Aledade, Inc.

Senior Manager, Performance Economics

Aledade, Inc.

full-time

Posted on:

Location Type: Remote

Location: United States

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Job Level

Senior

Tech Stack

SQL

About the role

  • 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.

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
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Applicant Tracking System Keywords

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Hard Skills & Tools
financial reconciliationaudit proceduresdata manipulationExcelGoogle SheetsSQLSASRvalue-based care methodologiesMedicare Advantage methodology
Soft Skills
collaborationorganizational skillsmultitaskingprioritizationtime managementcommunicationproject managementproblem-solvingleadershipinterpersonal skills
Certifications
Bachelor’s Degree in Healthcare AdministrationBachelor’s Degree in BusinessBachelor’s Degree in Public Health