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Aledade

Posted 26 days ago

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Sr. Roster Administrator

ArlingtonOn-siteFull-time

AI Summary

Senior Roster Administrator manages complex provider roster creation, submission, and reconciliation for multiple payer contracts, ensuring data accuracy and compliance while guiding staff and communicating project updates to leadership.

About this role

The Sr. Roster Administrator is responsible for roster management workflows for an assigned portfolio of payer contracts. This role will handle more complex roster challenges while maintaining compliance with contractual and operational requirements.

Primary Duties

  1. Manage complex provider roster creation, submission, and record reconciliation for multiple payers, ensuring compliance, database accuracy, and quality control

  2. Oversee resolution of moderate-scope issues by prioritizing tasks, tracking progress, escalating issues with solutions, and leading cross-functional initiatives

  3. Serve as main contact for roster inquiries, collaborating with internal teams and external payers to provide information and communicate project updates to leadership

  4. Provide guidance and support to new and/or internal employees on systems and processes

  5. Proactively identify areas for operational improvement and efficiency enhancement

  6. 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

    ContractingCredentialingCRMCross-Functional CollaborationData AnalysisData QualityData ReconciliationGoogle SheetsLean / Six Sigma (Black Belt Preferred)Microsoft ExcelPayer Platforms And Submission SystemsProject CoordinationProvider Claims AdjudicationProvider Data MaintenanceSalesforceSQL

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