Operational Data Manager

Essential Functions

• 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.

Key Responsibilities

• 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.

• 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.

$110,000—$125,000 USD

Akido builds AI-powered doctors. Akido is the first AI-native care provider, combining cutting-edge technology with a nationwide medical network to address America’s physician shortage and make exceptional healthcare universal. Its AI empowers doctors to deliver faster, more accurate, and more compassionate care.

Serving 500K+ patients across California, Rhode Island, and New York, Akido offers primary and specialty care in 26 specialties—from serving unhoused communities in Los Angeles to ride-share drivers in New York.

Founded in 2015 (YC W15), Akido is expanding its risk-bearing care models and scaling ScopeAI, its breakthrough clinical AI platform. Read more about Akido’s $60M Series B. More info at Akidolabs.com.