Director, Revenue Management - Medicare Advantage

4 days ago

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Aledade, Inc.

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Accountable Care Organizations (ACOs) • Health Information Technology • Data Analytics • Physician Collaborations

501 - 1000

Description

• The Director, Revenue Management (Medicare Advantage) will manage the performance analysis and financial reporting for our Medicare Advantage line of businesses. • The Director of Revenue Management will work with company stakeholders (Actuary, Impact Analytics, Finance) to oversee the development of the company’s financial outlook for the Medicare Advantage line of business (revenue recognition, FP&A inputs). • Provide leadership in the prioritization of contracts and resources (eg, field teams, HQ teams). • Perform due-diligence on payer reporting and financial reconciliations.

Requirements

• Bachelor’s degree in related field or equivalent work experience required. • 9+ years experience in health economics, finance, and/or value-based care revenue forecasting. Minimum of 5+ years specialization with Medicare Advantage. • 3+ years management experience within a health care setting (ACO, payer, practice, etc). • Deep knowledge of value-based care methodologies. • Deep knowledge of Medicare Advantage methodology and economics (contractings, bidding, P&L management, policy). • Ability to create and translate complex analysis to executive presentations for senior leadership • Advanced ability with Excel / Google sheets and data manipulation skills (eg, SQL/SAS/R) • Advanced knowledge of Medicare Advantage revenue and claims payment/processing • Familiarity with CMS risk adjustment methodologies and payment.

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 • 2 Paid Volunteer Days & 11 paid holidays • 12 weeks paid Parental Leave for all new parents • 6 weeks paid sabbatical after 6 years of service • Educational Assistant Program & Clinical Employee Reimbursement Program • 401(K) with up to 4% match • Stock options • And much more!