Aledade, Inc.

Director, Health Plan Performance – Commercial and Medicaid

Aledade, Inc.

full-time

Posted on:

Location Type: Remote

Location: VirginiaUnited States

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About the role

  • 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.
  • 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
  • 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

Requirements

  • 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
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!

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard skills
health plan contractingpayer relationshealthcare strategyvalue-based careportfolio managementfinancial analysisoperational analysisstrategic planningperformance managementgoal setting
Soft skills
relationship managementteam leadershipcommunication skillspresentation skillscollaborationcoachingemployee engagementaccountabilitycontinuous improvementstrategic alignment
Certifications
Bachelor's degree