The Manager of Network Operations will build processes, ensure operational alignment, and oversee vendor relationships to optimize performance in health plan operations.
The Manager of Network Operations on the Strategic Payer Partnerships team will support the scaling of operational excellence for Aledade Complete, our network contracting, provider credentialing, and health plan enrollment offering. This role will be responsible for building and optimizing processes, ensuring cross-functional alignment, and delivering operational rigor through launch and growth phases.
The Manager will also identify and eliminate operational bottlenecks and inefficiencies, and oversee relationships with vendors, partners, and third-party service providers as needed. This is a unique opportunity to help define the operational backbone of a new product while ensuring a successful launch and build out.
We are flexible with respect to geographic location, and the ideal candidate will be comfortable working remotely/work from home within the U.S. or from our office in Bethesda, MD, Durham, NC or Austin, TX.
Primary Duties:
- Supports & manages the implementation of market entry plans, include vendor implementation, vendor management, initial health plan operational alignment, establishment of internal processes, internal project management and overall coordination
- Validates Aledade’s operational requirements as established in various provider manuals, confirms operational readiness for each before contract go-live, and monitors compliance with active contract requirements (tracks KPIs and other performance measures)
- Interfaces with other teams and practices enrolling in Aledade Complete to manage the ongoing execution of Aledade Complete’s various processes and workflows
- Identifies and develops plans and SOPs for common workflows and is accountable for resolving operational issues arising during and after implementation
Minimum Qualifications:
- 8+ years of progressive experience in operational and strategic roles with health plans or provider organizations
- Bachelor’s degree
Preferred knowledge, skills, and/or abilities:
- Master’s degree in related field and 6+ years in clinical back office or payer operations functions
- 1+ years experience with network management, credentialing and enrollment processes and platforms
- Results-oriented with the ability to exercise significant influence to achieve strategic goals
- Proven track record of creating, maintaining, and enhancing relationships and communicating effectively with senior management, both internally and externally
Physical Requirements:
- Sitting for prolonged periods of time. Extensive use of computers and keyboard. Occasional walking and lifting may be required.
- Ability to travel
Who We Are:
Aledade, 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.
What Does This Mean for You?
At Aledade, you will be part of a creative culture that is driven by a passion for tackling complex issues with respect, open-mindedness and a desire to learn. You will collaborate with team members who bring a wide range of experiences, interests, backgrounds, beliefs and achievements to their work - and who are all united by a shared passion for public health and a commitment to the Aledade mission.
In addition to time off to support work-life balance and enjoyment, we offer the following comprehensive benefits package designed for the overall well-being of our team members:
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!
At Aledade, we don’t just accept differences, we celebrate them! We strive to attract, develop and retain highly qualified individuals representing the diverse communities where we live and work. Aledade is committed to creating a diverse environment and is proud to be an equal opportunity employer. Employment policies and decisions at Aledade are based on merit, qualifications, performance and business needs. All qualified candidates will receive consideration for employment without regard to age, race, color, national origin, gender (including pregnancy, childbirth or medical conditions related to pregnancy or childbirth), gender identity or expression, religion, physical or mental disability, medical condition, legally protected genetic information, marital status, veteran status, or sexual orientation.
Privacy Policy: By applying for this job, you agree to Aledade's Applicant Privacy Policy available at https://www.aledade.com/privacy-policy-applicants
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