Full-Time

Client Experience Manager

Payment Integrity

Posted on 11/20/2024

Rialtic

Rialtic

51-200 employees

Cloud-based platform for healthcare payments

Enterprise Software
Financial Services
Healthcare

Mid, Senior

Atlanta, GA, USA

Job can be performed in Atlanta or remotely.

Category
Business Research
Project Management
Business & Strategy
Required Skills
Power BI
SQL
Tableau
Data Analysis
Excel/Numbers/Sheets

You match the following Rialtic's candidate preferences

Employers are more likely to interview you if you match these preferences:

Degree
Experience
Requirements
  • Bachelor’s degree or relevant experience
  • Possess analytical strength and curiosity to make observations, understand questions and explain answers in and about data sets and data processes for healthcare claims.
  • Hands-on skills of defining and handling data, planning and managing ETL processes and outputs, and resolving anomalies.
  • Demonstrated familiarity with SQL for data creation, amendments and maintenance
  • Experience utilizing a business intelligence visualization tool such as Tableau, Power BI
  • Advanced Excel skills (pivots, lookups, Analysis ToolPak functions)
  • High attention to detail and ability to create scalable solutions in data environments as it relates to healthcare data and review client deliverables for accuracy.
  • An in-depth understanding of upstream and downstream impacts data, product, and business impact
  • Self-starter and must thrive in a collaborative cross-functional team environment while being process focused, and able to manage projects
  • Ability to work with a range of individuals, manage multiple requests with fast turn-around deadlines
Responsibilities
  • Work with the Client Experience and Client Success teams to Identify actionable insights from healthcare claims data and results
  • Develop standard and customizable reports to meet client requirements, including reports on: Impacts of policy customizations or modifications, Claim impact for retroactive requests, Comparing actual results to expected or projected results, Trends by program, line of business, policy, providers, etc.
  • Ensure the end-to-end quality and integrity of data processes and resulting data sets, including traceability to data systems and sources of truth
  • Own the creation, sharing and updating of key program documentation from documenting business needs, through data definitions, to ETL and joining procedures and preparation for reporting.
  • Efficiently and effectively perform and document Quality Checks and Data Monitoring, proactively identify and address process enhancements and support data linkages required for dashboarding and visualization.
  • Support Client Experience and Client Success in understanding of data to ensure clear, concise communication is ultimately delivered to the client
  • Help guide technical partners on the development of potential solutions for Client Experience data processes implementation
  • Exercise initiative and diligence in process and points along the data journey to identify root causes of issues, develop and implement solutions
  • Be comfortable supporting high volume, always-on data flows with hands-on support to troubleshoot, identify root causes and implement fixes for unexpected issues
  • Become an expert on the Rialtic platform and application to support user onboarding, client inquiries, in-application configuration changes, and all client deliverables
  • Contribute to client inquiries and technical support processes by logging, tracking, and triaging incoming requests
  • Support policy review and implementation by making configuration changes within the Rialtic application
  • Support user onboarding including user account setup, management of access/permissions, and security
  • Other tasks as assigned, related to ongoing data, reporting, deliverables, and analysis projects
Desired Qualifications
  • Min 3 years Experience with SQL
  • Min 3 years of using Tableau and Tableau Prep (or Power BI) for data preparation, data joins & creating and delivering reporting ready digital reporting
  • Understanding data, it’s impact on downstream processes, and experience working with technical teams to plan, execute, troubleshoot and resolve data-related queries
  • Experience working with surveys and back-end enterprise tools
  • Passion for Client Experience (CX) and helping organizations use data to achieve goals
  • Experience in Python and/or other data scripting languages

Rialtic improves the efficiency and accuracy of healthcare payments by providing a cloud-based Software as a Service (SaaS) platform. This platform integrates various aspects of the payment process, allowing healthcare providers, insurance companies, and other stakeholders to manage connections between policies, claims, and providers in a user-friendly interface. Rialtic's platform enhances provider collaboration through self-service configurations and reporting tools, which streamline workflows and reduce redundancies. Unlike its competitors, Rialtic focuses on usability and transparency, helping clients save on administrative costs and optimize their operations. The company's goal is to empower the healthcare system with technology that reduces administrative burdens and increases clarity for both payers and providers.

Company Stage

Series B

Total Funding

$80M

Headquarters

Atlanta, Georgia

Founded

2020

Growth & Insights
Headcount

6 month growth

1%

1 year growth

-1%

2 year growth

1%
Simplify Jobs

Simplify's Take

What believers are saying

  • Rialtic raised $38 million in Series B funding to advance its offerings.
  • The platform supports value-based care models by ensuring payment accuracy.
  • Growing demand for cloud-based solutions boosts Rialtic's market potential.

What critics are saying

  • Emerging competitors like Olive and Cedar threaten Rialtic's market share.
  • Regulatory changes require constant updates, straining Rialtic's resources.
  • Economic downturns may impact Rialtic's subscription-based revenue model.

What makes Rialtic unique

  • Rialtic offers a cloud-based SaaS platform for healthcare payment accuracy.
  • The platform enhances provider collaboration with self-service configurations and reporting tools.
  • Rialtic's platform integrates policies, claims, and providers into a single interface.

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Benefits

Health Insurance

Dental Insurance

Vision Insurance

401(k) Company Match

401(k) Retirement Plan

Unlimited Paid Time Off

Flexible Work Hours

Remote Work Options

Comprehensive Health Plans

Mental Health Support

Wellness Program

Home Office Stipend

Meaningful Equity

INACTIVE