Jobs in the United States

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PF
Overnight Closer
Planet Fitness - PF Baseline Fitness
Grand Junction, CO
- $15.2 USD / hour
Facilitate member services issues and questions and forward to Club Manager/Manager in Training/Team Lead as needed.
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RN Home Care Exempt
VITAS Healthcare
Cincinnati, OH
Reports any request to practice outside of scope of license to the manager/supervisor
Added just now
Fleet Manager
World Group
Sauget, IL
Due to growth, ContainerPort Group, a World Group company, is currently looking for a dedicated, driven person to join our family as a Fleet Manager for our growing terminal in Sauget!
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TB
Kiosk PIC
Three Bears Alaska Inc
Delta Junction, AK
- From $19 USD / hour
Execute all aspects of the store trash program including emptying exterior cans,
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Registered Nurse (RN) - NICU - Causal
Essentia Health
Fargo, ND
…comfort, under the direct supervision of a Registered Nurse, Nurse Manager, Assistant Head Nurse, and/or Department Director (possibly with guidance from an LPN) to contribute to meeting…
Added 1 min ago
Surgical Technologist-PRN
Atlas Healthcare Partners
Puyallup, WA
…will be documented as outlined by the incumbent's immediate…
Added 1 min ago
Senior Manager, Acquisition Planning and Contract Compliance
WMATA Candidate Experience
Hyattsville, MD · DC · MD · VA
Establishes and maintains communications regarding program and project execution with senior management across all WMATA departments. Acts as the first level of escalation for program…
Added 1 min ago
SM
Substitute Carpenter
San Mateo Union High School District
San Mateo, CA
- $48.15 USD / hour
Under general supervision by the General Manager of Maintenance, perform journey level rough and finished carpentry work in the repair, construction, and alteration of school buildings;…
Added 1 min ago
LPN Home Health Care
VNA of the Treasure Coast
Vero Beach, FL
Reports changes in patient condition to MD, primary case manager and/or Patient Care Manager.
Added 1 min 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,…
Added 1 min ago
G
Federal Quality Control Manager - Traveling
GPAC
San Antonio, TX
- $120,000 to $140,000 USD / year
We're hiring a Traveling Quality Control Manager for federal construction projects with USACE, NAVFAC and other agencies. You'll run the Contractor Quality Control (CQC) program, manage…
Added 1 min ago
G
Federal Quality Control Manager - Traveling
GPAC
Killeen, TX
- $120,000 to $140,000 USD / year
We're hiring a Traveling Quality Control Manager for federal construction projects with USACE, NAVFAC and other agencies. You'll run the Contractor Quality Control (CQC) program, manage…
Added 1 min ago
G
Federal Quality Control Manager - Traveling
GPAC
Corpus Christi, TX
- $120,000 to $140,000 USD / year
We're hiring a Traveling Quality Control Manager for federal construction projects with USACE, NAVFAC and other agencies. You'll run the Contractor Quality Control (CQC) program, manage…
Added 1 min ago
Account Representative - Water Treatment Chemicals
Veolia Environnement SA
Albany, NY
…Wastewater, Memchem, and Process Applications under Account Manager…
Added 1 min ago
Account Representative - Industrial Water Treatment
Veolia Environnement SA
Lubbock, TX
…Wastewater, Memchem, and Process Applications under Account Manager…
Added 1 min ago
MC
**Assistant to the Vice President of Instruction and Student Services/Instructional Data Manager
Montgomery Community College
Troy, NC
- $3,484.25 to $5,226.33 USD / month
The Assistant to the Vice President of Instruction & Student Services/Instructional Data Manager serves as a key administrative and operational support professional, functioning as the…
Added 2 mins ago
AH
Registered Nurse – Oncology
AMN Healthcare
Columbus, OH
- $2,484 to $2,611 USD / week
Nurse's education/program must be accredited with the ACEN or CCNE
Added 2 mins ago
Technical Project Manager - ALD New Product Transitions
Applied Materials
Austin, TX · Austin
…compensation such as participation in a bonus and a stock award program, as…
Added 2 mins ago
WI
Senior Manager, Electrical Engineering
Walmart Inc.
Bentonville, AR
- $90,000 to $180,000 USD / year
The Senior Manager, Electrical Engineering is responsible for leading enterprise electrical safety and reliability programs across Walmart, Sam’s Club, and Supply Chain facilities. This…
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) Senior Manager, Advanced Analytics
Walmart Inc.
United States
- $90,000 to $180,000 USD / year
As a Senior Manager, Advanced Analytics for Inventory and Network Strategy, you will help shape Walmart’s cross-border expansion strategy. You'll uncover customer and country opportunities,…
Added 2 mins ago
WI
Manager, Process Improvement
Walmart Inc.
United States
- $80,000 to $155,000 USD / year
The (USA) Manager, Process Improvement leads initiatives to enhance key business functions by analyzing performance data, identifying gaps, and developing sustainable solutions. This role…
Added 2 mins ago
J
Program Manager, Strategic Initiatives
Jobot
Irving, TX
- $160,000 to $180,000 USD / year
The Program Manager, Strategic Initiatives leads enterprise programs that turn strategic priorities into coordinated execution across multiple projects, workstreams and functions. Sitting…
Added 2 mins ago
BB
Compliance Manager
Border Bank
Roseau, MN
- $77,000 to $120,000 USD / year
Border Bank is seeking a Compliance Manager to join our team. This position has the flexibility to office at any of our current Border Bank locations in Fargo, North Dakota, or Badger,…
Added 2 mins ago
BB
Compliance Manager
Border Bank
Coon Rapids, MN
- $77,000 to $120,000 USD / year
Border Bank is seeking a Compliance Manager to join our team. This position has the flexibility to office at any of our current Border Bank locations in Fargo, North Dakota, or Badger,…

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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