Matter Health

Matter Health

Manager, Medical Economics

Nashville, TN | Remote · Full-time

Sponsorship not specifiedDetected 25 days ago
SQLData VisualizationStatisticsFinancial AnalysisExcelLeadershipCommunicationProblem SolvingPublic SpeakingFinancial Reporting

About the role

  • The Manager, Medical Economics owns Matter Health's membership and premium reconciliation functions, ensuring enrollment, eligibility, and capitation revenue accurately reconcile across payer files, internal systems, and financial reporting processes.
  • This individual will serve as the subject matter expert for membership and premium economics, partnering closely with Finance, Enterprise Information Management (EIM), and Operations to identify discrepancies, recover revenue at risk, and improve data accuracy and integrity across the organization.
  • The ideal candidate combines strong healthcare analytics experience with managed care knowledge and thrives in a fast-paced, high-growth environment.

Responsibilities

  • Own the end-to-end membership reconciliation process, ensuring enrollment, eligibility, and capitation payments reconcile accurately across payer files, internal systems, and the general ledger.
  • Build and maintain business rules, controls, and data flows supporting member-month counts and premium accrual processes.
  • Partner closely with Finance, Operations, and Enterprise Information Management teams to identify root causes and implement upstream data improvements.
  • Support month-end close activities by validating premium revenue and explaining membership and premium variances.
  • Help establish scalable reconciliation processes and prepare to support future analyst team growth.
  • Within 6 Months Fully own membership reconciliation activities.
  • Within 12 Months Fully own both membership and premium reconciliation functions.

Requirements

  • Experience working with enrollment and eligibility data, including payer files such as 834/820 transactions.
  • Advanced Excel skills and the ability to independently analyze complex datasets.
  • Experience presenting analytical findings and recommendations to leadership.

Nice to have

  • Experience with premium reconciliation processes.
  • Managed care organization experience.
  • Previous leadership or team management experience.
  • This is not just a mission statement - it is the work we do every day.
  • Competitive compensation
  • 401(k) with company match beginning at day 60
  • 10 paid company holidays

Benefits

  • About Matter Health Matter Health delivers primary and preventive healthcare directly to older adults living in public housing communities.
  • Quantify revenue at risk and partner with internal teams and health plans to recover discrepancies.
  • What Success Looks Like First 90 Days Gain baseline knowledge of Matter Health systems, data sources, and reconciliation processes.
  • Lead gap analysis efforts related to medical expense data requirements and process improvements.

Company info

  • Medical, dental, and vision coverage
  • Employer-funded HSA and FSA options
  • Employer-paid life and disability insurance
  • Voluntary illness, accident, and hospitalization coverage
  • Access to Matter Health's in-person and virtual care services Financial Security
  • Access to financial wellness resources and support Time Away
  • Up to 4 weeks of PTO
  • 2 volunteer days annually to support causes meaningful to you Eligibility is based on full-time employment status. Additional details will be shared during the interview process. Equal Opportunity Employer Matter Health is an equal opportunity employer committed to building a diverse and inclusive workplace. We welcome applicants from all backgrounds and experiences and are committed to fostering an environment where every team member feels valued, respected, and supported.

Equal opportunity

  • Employer Matter Health is an equal opportunity employer committed to building a diverse and inclusive workplace.
  • We welcome applicants from all backgrounds and experiences and are committed to fostering an environment where every team member feels valued, respected, and supported.
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This listing is sourced directly from Matter Health's careers page and normalized into a canonical job model.