Payer Enrollment Operations Manager, Remote

#LI-CT1 Who We Are: 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.   What Does This Mean for You? At Aledade PBC, 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 PBC, 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.

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.