Manager, Profile Variance

Manager, Profile Variance Yale University - 4.2 New Haven, CT Job Details Full-time $82,000 - $131,500 a year 15 hours ago Qualifications Microsoft Word EDI Presentation software Spreadsheets Regulatory compliance HIPAA Medical coding guidelines Medical billing compliance oversight Health insurance knowledge NCQA standards Health information regulatory compliance Healthcare financial management Healthcare IT Relational database design Financial compliance Full Job Description Working at Yale means contributing to a better tomorrow. Whether you are a current resident of our New Haven-based community, eligible for opportunities through the New Haven Hiring Initiative, or a newcomer, interested in exploring all that Yale has to offer, your talents and contributions are welcome. Discover your opportunities at Yale! Overview Under the direction and supervision of the Profile Variance Manager, or their designee, the Manager will be responsible for the development, management and maintenance of contract management applications, such as EPIC. The Manager will constantly seek new ways to leverage the contract management system and will look to capitalize on all features and functionality available. This individual will supervise a team responsible for identifying commercial, governmental and third-party payment variances. Further, they will be responsible for establishing efficient workflow processes, setting the department strategy, staff development and the overall management of projects and requests that are assigned to the department. This individual will also serve as are source for managed care contracting as it relates to contract modeling, contract performance, trend analysis and payer performance. Required Skills and Abilities 1. Knowledge and understanding of technology to support healthcare operations, including, but not limited to, database design, logic and optimization to meet business needs. 2. Considerable knowledge of medical office operations, professional fee billing and third party reimbursement methodologies. Demonstrated ability with managed care companies is essential. 3. Solid working knowledge of Microsoft Excel, Word, PowerPoint and Access. 4. Working knowledge of medical coding, regulatory bodies and billing compliance (i.e.

HIPAA,NCQA

); demonstrated ability with ANSI standard for EDI transaction sets. 5. Ability to communicate information effectively, both oral and written and work effectively as a team member. Preferred Skills and Abilities 1. (AAPC) CPC certification. Principal Responsibilities 1. Reviews and determines staffing needs, job posting requirements, salary guidelines, and labor agreement interpretations for exempt and non-exempt staff in one or more functional department of the University. 2. Manages the administrative support needs for exempt and nonexempt staff and provides recommendations, improvements, solutions and assistance as needed. 3. Manages and monitors technology needs, conducts inventory, and system requirements for the assigned departments. 4. Develops and prepares budgets, financial forecasts, and financial analyses and the actual vs. budgeted performance reports for the departments. 5. Manages the use of facilities in one or more departments including office space, work stations, equipment, and office supplies. 6. Manages administrative support for activities of one or more departments to ensure timely completion of projects. 7. Manages and coordinates training sessions for assigned departments when new policies or practices are adopted. 8. Ensures compliance with University and federal regulations as they apply to the assigned departments. 9. Identifies, plans, and develops administrative policies for the assigned departments. 10. Assists in reviewing and implements University and departmental policies as they pertain to the administrative functions of the assigned department. 11. Assesses and makes recommendations regarding staff development and staffing levels. 12. Monitors, develops, plans, and executes systematic research on user requirements through such mechanisms as surveys, interviews, focus groups and competitive analysis. 13. Manages a staff of exempt and non-exempt employees. 14. May perform other duties as assigned. Required Education and Experience Bachelor's Degree in related field and 5 years of experience or an equivalent combination of education and related experience. Job Posting Date 05/20/2026 Job Category Manager Bargaining Unit NON Compensation Grade Administration & Operations Compensation Grade Profile Manager; Program Leader (25) Salary Range $82,000.00 - $131,500.00 Time Type Full time Duration Type Staff Work Model Remote Background Check Requirements All candidates for employment will be subject to pre-employment background screening for this position, which may include motor vehicle, DOT certification, drug testing and credit checks based on the position description and job requirements. All offers are contingent upon the successful completion of the background check. For additional information on the background check requirements and process visit "Learn about background checks" under the Applicant Support Resources section of Careers on the It's Your Yale website. Health Requirements Certain positions have associated health requirements based on specific job responsibilities. These may include vaccinations, tests, or examinations, as required by law, regulation, or university policy. Posting Disclaimer Salary offers are determined by a candidate's qualifications, experience, skills, and education in relation to the position requirements, along with the role's grade profile and current internal and external market conditions. The intent of this job description is to provide a representative summary of the essential functions that will be required of the position and should not be construed as a declaration of specific duties and responsibilities of the position. Employees will be assigned specific job-related duties through their hiring department. The University is committed to basing judgments concerning the admission, education, and employment of individuals upon their qualifications and abilities and seeks to attract to its faculty, staff, and student body qualified persons from a broad range of backgrounds and perspectives. In accordance with this policy and as delineated by federal and Connecticut law, Yale does not discriminate in admissions, educational programs, or employment against any individual on account of that individual's sex, sexual orientation, gender identity or expression, race, color, national or ethnic origin, religion, age, disability, status as a special disabled veteran, veteran of the Vietnam era or other covered veteran. Inquiries concerning Yale's Policy Against Discrimination and Harassment may be referred to the Office of Institutional Equity and Accessibility (OIEA). Note Yale University is a tobacco-free campus.