Michigan Payer Enrollment Operations Manager, Remote

Aledade PBC•Novi, MI

1d•$90,000 - $110,000•Remote

About The Position

Aledade is seeking a Michigan Payer Enrollment Operations Manager, internally titled Operations Manager, IPA, to oversee the administrative operations supporting IPA contracts and client services. The role partners with IPA leadership and internal departments on payer contracts, contract membership, payment distribution, and delivery of client services. It supports clients participating in pay-for-performance programs, risk-sharing arrangements, and value-based contracts, and leads a team that may include an Operations Specialist and Membership Associates. This is a remote position. Candidates anywhere in the United States may be considered, with a strong preference for candidates based in Michigan because of the role’s need for knowledge of the state’s payer landscape and programs. Compensation is $90,000–$110,000 base, plus bonus and equity; compensation depends on qualifications, skills, competencies, and experience.

Requirements

Bachelor’s degree in Business, Healthcare Administration, or a related field, or an equivalent combination of education and experience.
At least 8 years of experience with a health plan, physician organization, physician office, or similar employer in progressively more responsible positions.
Strong written and verbal communication skills.
Excellent interpersonal skills and the ability to interact effectively and credibly at all organizational levels.
Ability to lead, persuade, and influence, particularly in developing customer relationships.
Ability to interact effectively with customers and maintain a professional business manner, tact, and diplomacy in positive working relationships.
Ability to work and interact with a wide range of internal and external associates and leaders.
Strong service ethic, high energy, positive attitude, and willingness to go the extra mile for clients and teammates.
Strong analytical and consultative thinking skills to solve customer problems and generate business opportunities.
Project management skills, including prioritizing multiple projects and meeting multiple deadlines.
High motivation and superior organizational skills to manage multiple concurrent projects and associated work teams.

Nice To Haves

Familiarity with Microsoft Suite.
Familiarity with Google Suite.
Prior management experience.

Responsibilities

Build respectful, trusting, and productive relationships with internal departments, payers, and client practices.
Partner with the Market Manager and IPA Operations Director to develop strategic initiatives and operational tracking for payer contracting and payments, provider recruiting and membership, population health management, physician alignment, care management oversight, and health information technology.
Monitor payer enrollments, reports, and payments.
Lead payment distribution, payment reporting, and tracking.
Develop, monitor, and report key performance indicators related to IPA operations.
Oversee care management programs, including the third-party care management function, to support performance and metric achievement.
Mentor, coach, and manage direct reports, including overseeing the Operations Specialist and assisting with meeting communications and notifications.
Oversee the Membership team to ensure complete, accurate, and efficient membership processes.
Respond to customer and prospective-customer inquiries about membership, health plan contracts, incentive programs, and IPA information.
Coordinate and lead payer meetings about contract administration, updates, and issues, and work with payers to resolve issues.
Conduct internal team meetings to develop and communicate client strategy, including contract deliverables, progress reports, and implementation plans.
Oversee delivery of client communications and education materials.
Work with the growth department and IPA Operations Director to support recruitment efforts.
Perform other duties as assigned.

Benefits

Flexible work schedules and remote work availability for many roles.
Health, dental, and vision insurance paid up to 80% for employees, dependents, and domestic partners.
21 days of PTO in the first year.
Two paid volunteer days and 11 paid holidays.
12 weeks of paid parental leave for all new parents.
Six weeks of paid sabbatical after six years of service.
Educational Assistant Program and Clinical Employee Reimbursement Program.
401(k) with up to 4% match.
Stock options.
Bonus and equity compensation.