Senior Manager, Revenue Cycle Management, Remote

Aledade is a leader in population health that is using innovative, value based solutions to transform the way physicians interact with their patients. We are on a mission to change healthcare for the better and solve complex problems within the healthcare system.

Aledade is growing and searching for a Senior Manager, Revenue Cycle Management to join the company and build out a team of trainers and consultants in revenue cycle management. Our New Ventures team supports a variety of growing business lines to complement Aledade s core business of helping independent physicians succeed in value-based care arrangements. This role will use Aledade s industry-leading data set to help partner practices improve their short-term financial health, and chart a long-term strategy for growth.

We are looking for an ambitious Senior Manager to help design and incubate Aledade s Revenue Cycle Management (RCM) Liaison program, and support the broader New Ventures team. Your role as an RCM Senior Manager will be to build a solution within Aledade to help Aledade s Primary Care Physician partners improve revenue-cycle functions across both billing and coding through a short-term engagement that includes training and consulting.

You will help design and implement services that have product-market fit and ultimately train and manage a team of RCM Leads that will support practices to provide those services. As you learn from our practice partners, you will continue to refine and update your playbook, evolve the project with superior project management skills, and upskill your team, ensuring that our billing and coding solution performs consistently at industry-leading levels.

Responsibilities:

• Design, build, scale and manage solutions that support Aledade partner practices in billing and coding activities
• Design and build go-to-market tests for new offerings, including defining stakeholder needs, minimum viable product, and value proposition
• Lead cross-functional operations to drive improved outcomes
• Manage relationships with Aledade partner practices
• Oversee a team of RCM experts
• Use data to identify practices that could benefit from Aledade services
• Partner with practices to understand billing and coding workflows and identify opportunities for process improvement
• Engage with physicians and practice staff on recommendations that improve business functions, accurately document visits, and allow for high-quality patient care
• Serve as an ongoing resource for Aledade partner practices on billing and coding
• Partner with business intelligence and impact analytics teams on data insights needed to validate business case inputs and to monitor outcomes
• Develop and/or contribute to financial models to evaluate future revenue and costs associated with RCM liaison services, under the direction of New Ventures leadership
• Manage & lead billing and coding related projects, including tracking key metrics across initiatives and driving cross-functional team collaboration
• Identify trends across practices and provide feedback on the best course of action to improve billing and coding practices
  
  

Qualifications:

• Bachelor s degree in business, finance, economics, health policy, or other related field or equivalent work experience required. Master s degree in business, health administration, and health policy preferred
• Current certification as a Certified Professional Coder (CPC), Certified Risk Adjustment Coder (CRC), or equivalent experience preferred
• 7+ years of relevant work experience with proven track record of designing and building healthcare revenue cycle management solution products and workflows
• Risk adjustment documentation and coding expertise
• Demonstrated knowledge of CMS HCC Risk Adjustment program, methodology, and impact to value-based contracts
• Highly organized and proactive in raising questions around clarity, prioritization, blockers, and other points to drive assigned tasks forward
• Strong leadership skills
• Excellent written and verbal communication skills.
• Demonstrated ability to manage without explicit authority
• Demonstrated ability to consult primary care providers and practice stakeholders
• Excellent understanding of coding guidelines
• Understanding of fee-for-service and value-based contract principles
• Excellent critical thinking, organizational, and time management skills
• Comfortable tackling ambiguous problems with a high level of autonomy
• Thorough understanding of medical coding guidelines and regulations including compliance, reimbursement and the impact on fee-for-service contracts, and the impact of diagnosis documentation on risk adjustment payment models
  
  

All prospective hires will be required to demonstrate that they have been fully vaccinated, including booster shots, against COVID-19 with a COVID-19 vaccine for which the U.S. Food and Drug Administration has issued a license or an Emergency Use Authorization prior to mutually-agreed upon start date at Aledade, unless they qualify for a medical or religious accommodation to this vaccination requirement.

If you are passionate about transforming the healthcare system into one that best serves the needs of patients, doctors, and society, we d love for you to join us!

Who We Are:

Aledade is a leader in population health that is using innovative, value based solutions to transform the way physicians interact with their patients. We are on a mission to change healthcare for the better and solve complex problems within the healthcare system.

We follow the simple but radical idea that Aledade only succeeds when our partner practices succeed. From our cutting-edge technology platform to practice transformation services, we provide physicians with everything they need to create and run an accountable care organization ( ACO ), revamping the way they practice and getting them back to where they should be: quarterbacking their patients health care!

Our customized solutions help clinicians in communities across America preserve their autonomy, deliver better care to their patients, reduce overall costs, and keep independent physician practices flourishing.

What Does This Mean for You?

At Aledade, you will be part of a creative culture that is driven by a passion for tackling complex issues with respect, open-mindedness, and a desire to learn. You will work with team members that bring a wide range of experiences, interests, backgrounds, beliefs, and achievements to their work, united by a shared passion for public health and a commitment to the Aledade mission.

We ve recently been recognized as a Top Workplace by The Washington Post, Best Workplace in HealthCare & Biopharma, Top 100 Best Small & Medium Workplaces, Glassdoor Best Places to Work, a Best and Brightest Companies to Work for in the Nation, a Tech Tribune 10 Best Tech Startups in Maryland and Bethesda, Best Tech for Good, Best Workplaces for Millennials, Best Workplaces for Women, Best Workplaces for Parents, Top Workplaces USA, and a Healthcare Industry Top Workplace.

That s because the things that matter to you also matter to us!

In addition to time off to support work-life balance and enjoyment, we offer the following comprehensive benefits package designed for the needs of our full-time team-members:

Flexible work schedules and ability to work remotely available for many roles

Educational Assistant Program

Robust time off plan (21 days of PTO in your first year!)

Paid Volunteer Days

11 paid holidays

12 weeks paid Parental Leave for all new parents

6 weeks paid sabbatical

Health, dental and vision insurance paid up to 80% for employees, dependents, and domestic partners

401(k) with up to 4% match

Stock options

Monthly cell phone stipend

Jeans everyday workplace

Gender neutral bathrooms

And more!

At Aledade, we don t just accept differences, we celebrate them! We strive to attract, develop, and retain highly qualified individuals representing the diverse communities where we live and work. Aledade is committed to creating a diverse environment and is proud to be an equal opportunity employer. Employment policies and decisions at Aledade are based on merit, qualifications, performance, and business needs. All qualified candidates will receive consideration for employment without regard to age, race, color, national origin, gender (including pregnancy, childbirth or medical conditions related to pregnancy or childbirth), gender identity or expression, religion, physical or mental disability, medical condition, legally protected genetic information, marital status, veteran status, or sexual orientation.

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