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Joint Staff J5 Data & AI Enablement Specialist
Forge Group, LLC
Arlington, VA
- $100,000 to $130,000 USD / year
…new echelon of collective excellence- one that continues to lead to monumental growth - and built a dream team of top-tier, collaborative, 'get-it-done'…
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Associate Director- Scheduling - Data Center Construction
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Deputy Engineering Manager
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Project Management Professional (PMP) Certification preferred
Added 3 mins ago
Engineering Manager
ARES Corporation
Wallops Island, VA
Project Management Professional (PMP) Certification preferred
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Genentech
South San Francisco, CA
Advanced project management skills with a strong ability to lead operational delivery and ensure optimal resource utilization.
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Lecturer/Assistant Teaching Professor
University of North Carolina at Charlotte
NC
…be responsible for teaching multiple online sections in the program’s inter- multi-disciplinary core and will have the opportunity to offer courses in current concentrations (Project…
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Managing Director, PSiX
Cornell University
Ithaca, NY
Lead the team: manage the work of multiple PSiX team members; oversee the work of many others on a project/as-needed basis.
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Manager, Client Media Solutions
Real Chemistry
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You are naturally organized and thrive in environments that require strong attention to detail, budget management, and project coordination.
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Senior Survey Manager
Stantec
Albuquerque, NM · Roswell, NM · Arenas Valley, NM · Silver City, NM
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Senior Manager, Digital Product Manager
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Commercial Supply Chain and Procurement Manager
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Build and continuously improve core sourcing processes across the project lifecycle - quoting, requirements flow-down, supplier selection, inventory planning, PO management, order…
Added 6 mins ago
Senior Manager, Acquisition Planning and Contract Compliance
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Program Manager Supporting CBP/OPR
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Added 7 mins ago
WI
(USA) Senior Manager, Operations
Walmart Inc.
United States
- $90,000 to $180,000 USD / year
Proven expertise in operations and project management with the ability to lead complex initiatives and manage multiple work streams.
Added 7 mins ago
WI
(USA) Director, Operations
Walmart Inc.
United States
- $110,000 to $220,000 USD / year
…capabilities to enhance the customer experience through strategic program management and data-driven decision-making. It leads initiatives across speed, assortment, pricing, and recovery by…
Added 7 mins ago
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Program Manager, Strategic Initiatives
Jobot
Irving, TX
- $160,000 to $180,000 USD / year
You will be the central program owner for planning, cross-functional alignment, executive visibility, risk management and benefits realization, keeping every project tied to business…
Added 7 mins ago
BB
Compliance Manager
Border Bank
Roseau, MN
- $77,000 to $120,000 USD / year
The Compliance Manager will administer the Bank's enterprise-wide Compliance Management System (CMS), including regulatory change management, policies and procedures, training, compliance…
Added 7 mins ago
BB
Compliance Manager
Border Bank
Coon Rapids, MN
- $77,000 to $120,000 USD / year
The Compliance Manager will administer the Bank's enterprise-wide Compliance Management System (CMS), including regulatory change management, policies and procedures, training, compliance…
Added 7 mins ago
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Compliance Manager
Border Bank
Fargo, ND
- $77,000 to $120,000 USD / year
The Compliance Manager will administer the Bank's enterprise-wide Compliance Management System (CMS), including regulatory change management, policies and procedures, training, compliance…
Added 7 mins ago
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Skilled Laborer - Airport
Dane County
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- $31.49 to $33.87 USD / hour
…light, medium, and heavy-size motorized equipment; to serve as lead worker as assigned; and to perform related duties as…
Added 8 mins ago
Individual Placement - Conservation Steward
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Individual Placement - Outdoor Education Member
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Senior Project Manager, Clinical Trials
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That’s why we’re seeking a Senior Project Manager accountable for managing multiple Cogstate projects overseeing the delivery of Cogstate Services. The Senior Project Manager will have…
Added 9 mins ago
Lead Operator, Mixed Modality - Lilly Medicine Foundry
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Added 9 mins ago
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Experience serving as a planning and scheduling lead, center-of-excellence lead, or process owner supporting large capital project portfolios.

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

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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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