Operational Data Manager

The Operations Data Manager is responsible for the accuracy, integrity, and operational use of data across the organization’s Independent Practice Association (IPA) and group practice sites. This role serves as the central owner of site- and provider-level operational reporting, turning data from the EHR, payers, and internal tracking systems into reliable, actionable information that leadership, site managers, and clinical teams use to drive patient care, quality performance, and operational accountability.

The Operations Data Manager partners closely with site managers, providers, quality, care coordination, revenue cycle, and finance teams to ensure data is complete, standardized, and delivered on time, and to ensure that site workflows (including task completion and documentation standards) are measured consistently across all locations.

• →Data Management & Integrity
  • →Establish and maintain data definitions, standards, and validation processes so metrics are calculated the same way at every site.
  • →Perform routine data audits and quality checks; identify, investigate, and correct errors, duplicates, and missing data at the source.
  • →Maintain documentation of data sources, report logic, and procedures (data dictionary and report catalog).
  • →Coordinate with site staff to correct chart and tracking system documentation gaps that affect data accuracy.
• →Reporting & Analytics
  • →Build, schedule, and distribute daily, weekly, monthly, and quarterly reports and dashboards at the site, provider, and IPA level.
  • →Produce reporting on task and workflow performance, including overdue and aging tasks, urgent task response times, documentation completeness, and tasks closed without required documentation.
  • →Deliver provider and site scorecards covering quality measures, panel and attribution, utilization, access, and operational metrics.
  • →Prepare data and analysis for leadership meetings, payer and IPA joint operating committees, and audits.
  • →Translate data findings into clear summaries and recommendations for non-technical audiences.
• →IPA & Payer Data Operations
  • →Receive, load, and reconcile payer and IPA files (eligibility, attribution, supplemental data, claims and encounter data) on required schedules.
  • →Track and reconcile membership and attribution changes by site and provider; resolve roster and provider-linkage discrepancies.
  • →Support submission of supplemental data and quality and risk adjustment reporting to payers and the IPA by required deadlines.
  • →Serve as the operational point of contact for payer and IPA data teams on file issues and data inquiries.
• →Site Operations Support & Accountability
  • →Partner with site managers to review operational data regularly, identify performance gaps, and support corrective action.
  • →Support consistent adoption of standard operating procedures across sites, including task prioritization, outreach, escalation, documentation, and closure requirements.
  • →Provide training and guidance to site staff on data entry standards, report use, and tracking tools.
  • →Assist with new site onboarding, system configuration, and data integration for newly added group sites and practices.
• →Compliance & Governance
  • →Safeguard PHI and ensure data access, sharing, and storage comply with HIPAA, payer, and organizational policies.
  • →Manage user access and report permissions in coordination with IT and compliance.
  • →Support internal and external audits by providing accurate, well-documented data and supporting evidence.
  • →Escalate data integrity, privacy, or compliance concerns promptly to leadership.
• →Team Leadership & Collaboration
  • →Lead, mentor, and develop data and reporting staff or analysts, as applicable.
  • →Prioritize report requests and projects across sites according to business and patient care impact.
  • →Collaborate with IT, EHR, vendor, finance, quality, and clinical teams to improve data workflows and automate reporting.

• Own the collection, validation, and reporting of operational, quality, and utilization data for all IPA and group sites.
• Ensure data accuracy, completeness, and consistency across the EHR, payer files, and internal tracking systems.
• Develop and maintain standardized dashboards, scorecards, and recurring reports for leadership, site managers, and providers.
• Monitor operational performance against established standards, including task completion timelines, outreach and documentation compliance, and care gap closure, and identify trends and variances.
• Manage payer and IPA data feeds, including eligibility, attribution, roster, claims, and quality files, and reconcile discrepancies.
• Support value-based care, quality (e.g., HEDIS), and risk adjustment programs by supplying accurate, timely data and care gap lists.
• Maintain data governance, security, and HIPAA-compliant handling of protected health information (PHI).
• Serve as the primary resource for data questions, report requests, and data issue resolution across sites.

• 5+ years of experience in healthcare operations, data management, or analytics, including multi-site, IPA, medical group, or managed care environments.
• Working knowledge of value-based care, IPA, and payer contracting concepts, including attribution, quality measures (e.g., HEDIS), and risk adjustment.
• Strong proficiency with EHR reporting tools and data extraction; advanced Excel skills; proficiency with SQL and/or a business intelligence tool (e.g., Power BI, Tableau).
• Experience working with payer and claims data, eligibility, and roster files.
• Demonstrated knowledge of HIPAA and the secure handling of PHI.
• Strong analytical, problem-solving, and attention-to-detail skills, with the ability to identify and resolve data discrepancies.
• Excellent written and verbal communication skills, with the ability to explain data to clinical and operational audiences.
• Ability to manage multiple priorities and deadlines in a fast-paced, multi-site environment.

• Bachelors degree in a related field.
• Experience in primary care, community health, or a multi-specialty group practice setting.
• Prior experience managing delegated reporting or data submissions for an IPA or risk-bearing entity.
• Experience with data warehousing, ETL processes, SFTP file exchange, or automation of recurring reports.
• Familiarity with population health and care gap management platforms.
• Certifications such as CPHIMS, CHDA, or equivalent.
• Experience supervising or mentoring analysts or data staff.