Supervisor, Payment Excellence
Job Summary
Job Description
A Supervisor, Payment Excellence is crucial for the successful execution of projects and programs within Aledade, supporting operational functions for the Provider Networks portfolio. This role requires strong communication, analytical, and organizational skills. The ideal candidate will be familiar with program/project management, capable of bringing order to ambiguous situations, synthesizing perspectives to drive projects, leveraging organizational tools, fostering clear communication, and being adaptable. Responsibilities include administrative and program management duties like defining business requirements, reporting on KPIs, optimizing processes, and supporting daily operations. The primary focus is on supporting the Payment Excellence Portfolio, managing all program operational activities and staff, ensuring compliance with CMS and other payer requirements, aligning customer service and operational activities with program SLAs, defining and operationalizing processes for timely and accurate payment processing, and partnering with internal teams for core application maintenance. The role reports to the Senior Director of Program Operations.
Must have:
- Bachelor's degree
- 5+ years healthcare operations experience
- Analyst-level Google Sheets/Excel skills
- Proficient with Google Suite
- Outstanding verbal and written communication skills
Good to have:
- PMP-certification
- Familiarity with CMS value-based care programs
- Experience with Salesforce
- Experience with Monday.com
- Experience with Jira
- Experience with Zendesk
- Experience with Tableau
- Thrives in a fast-paced environment
- Excellent organizational skills
- Excellent analytic skills
- Excellent time management
- Attention to detail
Perks:
- Ability to travel up to 5% of the time
10 skills required
Job Details
A Supervisor, Payment Excellence plays a pivotal role in the successful execution of projects and programs within Aledade. Provider Networks Operations is seeking a Supervisor, Payment Excellence to support several operational functions that maintain the accuracy and integrity of the Provider Networks portfolio.
The candidate for this role is required to have strong communication, analytical, and organization skills. The Supervisor - Payment Excellence must be familiar with program/project management principles, thrive in a quickly changing environment by bringing order to ambiguous situations, deftly synthesize and connect different perspectives to drive critical projects forward in a detailed and systematic way, leverage organizational tools to accomplish key results, support a culture of clear communication, and be willing to assist in any way needed. In this role, you will undertake a variety of administrative and program management duties ranging from defining business requirements, reporting on key performance indicators, optimizing current processes and supporting the day-to-day work.
The primary responsibility of this resource is to support the Payment Excellence Portfolio managing all program operational activities inclusive of the operational staff. Core duties include: ensuring compliance and adherence to all program requirements as defined by CMS and other payers, direct customer service and operational activities to align with program SLAs, define and operationalize processes to support timely and accurate payment processing, and partner with internal Aledade teams in the maintenance of the core applications. This role will report to the Senior Director of Program Operations within Provider Networks Operations.
- Day-to-day management of assigned projects using standard project management methods that drive key business initiatives related to practice payment excellence.
- Manage and direct the work of the Project Coordinators responsible for program customer service and payment processing activities in accordance with program requirements and SLA.
- Develop processes including workflows, standard operating procedures (SOPs) and other documents to support business operations
- Track program requirements and changes and communicate to relevant stakeholders, including practice partners.
- Ensure timelines and key deliverables are met. Communicate successes and escalate blockers to leaders.
- Bachelor's degree required. PMP-certification preferred
- 5+ years of experience in healthcare operations (clinical practice, revenue cycle management, health plan performance), existing familiarity with CMS value-based care programs preferred.
- Analyst-level ability with Google Sheets and Microsoft Excel
- Proficient with Google Suite
- Outstanding verbal and written communication skills
- Experience with Salesforce, Monday.com, Jira, Zendesk and Tableau
- Thrives in a fast-paced environment
- Excellent organizational and analytic skills
- Excellent time management and attention to detail
- Ability to travel up to 5% of the time, as needed
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