Health Operations Analyst and Empanelment Manager

APLA Health•Los Angeles, CA

39d•Onsite

About The Position

The Health Operations Analyst & Empanelment Manager is responsible for analyzing and optimizing operational performance of APLA Health clinical operations, with a particular focus on empanelment, data integrity, and workflow efficiency. This role ensures that patients are appropriately assigned to care teams, population health data are accurately maintained, and operational decisions are informed by data-driven insights. The position also supervises the Data Entry Specialist, ensuring accuracy, compliance, and consistency in data collection and reporting processes.

Requirements

Bachelor's degree required preferably in Finance or Business major or similar major.
Minimum 3-5 years of experience in healthcare operations, data analysis, or population health management.
Experience in data and financial analysis is required, preferably SQL.
Experience supervising staff or managing a small team.
Experience with empanelment, patient attribution, or panel management strongly preferred.
Healthcare operations
Electronic health records and data reporting.
Strong Microsoft Excel skills.
Communicate effectively with providers, other staff, and outside vendors. Must be well-organized and detail oriented.
Strong analytical and written communication skills in order to prepare complete and accurate program reports and records. The ability to analyze and interpret data is required.
Strong analytical, problem-solving, and critical-thinking skills.
Proficiency in EHR systems (e.g., Epic, eClinicalWorks, NextGen) and data tools such as Excel, Power BI, or Tableau.
Knowledge of healthcare quality measures, population health management, and empanelment best practices.
Excellent communication and interpersonal skills, with the ability to work collaboratively across departments.
Strong organizational skills and attention to detail.
Understanding of HIPAA compliance and healthcare data privacy standards.
Analytical Excellence: Translates data into actionable insights.
Leadership: Guides and empowers team members to meet performance goals.
Collaboration: Builds partnerships across teams to support integrated care.
Operational Insight: Understands healthcare workflows and process improvement.
Integrity & Accountability: Upholds data accuracy and organizational standards.
Must possess a valid California driver's license; proof of auto liability insurance; and have the use of a personal vehicle for work related purposes.
COVID vaccination is required and APLA Health will consider accommodations for medical- and religious-based reasons.

Nice To Haves

Experience in healthcare industry/operations, helpful.

Responsibilities

Operational Analysis & Performance Optimization Collect, analyze, and interpret data related to patient access, appointment utilization, provider productivity, and quality metrics.
Develop and maintain dashboards and performance reports that support decision-making by leadership and clinical teams.
Identify workflow inefficiencies and recommend process improvements to enhance patient experience and operational outcomes.
Partner with finance, quality, and clinical teams to align operational performance with organizational goals and compliance standards.
Empanelment Management Lead and oversee the empanelment process to ensure patients are appropriately assigned to primary care providers or care teams.
Maintain accurate and up-to-date provider panels, ensuring balanced workloads and equitable distribution of patients.
Analyze panel data to identify trends, such as patient attrition, panel capacity, and gaps in care.
Collaborate with clinical and population health teams to improve patient outreach, continuity of care, and risk stratification efforts.
Implement policies and procedures for ongoing empanelment updates and data reconciliation between systems.
Develops monthly panel report and reviews PCP assignments. The monthly panel report consists of all patients seen in specified month, assigned PCP, treating provider (continuity), retention and PCP Change Determines continuity percentages for each provider against goals.
In collaboration with the Chief Clinical Operations Officer and the Chief Medical Officer, manages patient-initiated and provider-initiated PCP Change requests and makes changes in the EHR.
Tracks patient status changes including death, transfers to other care, and makes the change in the EHR.
Assesses panel fullness against "right size" and discusses any needed adjustments with the CCOO and CMO.
Assess impact of requests for changes in part-time status Under the direction of the CCOO and the CMO tracks impact and supports clinical leadership in making decisions on cross coverage, temporary coverage, and movement of whole or partial panels; tracks provider status changes (transfer, termination, sabbatical, medical leave, etc.) and:
Evaluates impact on assigned panel of patients Reassigns panel to other clinic providers according to panel fullness Notifies affected patients of new PCP assignment Data Management & Oversight
Supervise the Data Entry Specialist to ensure accurate and timely entry of patient and operational data into the electronic health record (EHR) and related systems.
Conduct periodic data audits to verify completeness, accuracy, and compliance with HIPAA and organizational standards.
Partner with IT, Quality, and Operations teams to enhance data workflows and ensure consistency across departments.
Serve as a resource for staff training on data management best practices and empanelment processes.
Staff Training Provide coaching, feedback, and performance management for the Data Entry Specialist, fostering professional growth and accountability.
Facilitate training sessions for staff related to data accuracy, empanelment workflows, and reporting systems.
Conduct PCP Change request training for contact center, front office/back-office staff.
Conducts empanelment 101 training for all staff (importance of empanelment, access, and continuity).
Conduct contact center training on scheduling with assigned PCP.
Reporting & Continuous Improvement Prepare monthly and quarterly reports on empanelment, operational efficiency, and data integrity for leadership review.
Use data analytics to identify opportunities for care coordination and patient retention improvements.
Support compliance, accreditation, and grant reporting by ensuring data integrity and timely submission of required reports.
Contribute to strategic projects aimed at improving operational efficiency and care delivery.
Ensure continuity target goals are being met. If not, develops a performance improvement plan in collaboration with the CCOO and CMO.
Develops and generates operational reports such as panel fullness, urgent/same day appointment availability, third next available, provider productivity reports, budgeted visits to actual visits, unlocked charts, etc.
OTHER DUTIES MAY BE ASSIGNED TO MEET BUSINESS NEEDS.