[Hiring] Michigan Payer Enrollment Operations Manager @Aledade PBC

Role Description

Join a leadership team where your work directly shapes how Aledade’s physician practices succeed in value-based care. As Michigan Payer Enrollment Operations Manager (internally: Operations Manager, IPA), you’ll partner with IPA leadership to oversee the administrative engine behind our contracts, including payer contracts, contract membership, payment distribution, and client services delivery. You’ll collaborate across internal departments to help clients get the most out of pay-for-performance programs, risk sharing arrangements, and value-based contracts, and you’ll lead a team that may include an Operations Specialist and Membership Associates.

Location Note: This is a remote role, with a strong preference for candidates based in Michigan due to the importance of understanding the state’s payer landscape and programs. Candidates located anywhere within the US will be considered.

Qualifications

• Bachelor’s degree in Business, Healthcare Administration, or related field or equivalent combination of education and experience
• 8+ years of experience with a health plan, physician organization, physician office or similar employer in progressively more responsible positions
• Strong communication (written and verbal)
• Excellent interpersonal skills with ability to interact effectively and credibly at all levels of an organization
• Ability to lead, persuade, influence, particularly as it relates to customer relationship development
• Ability to interact effectively with customers and possess a professional business manner
• Impeccable service ethic characterized by high energy, a positive attitude and the desire to go “the extra mile” for both clients and teammates
• A strong analytical and consultative thought process that is effectively utilized to solve customer problems and generate new business opportunities
• Project management skills with the ability to prioritize multiple projects
• Must be highly motivated, with superior organization skills, to handle multiple simultaneous projects and associated work teams

Requirements

• Builds respectful, trusting, and productive relationships with Aledade internal departments, payers, and client practices
• Partners with the Market Manager and IPA Operations Director to develop strategic initiatives and operational tracking in key areas such as payer contracting and payments, provider recruiting and membership, population health management, physician alignment, care management oversight, and health information technology
• Monitors payer enrollments, reports, and payments
• Leads payment distribution, payment reporting, and tracking
• Develops, monitors, and reports on Key Performance Indicators related to IPA operations
• Provides care management program oversight, including oversight of the third-party care management function to ensure performance and metric achievement
• Mentors, coaches, and manages direct reports, including overseeing the Operations Specialist and assisting in developing and coordinating meeting communications and notifications
• Oversees the Membership team to ensure complete, accurate, and efficient membership processes
• Responds to queries from customers and potential customers regarding membership, health plan contracts, incentive programs, and IPA information
• Coordinates and runs meetings with payers for contract administration, updates, and issues, and works with payers to resolve issues
• Conducts internal team meetings to develop and communicate overall client strategy, including contract deliverables, progress reports, and implementation plans
• Oversees delivery of client communication and education materials
• Works with the growth department and IPA Operations Director to support recruitment efforts
• Performs other duties as assigned

Benefits

• Flexible work schedules and the ability to work remotely are available for many roles
• Health, dental and vision insurance paid up to 80% for employees, dependents and domestic partners
• Robust time-off plan (21 days of PTO in your first year)
• Two paid volunteer days and 11 paid holidays
• 12 weeks paid parental leave for all new parents
• Six weeks paid sabbatical after six years of service
• Educational Assistant Program and Clinical Employee Reimbursement Program
• 401(k) with up to 4% match
• Stock options
• And much more!

Company Description

Aledade PBC, a public benefit corporation, exists to empower the most transformational part of our health care landscape - independent primary care. We were founded in 2014, and since then, we've become the largest network of independent primary care in the country - helping practices, health centers and clinics deliver better care to their patients and thrive in value-based care. Additionally, by creating value-based contracts across a wide variety of health plans, we aim to flip the script on the traditional fee-for-service model. Our work strengthens continuity of care, aligns incentives and ensures primary care physicians are paid for what they do best - keeping patients healthy.

If you want to help create a health care system that is good for patients, good for practices and good for society - and if you're eager to join a collaborative, inclusive and remote-first culture - you've come to the right place.