Michigan Payer Enrollment Operations Manager, Remote

Aledade PBC • Detroit, MI

13d • Remote

About The Position

The Michigan Payer Enrollment Operations Manager, internally titled Operations Manager, IPA, partners with IPA leadership to oversee administrative operations supporting contracts, including payer contracts, contract membership, payment distribution, and client services delivery. The role collaborates across internal departments to help client practices succeed in pay-for-performance programs, risk-sharing arrangements, and value-based contracts. It may lead a team that includes an Operations Specialist and Membership Associates.

This is a remote role. Candidates based in Michigan are strongly preferred because of the importance of understanding the state’s payer landscape and programs, but candidates anywhere in the United States will be considered. The role may require hours beyond the normal workday to serve clients and meet deadlines.

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 customer relationship development.
• Ability to interact effectively with customers and maintain a professional business manner.
• Tact and diplomacy in developing and maintaining positive working relationships.
• Ability to work with a wide range of internal and external associates and leaders.
• Strong service ethic, high energy, a positive attitude, and a desire to go the extra mile for clients and teammates.
• Analytical and consultative thinking skills to solve customer problems and generate business opportunities.
• Project management skills and the ability to prioritize multiple projects.
• Ability to manage and meet multiple deadlines.
• High motivation and strong organizational skills to handle multiple simultaneous projects and associated work teams.

Nice To Haves

• Familiarity with the Microsoft suite.
• Familiarity with the Google suite.
• Prior management experience.

Responsibilities

• Build respectful, trusting, and productive relationships with internal Aledade 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, reporting, and tracking.
• Develop, monitor, and report key performance indicators related to IPA operations.
• Oversee care management programs, including third-party care management 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 queries about membership, health plan contracts, incentive programs, and IPA information.
• Coordinate and run 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 communication 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.
• Robust time-off plan, including 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager