Implementation Analyst, Epic
The Wilshire Group
Manager, Network Operations
Aledade, Inc.
full-time
Posted on:
Origin: • 🇺🇸 United States • North Carolina
Visit company websiteJob Level
SeniorLead
About the role
- Supports & 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
Requirements
- 8+ years of progressive experience in operational and strategic roles with health plans or provider organizations
- Bachelor’s degree
- Master’s degree in related field and 6+ years in clinical back office or payer operations functions
- 1+ years experience with network management, credentialing and enrollment processes and platforms
- 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
