Manager, Performance Analytics

Covera Health

Manager of Performance Analytics at Covera Health analyzing healthcare claims data for performance measurement. Responsible for optimizing care-gap identification and billing reconciliations in a rapidly growing program.

Posted 7/20/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSenior💰 $130,000 - $160,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in healthcare claims data analysis, including the ability to independently build and run SQL queries, perform Excel analysis, and ensure accuracy in reporting. Proficient in value-based care principles and capable of operating effectively in a scaling program environment.

Highest-signal resume keywords

Healthcare Claims Data StructuresSQL Query DevelopmentMedicare Advantage Risk AdjustmentValue-Based Care FluencyData Analysis and Reporting

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

SQL QueriesExcel AnalysisPivot TablesDiagnosis and Procedure CodingClaims Data AnalysisData ReconciliationStatistical AnalysisData AutomationPerformance MeasurementCare-Gap Identification

Soft Skills

Attention to DetailHypothesis-Driven AnalysisIndependent Problem SolvingEffective CommunicationAdaptability

Industry Keywords

Medicare AdvantageMAO-004 FilesClinical Documentation IntegrityEncounter DataRisk ArrangementsCare-Gap Economics

Tech Stack

Tools & technologies

SQL

About the role

Key responsibilities & impact

Own the program’s analytics pipeline: intake and analysis of claims records, eligibility files, and MAO-004 reconciliation data across all clients.
Own care-gap identification: the analysis that determines which validated findings represent open, addressable gaps.
Own closure reconciliation on the program's vintage-cohort, MAO-004-evidenced measurement basis, including the monthly cohort measurement cycle and the collection-method distinctions (current eligibility vs. retrospective) that determine how cohorts are read.
Own billing reconciliation: studies-analyzed and per-unit program activity reconciled to invoiced volume by client and by practice, at a standard that survives client audit.
Build funnel instrumentation: stage-level conversion from finding identified, to shared with the physician, to acted on, to closed, so the program can see where value leaks rather than only its cumulative totals.
Deliver practice-level performance analysis: which practices are converting, which need education or intervention, and where concentration or volume volatility creates program risk.
Deliver the program’s baseline restatement on the vintage-cohort measurement basis and stand up the monthly measurement cycle aligned to CMS reconciliation windows in your first 90 days.
Document, standardize, and progressively automate the pipeline in partnership with Product and Engineering, so the program’s measurement survives any individual.

Requirements

What you’ll need

Deep hands-on fluency with healthcare claims data structures: professional and institutional claim formats, diagnosis and procedure coding, member and provider identifiers, and how eligibility files join to claims.
Direct experience with healthcare regulatory and quality reporting: Medicare Advantage risk adjustment data, including MAO-004 files, strongly preferred; familiarity with CDI (clinical documentation integrity) reporting, encounter data, or similar plan-side reporting a strong plus.
Demonstrated ability to build and run analysis independently, from SQL queries against large datasets through Excel and pivot-table analysis to finished output: these are working skills you use daily, not skills you manage in others.
Rigor about correctness: your numbers appear on invoices and settle compensation and client performance conversations, and you treat that accordingly.
Hypothesis-driven by habit: you ask the relevant questions, form a view, test it, verify the result, and repeat. We will ask what you built, what changed as a result, and what failed.
Fluency with value-based care: risk arrangements, care-gap economics, and what closure means clinically and financially.
Comfort operating without a large team: this is a builder-operator seat in a scaling program, with strong executive support and high visibility.

Benefits

Comp & perks

Comprehensive medical plans - choose from three plans, including one with 100% of premiums covered for you and your dependents
Vision & Dental
Hybrid Time Off Policy (Flexible Time Off (FTO) Policy for exempt employees and Paid Time Off (PTO) Policy for non-exempt employees)
Sick days in accordance with your state law
12 weeks of paid parental leave
12 Fixed Holidays (company closed)
5 Covera Days
401(k) Retirement Plan
Annual Professional Development Stipend to invest in courses, books, or any other professional development related activity
Annual Wellness stipend for fitness, mental health or other wellness expenses