Attribution Reconciliation Coordinator
Cone Health
Job Overview
- Industry: Hospitals and Health Care
- Application Deadline: 18 May 2026
Job Description
The key responsibility of the Attribution Reconciliation Coordinator at Triad HealthCare Network centers on effectively running the patient-to-provider attribution and reconciliation program vital for the organization's performance in value-based care contracts. This role involves the development, maintenance, and enhancement of uniform attribution reconciliation protocols, procedures, and resources, including the utilization of Salesforce, across a range of prominent payers like Humana, Aetna, and Cigna. Through facilitating resolution of disparities, guaranteeing alignment with payer-specific attribution regulations, reducing financial vulnerabilities, and harmonizing payer attribution strategies with THN's clinical and operational contexts, the coordinator fortifies the network's cohesiveness.
Essential Job Function:
- Be responsible for managing every stage of attribution reconciliation: identifying, probing, documenting, resolving, and preventing inconsistencies among all providers.
- Overseeing the evolution, revision tracking, and instant access to the attribution policy, significant determinations, operational sequences, instructional manuals, and educational resources on Salesforce.
- Take charge of escalating and coordinating workflows with a high volume of cases, including managing scenarios concerning terminated providers (6,476+ cases), lack of utilization, out-of-network matters, and distinguishing between group and individual NPI attribution.
- Track and analyze monthly attribution statistics like the quantity of differences, success rates in resolving them, aging of outstanding matters, and financial implications to evaluate performance in relation to set objectives.
- Consistently examine attribution methodologies and payer statements, proposing modifications to hierarchy guidelines, exclusion conditions, and reconciliation time periods.
- Work closely with Network Operations, Physician Liaisons, Analytics, Contracting, and external payer teams to manage challenging cases and ensure accurate information for attributed NPIs.
- SalesforcePanelManagement
- Collaborate in developing and delivering training programs aimed at educating internal staff and provider practices about attribution policy, Salesforce technology, and the specific needs of various payers.
- Aid in the development and ongoing advancement of Salesforce as the platform for managing provider relationships and attribution workflows for THN.
- Take proactive steps to anticipate and adapt to shifting payer attribution methodologies and industry trends, safeguarding the stability of THN operations.
Education
- Required: Associate's Degree
Experience
- Required:
- 5+ years of progressive experience in healthcare network management, payer contracting, patient attribution/revenue cycle operations, or population health
- Proven expertise in data reconciliation, workflow optimization, and policy implementation in a value-based care or clinically integrated network environment
- Advanced proficiency in Salesforce (or similar CRM/PRM platform), Excel, PowerPoint, and healthcare analytics/reporting tools
- Deep understanding of payer attribution methodologies (e.g., PCP hierarchy, claims-based vs. enrollment-based logic, scheduling compliance rules)
- Exceptional analytical, communication, and cross-functional collaboration skills comfortable presenting to executives, providers, and payer partners
- Demonstrated ability to manage multiple high-priority projects and timelines in a fast-paced environment
- Salesforce Experience
Licensure/Certification/Listing
Preferred: PMP certification and/or Lean Six Sigma certification
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Job Overview
- Industry: Hospitals and Health Care
- Application Deadline: 18 May 2026