Primary Duties
Manage complex provider roster creation, submission, and record reconciliation for multiple payers, ensuring compliance, database accuracy, and quality control
Oversee resolution of moderate-scope issues by prioritizing tasks, tracking progress, escalating issues with solutions, and leading cross-functional initiatives
Serve as main contact for roster inquiries, collaborating with internal teams and external payers to provide information and communicate project updates to leadership
Provide guidance and support to new and/or internal employees on systems and processes
Proactively identify areas for operational improvement and efficiency enhancement
Other duties as assigned
Minimum Qualifications
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
Preferred Qualifications
Experience with multiple payer platforms and submission systems
Experience with SQL or other query language
Lean Six Sigma Black Belt certification
Physical Requirements
Prolonged periods of sitting at a desk and working on a computer.
Skills Required
- Bachelor's degree or equivalent work experience
- 3+ years experience with payer/provider operations
- Proven track record of resolving data discrepancies
- Strong attention to detail
- Ability to work cross-functionally
- Intermediate Google Sheets/Microsoft Excel skills
- Experience working with CRM/Salesforce
Aledade Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Aledade and has not been reviewed or approved by Aledade.
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Fair & Transparent Compensation — Pay is often characterized as fair or pretty good for the work, with occasional remarks that compensation is among the best experienced in a career.
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Leave & Time Off Breadth — Time off provisions stand out, including a strong PTO allotment early on and an additional long-tenure sabbatical benefit.
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Parental & Family Support — Paid parental leave is positioned as a meaningful, broadly applicable benefit for new parents.
Aledade Insights
What We Do
Aledade is the largest network of independent primary care, enabling clinicians to deliver better patient outcomes and generate more savings revenue through value-based care. Aledade’s data, personal coaching, user-friendly workflows, health care policy expertise, strong payer relationships and integrated care solutions enable primary care organizations to succeed financially by keeping people healthy. Together with more than 1,900 practices and community health centers in 45 states and the District of Columbia, Aledade manages accountable care organizations that share in the risk and reward across more than 200 value-based contracts representing more than 2.5 million patient lives. To learn more, visit www.aledade.com or follow on X (Twitter), Facebook or LinkedIn.
Why Work With Us
At Aledade, we’re all about doing good for patients, practices and society - which is why we’re so passionate about value-based care and the work we do every day. Because we’re working to benefit all of society, we believe the best way to do so is to utilize all of our team members and their unique experiences, interests, backgrounds and beliefs.
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