Sr. Roster Administrator
TLDR
Manage complex roster management workflows for payer contracts while ensuring compliance and accuracy in provider data and operations.
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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
Bachelor’s degree or relevant, equivalent work experience
3+ years experience with payer/provider operations processes such as credentialing, provider data maintenance, contracting, or provider claims adjudication
Proven track record of identifying, analyzing, and resolving data discrepancies and issues to ensure data accuracy
Strong attention to detail
Ability to work cross-functionally and correspond professionally with key stakeholders
Intermediate Google Sheets/ Microsoft Excel skills
Experience working with CRM/Salesforce technology
Experience with multiple payer platforms and submission systems
Experience with SQL or other query language
Lean Six Sigma Black Belt certification
Prolonged periods of sitting at a desk and working on a computer.
Benefits
Education Stipend
Educational Assistant Program and Clinical Employee Reimbursement Program
Flexible Work Hours
Flexible work schedules and the ability to work remotely are available for many roles
4-Day Workweek
Six weeks paid sabbatical after six years of service
Paid Parental Leave
12 weeks paid parental leave for all new parents
Paid Time Off
Robust time-off plan (21 days of PTO in your first year)
Aledade builds a robust network for independent primary care practices, health centers, and clinics, facilitating their transition to value-based care through effective Accountable Care Organizations (ACOs). By offering data analytics, workflow solutions, and health policy expertise, Aledade empowers these providers to enhance patient care while retaining their autonomy in a challenging healthcare landscape.
- Founded
- Founded 2014
- Employees
- 500+ employees
- Industry
- Health Care Providers & Services
- Total raised
- $690M raised