Aledade, Inc.

Manager, Health Plan Performance

Aledade, Inc.

full-time

Posted on:

Origin:  • 🇺🇸 United States • Virginia

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Job Level

SeniorLead

About the role

  • Manage analyses conducted by Analyst(s) from various internal and external datasets to pinpoint greatest areas for quality and cost interventions.
  • Develop performance tracking tools and metrics for monitoring progress for each contract and across the portfolio of contracts.
  • Guide the synthesis of performance status including key successes and opportunities by contract and communicate to leadership and other stakeholders, including payer partners in partnership with the PSE team.
  • Lead external payer engagements including the development of external facing materials for strategic payer partners to include deck creation, aligning performance narratives across internal matrix partners (in partnership with the PSE team), and articulating wins and opportunities with internal and external stakeholders.
  • Execute the HPP Strategy by partnering with key stakeholders across the three pillars of risk, affordability, and quality to deploy performance initiatives, achieve company targets, and ensure operational excellence in each market.
  • Translate contract terms and performance data into actionable approaches to achieve contract, market, and company-level savings and quality targets.
  • Partner with Aledade field teams to implement their strategic and operational plans for relevant value-based contracts to drive successful outcomes across Aledade’s provider networks, including achieving contractual quality thresholds and generating shared savings.
  • Provide bidirectional feedback to Aledade internal teams, and support the strategic deployment of all performance activities within the market.
  • Support the professional development goals and endeavors of direct reports, guiding their aspirations to align with company goals and OKRs.
  • Other duties as assigned

Requirements

  • Bachelor’s Degree
  • 8+ years of related experience working in the healthcare industry (i.e., health plan, provider groups, hospital, pharmaceutical manufacturer, government, pharmacy chain, management consulting) with a proven track record of successfully managing projects and performance and interfacing with internal or external stakeholders.
  • 2-4 years of people management experience
  • Proven ability to effectively partner with and influence internal and external stakeholders, providing strategic insights and guidance.
  • Deep understanding of health plan payer insurance landscape and value-based care.
  • Must be results-oriented with the ability to prioritize and manage multiple projects simultaneously to consistently meet deadlines and stakeholder expectations.