (PM) to lead contractor provided program management, analytical, investigative, security, communications, SharePoint,…
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Hygienist
Tend
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…exceptional preventive care as a Hygienist, or to take on additional leadership responsibilities as a Lead Hygienist - setting the standard for hygiene excellence, mentoring your team, and…
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Hygienist
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Boston, MA
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Hygienist
Tend
Washington, DC
…exceptional preventive care as a Hygienist, or to take on additional leadership responsibilities as a Lead Hygienist - setting the standard for hygiene excellence, mentoring your team, and…
Added 2 mins ago
WI
(USA) Senior Manager, Operations
Walmart Inc.
United States
- $90,000 to $180,000 USD / year
Role summary: The Senior Manager, Operations leads the execution of complex projects and programs by managing timelines, resources, and performance standards to ensure successful…
Added 2 mins ago
WI
(USA) Director, Operations
Walmart Inc.
United States
- $110,000 to $220,000 USD / year
Role summary: The (USA) Director, Operations leads the execution of complex projects and programs, ensuring alignment with business objectives through strategic planning, data analysis, and…
Added 2 mins ago
WI
Manager, Process Improvement
Walmart Inc.
United States
- $80,000 to $155,000 USD / year
Experience with large volume operations, including strong organization, prioritization, and communication skills.
Added 2 mins ago
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Program Manager, Strategic Initiatives
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Irving, TX
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&bullet; Lead program teams spanning Operations, Finance, Sales, IT, HR and other functions.
Added 3 mins ago
EH
Senior Product Manager, Patient Engagement & AI
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Remote, United States
- $157,500 to $175,000 USD / year
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Added 3 mins ago
Practice Manager
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…main point of contact with the hospital, working with hospital leadership and support staff to manage practice operations. The Practice Manager will have a visible presence at the hospital,…
Added 3 mins ago
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Mitigation General Manager
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Austin, TX
- $100,000 to $130,000 USD / year
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Maintenance Supervisor - Prestonwood
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4A
Programs Manager
4000 ARCHDIOCESE OF SEATTLE PAYROLL SVC
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- $83,000 to $85,000 USD / year
…oversight, and evaluation of Fulcrum programs. This role maintains program budgets and audit records related to program expenditures, implements and refines program policies and procedures,…
Added 4 mins ago
Senior Associate - Tax Services
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Irvine, CA · San Diego, CA · Los Angeles, CA
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General Manager, Licensed Cosmetologist
Madison Reed
Fairfax, VA
Demonstrate and continue to develop leadership skills to provide a top tier employee and guest experience aligned with our values of Love, Joy, Trust, Courage and Responsibility.

Aledade PBC

Manager, Clinical Data Management

Remote, United States

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Job details

Posting language: English
Posted: Nov 6, 2026

Original job description

The Manager, Clinical Data Management is responsible for the full lifecycle of our Encounter Data Submission and Reconciliation strategy, ensuring that diagnoses are accurately tracked, submitted, and accepted by payers and CMS. In this role, you’ll lead the operational and strategic work that turns clinical documentation into reliable, compliant, and financially meaningful data. You’ll collaborate across internal teams, vendors, and payers to spot gaps early, solve root causes, and continuously improve how we submit and reconcile encounter data. If you thrive at the intersection of healthcare data, process ownership, and cross-functional leadership, this role offers the chance to make a measurable difference. Primary Duties

Data Submission & Reconciliation Process

Oversee end-to-end strategy, priorities, and operations for accurate and compliant encounter data submission to payers and CMS.
Create and transmit ASM files on established cadences, maintaining payer-specific templates and submission methods annually.
Establish routine reconciliation processes to track diagnoses from documentation to acceptance, quantifying gaps and identifying dropped/truncated records early.
Lead root-cause analysis and corrective action across internal teams, vendors, and payers for rejected or dropped diagnoses.
Partner with operations leadership to drive strategy, chart selection, and annual evaluation for the retrospective chart review initiative.

Compliance & Quality Assurance

Monitor submission metrics and acceptance rates, applying data scrubs and business rules to meet regulatory standards and CMS/payer deadlines.
Collaborate with leadership and legal partners to ensure full compliance regarding add and delete diagnosis workflows.
Develop and maintain process documentation, SOPs, and routine workflow updates.

