Manager, Clinical Data Management at Aledade in Remote

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.

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

• 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

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.

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!