Payer Enrollment Operations Manager, Remote

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.

Primary Duties

• 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

Minimum 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. Must exhibit tact and diplomacy in developing and maintaining positive working relationships.
• Ability to work and interact with a wide range of associates and leaders internal and external to the organization.
• 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 able to manage and meet multiple deadlines.
• Must be highly motivated, with superior organization skills, to handle multiple simultaneous projects and associated work teams.

Preferred KSA's:

• Familiarity with Microsoft suite
• Familiarity with Google suite
• Prior management experience preferred

Physical Requirements:

• Work involves extended periods of sitting and using a computer screen.
• Hours may extend beyond the normal workday as needed to serve clients and meet deadlines.