Process Improvement

Identify tools and long-term strategies to improve encounter acceptance rates, minimize manual effort, and expand ASM processes across eligible payers.
Evaluate annual ROI across submission and audit processes, optimizing workflows to drive financial performance.

Cross-Functional Collaboration

Lead cross-functional initiatives with key stakeholders to resolve data flow issues and implement system updates.
Integrate accepted ASM submitted diagnosis data into existing risk reporting dashboards and build new recurring reports for leadership
Own ASM valuation and financial results, partnering with Data and Analytics on metric definitions and data quality

Other duties as assigned

Minimum Qualifications

Bachelor’s degree in Business, Finance, IT, Healthcare Analytics, or Operations
6+ years of experience with Medicare Advantage or ACA encounter data processes, and/or risk adjustment experience within a payer, vendor, or Value Based Care organization
3+ years of program or project management experience, including ownership of complex, multi-stakeholder initiatives
2+ years of working knowledge with X12 837 transaction sets; Working knowledge of CMS EDPS experience (MAO-002/MAO-004 reports)
Strong analytical capabilities with a demonstrated ability to interpret complex datasets and synthesize actionable insights
Excellent written and verbal communication skills, with proven experience developing and presenting key information to executive leadership
Working knowledge of SQL, including writing, modifying, and executing queries
Proficiency in Google Workspace, project tracking software (i.e. Jira, Smartsheet), and business intelligence or dashboard platforms

Preferred Qualifications

Familiarity with Business Process Reengineering (BPR) principles and methodologies to optimize processes for enhanced efficiency and performance
Experience with chart selection or targeting strategies for retrospective chart review
Fundamental understanding of relational databases

Physical Requirements

Prolonged periods of sitting at a desk and working on a computer

Who We Are:

Aledade PBC, a public benefit corporation, exists to empower the most transformational part of our health care landscape - independent primary care. We were founded in 2014, and since then, we've become the largest network of independent primary care in the country - helping practices, health centers and clinics deliver better care to their patients and thrive in value-based care. Additionally, by creating value-based contracts across a wide variety of health plans, we aim to flip the script on the traditional fee-for-service model. Our work strengthens continuity of care, aligns incentives and ensures primary care physicians are paid for what they do best - keeping patients healthy. If you want to help create a health care system that is good for patients, good for practices and good for society - and if you're eager to join a collaborative, inclusive and remote-first culture - you've come to the right place.

What Does This Mean for You?

At Aledade PBC, you will be part of a creative culture that is driven by a passion for tackling complex issues with respect, open-mindedness and a desire to learn. You will collaborate with team members who bring a wide range of experiences, interests, backgrounds, beliefs and achievements to their work - and who are all united by a shared passion for public health and a commitment to the Aledade mission.

In addition to time off to support work-life balance and enjoyment, we offer the following comprehensive benefits package designed for the overall well-being of our team members:

Flexible work schedules and the ability to work remotely are available for many roles

Health, dental and vision insurance paid up to 80% for employees, dependents and domestic partners

Robust time-off plan (21 days of PTO in your first year)

Two paid volunteer days and 11 paid holidays

12 weeks paid parental leave for all new parents

Six weeks paid sabbatical after six years of service

Educational Assistant Program and Clinical Employee Reimbursement Program

401(k) with up to 4% match

Stock options

And much more!

At Aledade PBC, we don’t just accept differences, we celebrate them! We strive to attract, develop and retain highly qualified individuals representing the diverse communities where we live and work. Aledade is committed to creating a diverse environment and is proud to be an equal opportunity employer. Employment policies and decisions at Aledade are based on merit, qualifications, performance and business needs. All qualified candidates will receive consideration for employment without regard to age, race, color, national origin, gender (including pregnancy, childbirth or medical conditions related to pregnancy or childbirth), gender identity or expression, religion, physical or mental disability, medical condition, legally protected genetic information, marital status, veteran status, or sexual orientation.

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More about this job

Skills

Data management
CMS
Documentation
Leadership
Root cause analysis
Regulatory compliance
Quality assurance
Workflow
Process improvement
Collaboration
Reporting
Google Analytics
ACA
Project management
Communication skills
SQL
Google Workspace
Jira
Smartsheet
Business intelligence
Business processes

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