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.
