Sr. Roster Administrator

Primary Duties

1. Manage complex provider roster creation, submission, and record reconciliation for multiple payers, ensuring compliance, database accuracy, and quality control

2. Oversee resolution of moderate-scope issues by prioritizing tasks, tracking progress, escalating issues with solutions, and leading cross-functional initiatives

3. Serve as main contact for roster inquiries, collaborating with internal teams and external payers to provide information and communicate project updates to leadership

4. Provide guidance and support to new and/or internal employees on systems and processes

5. Proactively identify areas for operational improvement and efficiency enhancement

6. Other duties as assigned 

Minimum Qualifications

Bachelor’s degree or relevant, equivalent work experience

3+ years experience with payer/provider operations processes such as credentialing, provider data maintenance, contracting, or provider claims adjudication

Proven track record of identifying, analyzing, and resolving data discrepancies and issues to ensure data accuracy

Strong attention to detail

Ability to work cross-functionally and correspond professionally with key stakeholders 

Intermediate Google Sheets/ Microsoft Excel skills

Experience working with CRM/Salesforce technology

Preferred Qualifications

Experience with multiple payer platforms and submission systems

Experience with SQL or other query language

Lean Six Sigma Black Belt certification

Physical Requirements

Prolonged periods of sitting at a desk and working on a computer.