Sr. Roster Administrator

3 weeks, 6 days ago
Full-time
Senior
Database Administration
Aledade

Aledade

Aledade collaborates with independent practices, health centers, and clinics to establish and manage Accountable Care Organizations (ACOs) that prioritize primary care, enabling physicians to enhance patient care while maintaining their independence in...

Health Care Providers & Services
1K-5K
Founded 2014
$686M raised

Description

  • Manage complex provider roster creation, submission, and record reconciliation across multiple payer contracts.
  • Ensure roster accuracy, quality control, and compliance with contractual and operational requirements.
  • Resolve moderate-scope issues by prioritizing tasks, tracking progress, and escalating with proposed solutions.
  • Serve as the main point of contact for roster inquiries from internal teams and external payers.
  • Collaborate with internal stakeholders and external payer partners to share information and provide project updates to leadership.
  • Guide and support new and existing employees on roster systems and processes.
  • Identify opportunities to improve operational efficiency and workflow effectiveness.
  • Support cross-functional initiatives related to roster management and payer operations.
  • Perform other duties as assigned.

Requirements

  • Bachelor’s degree or equivalent relevant work experience.
  • 3+ years of experience in payer/provider operations processes such as credentialing, provider data maintenance, contracting, or provider claims adjudication.
  • Demonstrated ability to identify, analyze, and resolve data discrepancies to maintain data accuracy.
  • Strong attention to detail.
  • Ability to work cross-functionally and communicate professionally with key stakeholders.
  • Intermediate skills in Google Sheets and Microsoft Excel.
  • Experience working with CRM/Salesforce technology.
  • Experience with multiple payer platforms and submission systems is preferred.
  • Experience with SQL or another query language is preferred.
  • Lean Six Sigma Black Belt certification is preferred.

Benefits

  • Flexible work schedules and remote work availability for many roles.
  • Health, dental, and vision insurance paid up to 80% for employees, dependents, and domestic partners.
  • Robust PTO plan, including 21 days in the first year.
  • Two paid volunteer days and 11 paid holidays.
  • 12 weeks of paid parental leave for all new parents.
  • Six weeks of paid sabbatical after six years of service.
  • Educational Assistant Program and Clinical Employee Reimbursement Program.
  • 401(k) with up to 4% company match and stock options.

Interested in this position?

Apply directly on the company website

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