About the role
About Matter Health
Matter Health delivers primary and preventive healthcare directly to older adults living in public housing communities.
Our mission is simple: to improve healthcare access by meeting patients where they are and building trusted relationships within the communities we serve. We are rapidly expanding across Tennessee and are seeking mission-driven professionals who thrive in fast-paced, people-centered environments.
Total Healthcare. Where you live.
About the Role
The Manager, Medical Economics is responsible for Matter Health’s membership and premium reconciliation functions. This leader ensures enrollment, eligibility, and capitation revenue are accurately reconciled across payer files, internal systems, and financial reporting processes.
You will serve as the subject matter expert on membership and premium economics, partnering closely with Finance, Enterprise Information Management (EIM), and Operations to identify discrepancies, recover at-risk revenue, and improve data accuracy and integrity throughout the organization.
The ideal candidate combines deep healthcare analytics expertise with managed care knowledge, and thrives in a fast-paced, high-growth setting.
Key Responsibilities
- Lead the end-to-end membership reconciliation process, ensuring that enrollment, eligibility, and capitation payments are accurately tracked and reconciled across payer files, internal systems, and the general ledger.
- Investigate and resolve membership and premium variances, including retroactive additions, terminations, and rate changes.
- Quantify revenue at risk and collaborate with internal teams and health plans to recover discrepancies.
- Build and maintain business rules, controls, and data flows supporting member-month counts and premium accrual processes.