The Aspen Group (TAG) is one of the largest and most trusted retail healthcare business support organizations in the U.S., supporting 15,000 healthcare professionals and team members at more than 1,000 health and wellness offices across 46 states in three distinct categories: Dental care, urgent care, and medical aesthetics. ADMI provides a comprehensive suite of centralized business support services that power the impact of four consumer-facing businesses: Aspen Dental, ClearChoice Dental Implant Centers, WellNow Urgent Care and Chapter Aesthetic Studio. Each brand has access to a deep community of experts, tools, and resources to grow their practices, and an unwavering commitment to delivering high-quality consumer healthcare experiences at scale.
Job Summary
The Manager, Payor Analytics, plays a critical role within our Plan Management Team, reporting to the Sr. Director of Plan Management. The candidate will be a technical expert in both the front-end and back-end of our practice management system. Additionally, the manager will be responsible for team performance monitoring, the departments’ data integrity and audit function and will also help drive IT enhancements aimed at improving patient estimate accuracy.
Essential Responsibilities
- Oversee the end-to-end process for plan, code and plan-provider record audits
- Create the needed queries to generate system maintenance reports, targeting specific rate and plan provider record corrections
- Create the needed data queries to generate departmental performance and productivity reports
- Attend cross departmental meetings and drive IT enhancements aimed at fixing patient estimations, improving departmental process efficiencies and reducing escalated issues
- Directly manage rate compliance analyst
- Provide data support to the Sr. Director and SVP of Payor Contractor as needed
Education and Background:
- Bachelor's degree required
- 3+ years’ experience with in-depth working knowledge of healthcare insurance
- Previous experience working with EHRs and/or practice management systems
- Proficient in SQL
- Experience in a growing healthcare environment
- Proven career progression with increasing levels of project experience and responsibility
- Proficient in Microsoft Office, including Excel, Word, and PowerPoint
Characteristics and Abilities:
- Excellent oral and written communications, interpersonal and organizational skills.
- Strong ability to measure and report to key metrics of team performance.
- Multiple project leadership, business partnering and cross department/matrix collaboration.
- Self-management abilities and sound business judgment.
- High level of experience and expertise successfully managing a team.
- Flexibility to support and to adapt to change.
- This role requires current, in-depth knowledge of governmental and commercial insurance rules and regulations.
Salary: 90-110k, plus bonus/incentives
- A generous benefits package that includes paid time off, health, dental, vision, and 401(k) savings plan with match
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