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Payer Enrollment Operations Manager, Remote

Aledade · Ann Arbor, MI · Remote

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About Aledade

Aledade is a national leader empowering primary care organizations with actionable insights to improve patient health and support business sustainability. Backed by Lightspeed and IVP.

About the role

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. Found on 1752vc Careers, the job board for startup and VC roles.

What they're looking for

  • 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
More about this role

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.

  • 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...

Read the full posting on Aledade's site ↗

Provider Networks & ACO Support

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