Health Operations Analyst & Access Manager

We offer great benefits, competitive pay, and great working environment!

We offer: Medical Insurance

• Dental Insurance
• Vision Insurance
• Long Term Disability
• Group Term Life and AD&D
• Employee Assistance Program
• Flexible Spending Accounts
• 11 Paid Holidays
• 4 Personal Days
• 10 Vacation Days
• 12 Sick Days
• Metro reimbursement or free parking
• Employer Matched (6%) 403b Retirement Plan

This is a great opportunity to make a difference!

This position will pay $39.09 - $49.96 hourly. Salary is commensurate with experience.

Position Summary

The Health Operations Analyst & Access Manager is responsible for analyzing and optimizing operational performance of APLA Health clinical operations, with a particular focus on patient access, 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.

ESSENTIAL DUTIES AND 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.

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.
• Conduct 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 trends and insights to drive operational improvements.