Jobs
>
Bethesda

    Financial Specialist, Remote - Bethesda, United States - Aledade

    Aledade
    Aledade Bethesda, United States

    2 weeks ago

    Default job background
    Full time
    Description
    The Financial Specialist will support success across Aledade's Medicare Advantage value-based contracts. Under the direction of the Director of Financial Performance, the Financial Specialist will analyze financial performance in Aledade's Medicare Advantage value-based contracts by performing complex quantitative analysis on health care cost, utilization and risk adjustment data. In addition this analyst will perform analysis and modeling to support negotiations with payer partners and strategize on ACO performance improvements for field teams.

    Primary Duties:
    • Develop modeling for financial projections for MA VBC ACOs. Manipulate and navigate reports through SQL to extract complex healthcare information (e.g., unit cost, resource utilization, etc.). Develop financial models to calculate revenue and claims trends to generate short and long term revenue projections for Aledade ACO arrangements.
    • Develop and maintain MA financial reporting tools. Assuring that monthly financial reports are up to date with the most recent claims data. Peer review financial projections of team members. These MA financial modeling tools are crucial for market leadership and other members of the team to understand trends in our data. The majority of this time will be translating data into Google Sheets, Tableau, and presentations for central and market teams.
    • Serve as subject matter expert on MA financials to strategize with performance and field teams on ACO performance and improvement opportunities. Strategize means coming up with recommendations on practices, areas of improvement and other areas related to Aledade's performance based on independent research that is vetted by their manager - they should be able to synthesize, understand, recommend and have it reviewed. This work also includes evaluating pilots and other performance opportunities.
    • Support payer partnership negotiations by modeling performance and creating recommendations for financial terms. This looks like assisting the SPP department on MA analytical modeling - this includes analyzing contracts, being the primary contact for modeling when they need a recommendation for contract negotiations or status.
    Minimum Qualifications:
    • Excellent quantitative analysis skills with 5 years experience in healthcare analytics (payer / provider / vendor)
    • 4 years of Intermediate data manipulation skills (SQL/SAS/R)
    • 4 years of advanced spreadsheet skills (Excel / Google sheets)
    Preferred Qualifications:
    • 3-5 experience in Medicare Advantage economics (bidding, P&L management, policy...)
    • Ability to create and translate complex analysis to executive presentations for senior leadership
    • Experience with value based care
    • Actuarial skills (pricing / forecasting)
    Who We Are:

    Aledade, a public benefit corporation, exists to empower the most transformational part of our health care landscape - independent primary care. We were founded in 2014, and since then, we've become the largest network of independent primary care in the country - helping practices, health centers and clinics deliver better care to their patients and thrive in value-based care. Additionally, by creating value-based contracts across a wide variety of payers, we aim to flip the script on the traditional fee-for-service model. Our work strengthens continuity of care, aligns incentives, and ensures primary care physicians are paid for what they do best - keeping patients healthy. If you want to help create a health care system that is good for patients, good for practices and good for society - and if you're eager to join a collaborative, inclusive and remote-first culture - you've come to the right place.

    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 collaborate with team members who bring a wide range of experiences, interests, backgrounds, beliefs and achievements to their work - and who are all united by a shared passion for public health and a commitment to the Aledade mission.

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

    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

    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.

    Privacy Policy: By applying for this job, you agree to Aledade's Applicant Privacy Policy available at
  • Jefferson Consulting Group

    Contract Specialist Remote

    1 week ago

    Jefferson Consulting Group Washington, United States

    Jefferson Solutions, the government consulting arm of the Jefferson Consulting Group, is seeking a **Mid Contract Specialist **to perform a full range of acquisition services in support of the Government publishing Office. · **Responsibilities**: · - Provide support to GPO on pro ...

  • Aledade, Inc.

    EHR Specialist, Remote

    2 weeks ago

    Aledade, Inc. Bethesda, United States

    We are actively recruiting for an Electronic Health Record (EHR) Specialist, who will play a key role in optimizing EHR solutions that enable Aledade's partner practices to improve patient outcomes, reduce healthcare costs, and increase efficiency.The EHR Specialist will collabor ...

  • Aledade, Inc.

    EHR Specialist, Remote

    3 weeks ago

    Aledade, Inc. Bethesda, United States

    We are actively recruiting for an Electronic Health Record (EHR) Specialist, who will play a key role in optimizing EHR solutions that enable Aledades partner practices to improve patient outcomes, reduce healthcare costs, and increase efficiency.The EHR Specialist will collabora ...

  • Maximus Services, LLC

    Remote Digital Marketing Specialist

    6 days ago

    Maximus Services, LLC Tysons, United States

    **Description & Requirements** · Maximus is looking for an enthusiastic Remote Recruitment Digital Advertising Specialist to join our ambitious Talent Acquisition Marketing team and help us drive top talent to our company via modern & innovative recruitment marketing strategies. ...

  • Aledade, Inc.

    HR Specialist, Remote

    2 weeks ago

    Aledade, Inc. Bethesda, United States

    The HR Specialist supports 2-3 HR Business Partners with their assigned client group(s), responding to questions and inquiries as well as coordinating across the People, Payroll, and Employee Relations teams. The role coordinates timelines, program communications, and system admi ...

