Rate Compliance Analyst Jobs

The Aspen Group (TAG) is one of the largest and most trusted retail healthcare business support organizations in the U.S., supporting 15,000 healthcare professionals and team members at more than 1,000 health and wellness offices across 46 states in three distinct categories: Dental care, urgent care, and medical aesthetics. Working in partnership with independent practice owners and clinicians, the team is united by a single purpose: to prove that healthcare can be better and smarter for everyone. ADMI provides a comprehensive suite of centralized business support services that power the impact of four consumer-facing businesses: Aspen Dental, ClearChoice Dental Implant Centers, WellNow Urgent Care and Chapter Aesthetic Studio. Each brand has access to a deep community of experts, tools and resources to grow their practices, and an unwavering commitment to delivering high-quality consumer healthcare experiences at scale. As a reflection of our current needs and planned growth we are very pleased to offer an opportunity to join our Payor Strategy team as a Rate Compliance Analyst.

Responsibilities

• Creates ad hoc reports and analysis as requested
• Perform analysis on rate updates to quantify potential impacts to the Aspen Dental practices
• Maintains database of all contracted rates for Aspen Dental, ensuring that all rates are stored in an organized manner
• Work with Revenue Cycle Management to ensure that compliance to contracted rates is enforced
• Has a strong understanding of insurance contracts and workflow of claim adjudication
• Works closely with the Payor Strategy leadership on maintaining accurate rates for all Aspen Dental offices
• Works with Financial Planning + Analytics to ensure that correct rates are used for all financial modeling
• Audits all incoming contracted rate schedules from the plans for accuracy

Minimum Education and Experience

• Tableau, PowerBI or other visualization software experience is plus
• 1-3 years of experience in financial/data analysis, or other reporting required
• Has demonstrated ability to review large data files for accuracy and completion
• Has ability to excel in fast paced environment, take direction, and handle multiple priorities
• Advanced skills with Microsoft Excel required
• SQL, SAS, or other data querying software experience preferred
• BA/BS in Finance, Economics, Mathematics, Accounting or other business discipline preferred