Aledade, Inc. logo
Aledade, Inc.

With Primary Care. For Primary Care.

Senior Manager, Performance Economics

ManagerManagerFull TimeRemoteSeniorTeam 501-1,000Since 2014H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

50 days ago

Salary

Not specified

Seniority

Senior

Bachelor Degree7 yrs expEnglishSQL

Job Description

• Review payer financial reconciliations for accuracy and adherence to agreed-upon methodologies. • Support for the development and deployment of audit procedures applied to payer data sets. • Partner across teams and with payers to resolve data discrepancies. Project manage the contestation process with support from the legal team. • Collaborate with the Service Fund Audit team to support the build of standard operating procedures, timelines, and workflows to clearly document the end-to-end process that will ensure the accuracy of financial reconciliations and eventual payment to practices. • Ensure transparency of Service Fund audit work for field teams and provide timely updates and timelines to senior leaders and market stakeholders. • Serve as the subject matter expert in interpreting payer agreements to ensure accurate calculation of financial reconciliations. • Support projects relating to portfolio management (eg, practices & contracts) in Medicare Advantage. • Other duties as assigned.

Job Requirements

  • Bachelor’s Degree in Healthcare Administration, Business, Public Health, or related field.
  • 7+ years of experience related to the business of healthcare. Minimum of 3+ years specialization within Medicare Advantage.
  • 2+ year management experience.
  • Deep knowledge of value-based care methodologies.
  • Deep knowledge of Medicare Advantage methodology and economics (contracting, bidding, P&L management, policy).
  • Advanced ability with Excel / Google sheets and data manipulation skills (eg, SQL/SAS/R).
  • Ability to collaborate effectively with cross-functional teams and external partners.
  • Strong organizational skills with the ability to multitask, prioritize competing demands, and manage time effectively in a fast-paced environment.

Benefits

  • 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!

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