Senior Roster Administrator

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🕒 May 21

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Aledade, Inc.

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2014

⚕️ Healthcare Insurance

🏢 Enterprise

Healthcare Insurance • Enterprise

Aledade, Inc. is a public benefit corporation that operates as the largest network of independent primary care practices in the United States. The company specializes in Accountable Care Organizations (ACOs), which help primary care practices and health centers improve patient outcomes and generate sustainable revenue through value-based care solutions. Aledade offers data insights, support, and business solutions to achieve sustainability and clinical autonomy. It collaborates with a wide range of healthcare providers, including primary care practices, community health centers, and network ACOs, ensuring improved quality of care and patient satisfaction. With operations in 45 states and affiliations with over 20,000 clinicians serving more than 2. 5 million patients, Aledade is committed to reducing care fragmentation and enhancing the overall quality of life for clinicians and patients alike.

📋 Description

• 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

🎯 Requirements

• 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

🏖️ 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!