  • Centauri Health Solutions

    Technical Support Specialist, Fully Remote

    3 weeks ago

    Centauri Health Solutions Rockville, United States

    **Role Overview**: · As a Technical Support Specialist, you are a critical member of our Support team and report to the Director of Customer Support and Enrollment. This role is responsible for delivering first class technical customer support as part of an innovative and forward ...

  • Social Solutions International

    Billing Specialist- Part Time/remote

    2 days ago

    Social Solutions International Rockville, United States Part time

    Overview: · Social Solutions International, Inc. (Social Solutions) is a Hispanic and woman-owned business emphasizing quality research and evaluation, training and technical assistance, and institutional support services. We are a mission-driven organization that believes that s ...

  • Aledade, Inc.

    Employee Relations Specialist, Remote

    3 weeks ago

    Aledade, Inc. Bethesda, United States

    We are actively recruiting for a Employee Relations Specialist to join the Employee Relations Team to ensure fair, equitable, and consistent treatment to all employees while creating an engaged and safe work environment. The Employee Relations Specialist collaborates with the HR ...

  • Asap Systems

    Remote Customer Support Specialist

    6 days ago

    Asap Systems Germantown, United States

    We are seeking a highly motivated and customer-focused individual to join our team as a Customer Support Specialist. In this role, you will be responsible for providing exceptional customer service and technical support to our clients. You will serve as the first point of contact ...

  • Aledade, Inc.

    Content Marketing Specialist, Remote

    2 weeks ago

    Aledade, Inc. Silver Spring, United States

    The Content Marketing Specialist will help create, update and curate compelling and informative content about Aledade's products and service offerings with an emphasis on engaging prospective members and current clients. · This role will support the curation and updating of our ...

  • Aledade, Inc.

    Content Marketing Specialist, Remote

    3 weeks ago

    Aledade, Inc. Silver Spring, United States

    TheContent Marketing Specialistwill help create, update and curate compelling and informative content about Aledade's products and service offerings with an emphasis on engaging prospective members and current clients. · This role will support the curation and updating of our ex ...

  • Billingsley Travel

    remote voyage specialist

    3 weeks ago

    Billingsley Travel , VA, United States

    As a Remote Voyage Specialist, you will be responsible for curating unforgettable travel experiences for our clients. You will leverage your expertise in destination knowledge, industry trends, and customer service to craft personalized itineraries that cater to the unique prefer ...

  • GawjusViews travel

    Remote Tourism Specialist

    2 weeks ago

    GawjusViews travel Washington, United States

    Job Description · Job DescriptionAbout the job Remote Tourism Specialist · As a Tourism Specialist, you will be responsible for coordinating all aspects of your clients' travel arrangements, from initial inquiry to post-trip follow-up. You'll be working closely with our clients, ...

  • Department of The Navy

    Remote Contract Specialist

    3 weeks ago

    Department of The Navy Washington DC, United States Part time

    DutiesYou will be responsible for the procurement of supplies, services, construction, research and development, and major systems using negotiation procedures, the evaluation of contract price proposals, and administration and close out of contracts.You will serve as a recognize ...

  • Novartis

    Allergy Territory Account Specialist Bethesda, MD Remote

    2 weeks ago

    Novartis Bethesda, United States

    Allergy Territory Account Specialist Bethesda, MD RemoteJob ID394496BRMar 18, 2024USAAbout the RoleThis is a field-based and remote opportunity.Novartis is more than an organization. It is a thriving community where talented people can truly belong. Working closely and collaborat ...

  • Integrity Management Consulting

    Contract Specialist-Mid-Remote

    1 week ago

    Integrity Management Consulting Arlington, United States

    At Integrity, we believe that each employee contributes directly to our growth, success and culture. We seek out candidates who love to challenge themselves and work with others to fulfill this mission. Due to outstanding success in serving our client, The Department of Homeland' ...

  • Integrity Management Consulting

    Contract Specialist-Mid-Remote

    1 week ago

    Integrity Management Consulting Arlington, United States

    At Integrity, we believe that each employee contributes directly to our growth, success and culture. We seek out candidates who love to challenge themselves and work with others to fulfill this mission. Due to outstanding success in serving our client, The Department of Homeland' ...

  • Integrity Management Consulting

    Contract Specialist-Mid-Remote

    3 weeks ago

    Integrity Management Consulting Arlington, United States

    At Integrity, we believe that each employee contributes directly to our growth, success and culture. We seek out candidates who love to challenge themselves and work with others to fulfill this mission. Due to outstanding success in serving our client, The Department of Homeland' ...

  • Piper Companies

    Marketing Specialist Channel- Remote

    3 weeks ago

    Piper Companies Arlington, United States

    Zachary Piper Solutions seeking an experienced · Senior Contracts Specialist · with a · Secret · (or higher) clearance to join a government contracting team in · Virginia · for a · hybrid (1 day/ week) · work opportunity. The Contracts Specialist will be supporting a CMO ...

  • Strategic Technology Institute, Inc. (STi)

    Documentation Specialist

    2 weeks ago

    Strategic Technology Institute, Inc. (STi) Bethesda, United States

    Job Overview: · STi We are seeking a detail-oriented and organized Document Specialist to join our team. As a Document Specialist, you will be responsible for managing and organizing various types of documents, ensuring accuracy and efficiency in document processing. · Duties may ...