Aledade, Inc.

With Primary Care. For Primary Care.

Manager, Health Plan Performance

ManagerManagerFull TimeRemoteTeam 501-1,000Since 2014H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

79 days ago

Salary

Not specified

Bachelor Degree8 yrs expEnglish

Job Description

• Oversee the day-to-day operations of a Team of Analysts and/or Specialists fostering a high-performing team • Monitor and evaluate employee and team performance; Handle performance issues according to company policy. • Provide continuous performance feedback, coaching and development Ensure adherence to healthcare regulations (i.e. CMS), company policies, and department process and procedures. • Lead quality improvement initiatives by managing analytics to determine the greatest areas for quality and cost interventions • Develop performance tracking tools and metrics for monitoring progress • Guide the synthesis of performance status including key successes and opportunities by contract and communicate to key stakeholders • Lead the development of external facing materials for strategic payer partners (i.e National JOC deck) • Lead external payer engagements on behalf of the HPP Directors as needed • Develop strategies to improve health plan performance, operational efficiency, and payer experience • Collaborate cross functionally with key stakeholders to implement performance initiatives ensuring operational excellence in each market • Translate contract terms and performance data into actionable steps to achieve contract, market, and company-level savings and quality targets • Partner with field teams to implement their strategic and operational plans for relevant value-based contracts

Job Requirements

  • Bachelor’s degree in Healthcare Administration, Business, Public Health, or related field
  • 8 yrs of experience working in the healthcare industry specifically with health plans
  • 2-4 yrs of people management experience
  • Deep understanding of health plan payer insurance landscape and value-based care
  • Strong project and performance management skills
  • Ability to effectively collaborate and influence key stakeholders at all levels
  • Results-oriented with the ability to prioritize to consistently meet deadlines

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