The Program Manager oversees the contract lifecycle for the Explorer Program, ensuring compliance, managing operations, and leading cross-functional teams for contract success.
The Program Manager, Explorer Contract Operations will serve as the Subject Matter Expert and cross- functional leader for the end-to-end lifecycle management across the Explorer Program. This role will manage all contract operations within the contract lifecycle for the entire Explorer Market portfolio across all contract types. This leadership position will enable the team to achieve OKR performance goals by resolving operational bottlenecks and enabling the Practice Transformation Specialist to focus on revenue-driving Performance Excellence work.
Primary Duties:
- Contract Operations Management:
- Own end-to-end contract lifecycle for extensive contract portfolio including, but not limited to, ACO REACH, PC Flex, MSSP, MA, Commercial and CCF agreements
- Navigate complex contract terms and provide expert guidance on eligibility issues
- Attend and represent the Explorer market at any relevant meetings such as contracting or cross-sell launches
- Practice Partnership & Contract Success:
- Partner directly with practices to ensure successful contract onboarding and ongoing compliance
- Serve as primary point of contact for practice level contracting questions and resolution
- Collaborate with practices to identify and resolve barriers to contract performance and participation
- Support cross-sell opportunities and practice expansion initiatives across contract portfolio
- Cross-Functional Leadership:
- Act as the SME of the Explorer market with all relevant groups such as Payer Networks, SPP, Withdrawal, Legal, and Growth teams
- Lead collaborations efforts to establish predictability to enable scalability
- Process Innovation & Automation:
- Proactively identify ways to contribute to the company’s future through strategic partnerships
- Lead practice service model innovation with focus on standardization and automation
- Team Leadership & Development:
- Provide direction to PTS team members on how to navigate project roadblocks
- Partner with Program specialist in day-to-day activities related to contracting/rostering
- Guide PTS team through complex contract eligibility issues
Minimum Qualifications:
- Graduate of an accredited college or university in healthcare, health technology or information systems-related programs.
- Significant and relevant work experience in lieu of educational requirements may be accepted.
- 6+ years of experience with relevant experience
- Proven ability to work effectively with cross-functional teams
- Expertise in contract management and healthcare operations
- Ability to work in a fast-paced environment and manage multiple priorities
Preferred Qualifications:
- 2-3 years of management experience or mentorship
- Project management certification or demonstrated competency
- Experience with ACO models and value-based care contracts
- Healthcare practice management experience
- Data analysis and process improvement skills
Physical Requirements:
- Sitting for prolonged periods of time.
- Extensive use of computers and keyboard.
- Occasional walking and lifting may be required.
- Ability to travel 10-15% (team and company retreats)
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
Top Skills
Contract Management
Healthcare Operations
Project Management
Similar Jobs
Computer Vision • Healthtech • Information Technology • Logistics • Machine Learning • Software • Manufacturing
Lead and supervise a Clinical Support team, ensuring high-quality customer service in a dental tech environment while managing KPIs and operational efficiency.
Top Skills:
Zendesk
Healthtech • Information Technology • Software • Telehealth
As a Specialist in Customer Experience, you will provide exceptional service to healthcare providers, upsell features, and ensure a positive experience through various communication channels. You will maintain records and strive to make Zocdoc's services easy to use for providers.
Healthtech • Information Technology • Software • Telehealth
The Specialist, Customer Experience is responsible for delivering exceptional customer service to healthcare providers, upselling features, and ensuring a positive user experience across multiple communication channels.
Top Skills:
Customer Service Platforms
What you need to know about the Seattle Tech Scene
Home to tech titans like Microsoft and Amazon, Seattle punches far above its weight in innovation. But its surrounding mountains, sprinkled with world-famous hiking trails and climbing routes, make the city a destination for outdoorsy types as well. Established as a logging town before shifting to shipbuilding and logistics, the Emerald City is now known for its contributions to aerospace, software, biotech and cloud computing. And its status as a thriving tech ecosystem is attracting out-of-town companies looking to establish new tech and engineering hubs.
Key Facts About Seattle Tech
- Number of Tech Workers: 287,000; 13% of overall workforce (2024 CompTIA survey)
- Major Tech Employers: Amazon, Microsoft, Meta, Google
- Key Industries: Artificial intelligence, cloud computing, software, biotechnology, game development
- Funding Landscape: $3.1 billion in venture capital funding in 2024 (Pitchbook)
- Notable Investors: Madrona, Fuse, Tola, Maveron
- Research Centers and Universities: University of Washington, Seattle University, Seattle Pacific University, Allen Institute for Brain Science, Bill & Melinda Gates Foundation, Seattle Children’s Research Institute
