A remote role at Aledade.
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Original listing text, shown exactly as published by the company.
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Manage complex provider roster creation, submission, and record reconciliation for multiple payers, ensuring compliance, database accuracy, and quality control
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Oversee resolution of moderate-scope issues by prioritizing tasks, tracking progress, escalating issues with solutions, and leading cross-functional initiatives
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Serve as main contact for roster inquiries, collaborating with internal teams and external payers to provide information and communicate project updates to leadership
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Provide guidance and support to new and/or internal employees on systems and processes
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Proactively identify areas for operational improvement and efficiency enhancement
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Bachelor’s degree or relevant, equivalent work experience
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3+ years experience with payer/provider operations processes such as credentialing, provider data maintenance, contracting, or provider claims adjudication
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Proven track record of identifying, analyzing, and resolving data discrepancies and issues to ensure data accuracy
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Strong attention to detail
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Ability to work cross-functionally and correspond professionally with key stakeholders
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Intermediate Google Sheets/ Microsoft Excel skills
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Experience working with CRM/Salesforce technology
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Experience with multiple payer platforms and submission systems
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Experience with SQL or other query language
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Lean Six Sigma Black Belt certification
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Prolonged periods of sitting at a desk and working on a computer.
Aledade
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Aledade partners with independent primary care practices to help them transition to and succeed in value-based care. They provide practices with technology, data analytics, and support to improve patient health outcomes and reduce healthcare costs. The company is a leader in building and managing a national network of Accountable Care Organizations (ACOs).
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