Director, Health Plan Performance (Commercial and Medicaid), Remote
The Director, Health Plan Performance will lead the development and execution of performance strategy and contract operations in Aledade’s national portfolio of value-based contracts across the Commercial and Medicaid lines of business.
Primary Dutes:
• Strategic Direction
• Develop and implement the strategy and operational plan for each Commercial and Medicaid contract to drive successful outcomes across the portfolio
• Serve as the key liaison and Subject Matter Expertise between Sr. Leadership and operational teams translating strategy into actionable plans to achieve and access savings.
• Leadership & People Management
• Lead, develop, and empower Managers and/or Sr. Managers, driving operational excellence and achieving key business outcomes
• Serve as a strategic partner, coaching and developing Managers and/or Sr. Managers on performance management, goal setting, and employee engagement to build high performing Teams
• Fosters a culture of accountability, growth, and continuous improvement across managed teams
• Operational Oversight & Stakeholder Collaboration
• Establish and maintain strong, collaborative relationships with payer partners to ensure deliverables are met
• Lead and collaborate across functions (i.e. Field, Product, & Strategic Payer Partnerships) focusing on strategic alignment and execution of key initiatives to achieve mutually defined goals of the partnership
• Conduct analyses to pinpoint greatest areas for cost and quality interventions
• Other duties as assigned
Minimum Qualifications:
• Bachelor’s degree
• 12 yrs. experience in health plan contracting, payer relations, or healthcare strategy in value-based care; 6-8 yrs. management experience.
• Expert in relationship management and portfolio management
• Proven ability to build and lead a high performing team
• Excellent communication and presentation skills to effectively influence and collaborate with both internal and external stakeholders.
• Strong strategic planning and analytical skills
• Ability to assess financial and operational outcomes of contracts
• Passionate about driving the shift from fee-for-service to value based care
• Ability to think beyond one's immediate team and contribute to making Aledade holistically better
Preferred Qualifications:
• Master’s degree
Physical Requirements:
• Prolonged periods of sitting at a desk and working on a computer.
• Travel: 0-10%
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
Apply Now
Apply Now
Primary Dutes:
• Strategic Direction
• Develop and implement the strategy and operational plan for each Commercial and Medicaid contract to drive successful outcomes across the portfolio
• Serve as the key liaison and Subject Matter Expertise between Sr. Leadership and operational teams translating strategy into actionable plans to achieve and access savings.
• Leadership & People Management
• Lead, develop, and empower Managers and/or Sr. Managers, driving operational excellence and achieving key business outcomes
• Serve as a strategic partner, coaching and developing Managers and/or Sr. Managers on performance management, goal setting, and employee engagement to build high performing Teams
• Fosters a culture of accountability, growth, and continuous improvement across managed teams
• Operational Oversight & Stakeholder Collaboration
• Establish and maintain strong, collaborative relationships with payer partners to ensure deliverables are met
• Lead and collaborate across functions (i.e. Field, Product, & Strategic Payer Partnerships) focusing on strategic alignment and execution of key initiatives to achieve mutually defined goals of the partnership
• Conduct analyses to pinpoint greatest areas for cost and quality interventions
• Other duties as assigned
Minimum Qualifications:
• Bachelor’s degree
• 12 yrs. experience in health plan contracting, payer relations, or healthcare strategy in value-based care; 6-8 yrs. management experience.
• Expert in relationship management and portfolio management
• Proven ability to build and lead a high performing team
• Excellent communication and presentation skills to effectively influence and collaborate with both internal and external stakeholders.
• Strong strategic planning and analytical skills
• Ability to assess financial and operational outcomes of contracts
• Passionate about driving the shift from fee-for-service to value based care
• Ability to think beyond one's immediate team and contribute to making Aledade holistically better
Preferred Qualifications:
• Master’s degree
Physical Requirements:
• Prolonged periods of sitting at a desk and working on a computer.
• Travel: 0-10%
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
Apply Now
Apply Now