Director, Network Operations

Aledade

104d

About The Position

The Director of Network Operations on the Strategic Payer Partnerships team will independently lead and scale operational excellence for Aledade Complete, our network contracting, provider credentialing, and health plan enrollment offering. This role will be responsible for building and optimizing processes, ensuring cross-functional alignment, and delivering operational rigor through launch and growth phases. The Director will also identify and eliminate operational bottlenecks and inefficiencies, and oversee relationships with vendors, partners, and third-party service providers as needed. This is a unique opportunity to help define the operational backbone of a new product while ensuring a successful launch and build out. We are flexible with respect to geographic location, and the ideal candidate will be comfortable working remotely/work from home within the U.S. or from our office in Bethesda, MD, Durham, NC or Austin, TX.

Requirements

• 12+ years of progressive experience in operational and strategic roles with health plans or provider organizations
• 4+ years experience with network management, credentialing and enrollment processes and platforms
• Bachelor’s degree

Nice To Haves

• Master’s degree in related field and 8+ years in clinical back office or payer operations functions
• 2+ years of management experience
• Results-oriented with the ability to exercise significant influence to achieve strategic goals
• Proven track record of creating, maintaining, and enhancing relationships and communicating effectively with senior management, both internally and externally

Responsibilities

• Manages the implementation of market entry plans, include vendor implementation, vendor management, initial health plan operational alignment, establishment of internal processes, internal project management and overall coordination
• Validates Aledade’s operational requirements as established in various provider manuals, confirms operational readiness for each before contract go-live, and monitors compliance with active contract requirements (tracks KPIs and other performance measures)
• Interfaces with other teams and practices enrolling in Aledade Complete to manage the ongoing execution of Aledade Complete’s various processes and workflows
• Identifies and develops plans and SOPs for common workflows and is accountable for resolving operational issues arising during and after implementation

Benefits

• 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!

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: Bachelor's degree
• Number of Employees: 1,001-5,000 employees