Tennessee Licensed Medical Economics Manager
VirtualVocations
To support a growing healthcare organization, the full-time salaried Tennessee Licensed Medical Economics Manager will manage membership and premium reconciliation processes, ensuring accurate enrollment and capitation revenue while collaborating with Finance and Operations teams remotely. Key responsibilities Own the end-to-end membership reconciliation process and ensure accurate enrollment and capitation payments Investigate and resolve membership and premium variances, partnering with internal teams to recover discrepancies Produce monthly reconciliation reports and dashboards for leadership visibility into membership trends Required qualifications Bachelor's degree in Statistics, Mathematics, Economics, Computer Science, Healthcare Management, or a related field 7+ years of experience in healthcare analytics, medical economics, or premium/membership reconciliation Strong experience with Medicare Advantage and healthcare financial concepts Experience working with enrollment and eligibility data, including payer files such as 834/820 transactions Advanced Excel skills and the ability to analyze complex datasets independently
Vacancy posted 6 days ago
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