Manager - Payment Intelligence®

Description

Manager - Payment Intelligence®

AArete is one of a kind when it comes to consulting firm culture.

The Manager of Payment Intelligence® will be responsible for leading in client delivery on engagements that help payers improve their efficiency and accuracy in claims payment. The individual will be a subject matter expert on practices to help our clients ensure proper claims payment through the use of (1) claims analytics, (2) process improvements, (3) integration of automation/technology, and (4) configurations setups. This role will also support the internal development of Payment Intelligence® initiatives, including development of products that help enable more efficient client delivery.

Many vendors provide on-going payment integrity services; however, AArete's Payment Intelligence® ensures erroneous payments are identified, understood, recouped and rectified to prevent them in the future. Payment Intelligence® addresses provider billing and health plan payment inaccuracies resulting from issues with payment policies, provider contracts, provider data, covered benefits, member eligibility and prior authorizations.

Work you'll do

• Work closely with Managing Directors, Vice Presidents, and Directors to set project strategy
• Manage projects and lead teams in the development, identification and root causing of payment accuracy opportunities through enhancing tactics and communicate/coordinate remediation with client counterparts
• Provide guidance to teams who will utilize claims analytics to uncover payment accuracy opportunities through your knowledge of standard payment methodologies including Prospective Payment Systems (IPPS/OPPS), fee for service, Groupers, RVUs, etc.
• Support the advancement of AArete's Payment Intelligence® initiatives to drive greater automation to claims payment
• Identify areas of opportunity for Payment Intelligence® by staying up to date on current events, changes in regulatory requirements and market trends
• Full ownership of the client relationship

Requirements

• Minimum 6+ years experience in healthcare payment accuracy or operations related role either in consulting, provider revenue cycle, a payment integrity/accuracy vendor, or within a payer organization
• Direct client interaction, including possible travel to client location
• Experience managing a team for at least 18 months: evaluating output and team member knowledge to identify training opportunities
• Experience managing a project, running the scope of work, owning deliverables, owning risk and owning margins
• Enthusiasm for joining a fast-paced, high growth company and be a part of the business architecture of technology applications and tools
• Advanced skills in Word, Excel, and PowerPoint
• Bachelor's degree or equivalent

Why AArete?

We are an innovative management and technology consulting firm. In Greek, our name signifies "excellence" - due to this the bar is set high at AArete. We believe that any organization can succeed by enriching and empowering its people - starting with our own team members. Our distinctive Culture of Care compels us to collaboratively solve problems that effect purposeful change for our clients and community.

We're growing fast, and you will too. At AArete, we want you to realize your full potential by having direct impact delivering on our mission while prioritizing space for personal development and fulfillment.

At AArete, you'll collaborate with team members across the globe. While we have offices in the US, India, and the UK, based on your preference and client needs, AAretians may work on-premises and/or remotely.

About AArete

AArete is a global management and technology consulting firm specializing in strategic profitability improvement, digital transformation, and advisory services. Our cross-industry solutions are powered through modern technology, market intelligence, and big data to drive purposeful change and actionable outcomes.

AArete is guided by our deeply embedded principles: Excellence, Passion, Loyalty to Clients, Stewardship, Family, Community, Sustainability, and Inclusion.

We are proud to have earned a Great Place to Work Certification™ and named as one of America's Best Management Consulting Firms by Forbes, Vault's Top 50 Firms to Work For, Crain's Chicago Business Fast 50, Inc 5000's Fastest Growing Firms, Consulting Magazine's Fastest Growing Firms.

Check out some of our AAwesome Benefits

• Flexible PTO, monthly half-day refuels, volunteer time off, 10 paid holidays
• Own Your Day flexible work policy
• Competitive majority employer paid benefits: Medical, Dental, Vision, 401K Match
• Employee Stock Ownership Plan
• Generous maternity / paternity leave options
• Completely employer paid Life Insurance, STD, LTD
• Charitable contribution matching program
• New client commission opportunities and referral bonus program
• Video free Fridays
• Bike share discount program
• Home office allowance

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

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