<h3>About <a href="https://himalayas.app/companies/matter-health">Matter Health</a></h3><p style="min-height:1.5em"><a href="https://himalayas.app/companies/matter-health">Matter Health</a> delivers primary and preventive healthcare directly to older adults living in public housing communities.</p><p style="min-height:1.5em">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.</p><h3>Total Healthcare. Where you live.</h3><h3>About the Role</h3><p style="min-height:1.5em">The Manager, Medical Economics is responsible for <a href="https://himalayas.app/companies/matter-health">Matter Health</a>’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.</p><p style="min-height:1.5em">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.</p><p style="min-height:1.5em">The ideal candidate combines deep healthcare analytics expertise with managed care knowledge, and thrives in a fast-paced, high-growth setting.</p><h3>Key Responsibilities</h3><ul style="min-height:1.5em"><li><p style="min-height:1.5em">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.</p></li><li><p style="min-height:1.5em">Investigate and resolve membership and premium variances, including retroactive additions, terminations, and rate changes.</p></li><li><p style="min-height:1.5em">Quantify revenue at risk and collaborate with internal teams and health plans to recover discrepancies.</p></li><li><p style="min-height:1.5em">Build and maintain business rules, controls, and data flows supporting member-month counts and premium accrual processes.</p></li><li><p style="min-height:1.5em">Partner with Finance, Operations, and EIM teams to identify root causes and implement upstream data improvements.</p></li><li><p style="min-height:1.5em">Produce monthly reconciliation reports and dashboards to give leadership visibility into membership, PMPM, and premium trends.</p></li><li><p style="min-height:1.5em">Support month-end close activities by validating premium revenue and explaining membership and premium variances.</p></li><li><p style="min-height:1.5em">Conduct independent analyses and present findings and recommendations to leadership.</p></li><li><p style="min-height:1.5em">Design scalable reco