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AI Summary
The Sr. Roster Administrator is responsible for roster management workflows for an assigned portfolio of payer contracts. This role will handle more complex roster challenges while maintaining compliance with contractual and operational requirements.
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Manage complex provider roster creation, submission, and record reconciliation for multiple payers, ensuring compliance, database accuracy, and quality control
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Oversee resolution of moderate-scope issues by prioritizing tasks, tracking progress, escalating issues with solutions, and leading cross-functional initiatives
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Serve as main contact for roster inquiries, collaborating with internal teams and external payers to provide information and communicate project updates to leadership
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Provide guidance and support to new and/or internal employees on systems and processes
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Proactively identify areas for operational improvement and efficiency enhancement
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Other duties as assigned
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Bachelor’s degree or relevant, equivalent work experience
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3+ years experience with payer/provider operations processes such as credentialing, provider data maintenance, contracting, or provider claims adjudication
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Proven track record of identifying, analyzing, and resolving data discrepancies and issues to ensure data accuracy
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Strong attention to detail
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Ability to work cross-functionally and correspond professionally with key stakeholders
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Intermediate Google Sheets/ Microsoft Excel skills
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Experience working with CRM/Salesforce technology
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Experience with multiple payer platforms and submission systems
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Experience with SQL or other query language
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Lean Six Sigma Black Belt certification
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Prolonged periods of sitting at a desk and working on a computer.
Who We Are:
Aledade, 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.
What Does This Mean for You?
At Aledade, 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!
At Aledade, we don’t just accept differences, we celebrate them! We strive to attract, develop and retain highly qualified individuals representing the diverse communities where we live and work. Aledade is committed to creating a diverse environment and is proud to be an equal opportunity employer. Employment policies and decisions at Aledade are based on merit, qualifications, performance and business needs. All qualified candidates will receive consideration for employment without regard to age, race, color, national origin, gender (including pregnancy, childbirth or medical conditions related to pregnancy or childbirth), gender identity or expression, religion, physical or mental disability, medical condition, legally protected genetic information, marital status, veteran status, or sexual orientation.
Privacy Policy: By applying for this job, you agree to Aledade's Applicant Privacy Policy available at https://www.aledade.com/privacy-policy-applicants
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