Michigan Payer Enrollment Operations Manager, Remote

Aledade; Michigan; Remote; USD 90,000 - 110,000; Full time

Benefits offered by this job

Remote-friendly

Health benefits

Paid time off

Volunteer days

Paid holidays

Parental leave

Sabbatical

Educational reimbursement

401(k) with match

Stock options

Job summary

Aledade PBC is seeking an experienced Michigan-based Payer Enrollment Operations Manager to lead the IPA operations team. This remote role partners with IPA leadership to manage payer contracts, enrollment, payments, and client services delivery within value-based care programs.

You will mentor a team, oversee membership processes, monitor KPIs, and coordinate with payers to resolve issues while aligning with growth goals and strategic initiatives.

Qualifications

• Bachelor’s degree in Business, Healthcare Administration, or related field or equivalent combination of education and experience.
• 8+ years of experience with a health plan, physician organization, or similar employer in progressively more responsible positions.
• Strong written and verbal communication.
• Excellent interpersonal skills with ability to interact effectively and credibly at all levels of an organization.
• Ability to lead, persuade, influence, particularly as it relates to customer relationship development.
• Interact with customers professionally with tact and diplomacy.
• Ability to work with a wide range of associates and leaders internal and external to the organization.
• Impeccable service ethic with high energy and willingness to go the extra mile for clients and teammates.
• Strong analytical and consultative thought process to solve customer problems and generate opportunities.
• Project management skills with ability to prioritize multiple projects and meet deadlines.
• Highly motivated with superior organization to handle multiple projects and teams.

Responsibilities

• Builds relationships with internal departments, payers, and client practices.
• Partners with Market Manager to develop strategic operational tracking in payer contracting, payments, membership, population health, provider alignment, care management, and health IT.
• Monitors payer enrollments, reports, and payments.
• Leads payment distribution, reporting, and tracking.
• Develops and reports on KPIs for IPA operations.
• Oversees care management program oversight and third-party performance.
• Mentors and manages direct reports including Operations Specialist.
• Oversees Membership team to ensure complete, accurate membership processes.
• Responds to customer queries about membership, contracts, incentives, and IPA information.
• Coordinates and runs payer meetings for contract administration and updates.
• Conducts internal team meetings to communicate client strategy and deliverables.
• Oversees client communications and education materials.
• Supports growth recruitment efforts.

Skills

Strong communication

Interpersonal skills

Leadership

Customer relationship development

Analytical thinking

Project management

Organization skills

Service orientation

Motivation/energy

Education

Bachelor’s degree in Business/Healthcare Administration

Tools

Microsoft Office

Google Workspace

Job description

Join a leadership team where your work directly shapes how Aledade’s physician practices succeed in value-based care. As Michigan Payer Enrollment Operations Manager (internally: Operations Manager, IPA), you’ll partner with IPA leadership to oversee the administrative engine behind our contracts, including payer contracts, contract membership, payment distribution, and client services delivery. You’ll collaborate across internal departments to help clients get the most out of pay-for-performance programs, risk sharing arrangements, and value-based contracts, and you’ll lead a team that may include an Operations Specialist and Membership Associates.

Location Note

This is a remote role, with a strong preference for candidates based in Michigan due to the importance of understanding the state’s payer landscape and programs. Candidates located anywhere within the US will be considered.

Primary Duties

• Builds respectful, trusting, and productive relationships with Aledade internal departments, payers, and client practices
• Partners with the Market Manager and IPA Operations Director to develop strategic initiatives and operational tracking in key areas such as payer contracting and payments, provider recruiting and membership, population health management, physician alignment, care management oversight, and health information technology
• Monitors payer enrollments, reports, and payments
• Leads payment distribution, payment reporting, and tracking
• Develops, monitors, and reports on Key Performance Indicators related to IPA operations
• Provides care management program oversight, including oversight of the third-party care management function to ensure performance and metric achievement
• Mentors, coaches, and manages direct reports, including overseeing the Operations Specialist and assisting in developing and coordinating meeting communications and notifications
• Oversees the Membership team to ensure complete, accurate, and efficient membership processes
• Responds to queries from customers and potential customers regarding membership, health plan contracts, incentive programs, and IPA information
• Coordinates and runs meetings with payers for contract administration, updates, and issues, and works with payers to resolve issues
• Conducts internal team meetings to develop and communicate overall client strategy, including contract deliverables, progress reports, and implementation plans
• Oversees delivery of client communication and education materials
• Works with the growth department and IPA Operations Director to support recruitment efforts
• Performs other duties as assigned

Minimum Qualifications

• Bachelor’s degree in Business, Healthcare Administration, or related field or equivalent combination of education and experience
• 8+ years of experience with a health plan, physician organization, physician office or similar employer in progressively more responsible positions
• Strong communication (written and verbal)
• Excellent interpersonal skills with ability to interact effectively and credibly at all levels of an organization.
• Ability to lead, persuade, influence, particularly as it relates to customer relationship development.
• Ability to interact effectively with customers and possess a professional business manner. Must exhibit tact and diplomacy in developing and maintaining positive working relationships.
• Ability to work and interact with a wide range of associates and leaders internal and external to the organization.
• Impeccable service ethic characterized by high energy, a positive attitude and the desire to go “the extra mile” for both clients and teammates.
• A strong analytical and consultative thought process that is effectively utilized to solve customer problems and generate new business opportunities.
• Project management skills with the ability to prioritize multiple projects. Must be able to manage and meet multiple deadlines.
• Must be highly motivated, with superior organization skills, to handle multiple simultaneous projects and associated work teams.

Preferred KSA's

• Familiarity with Microsoft suite
• Familiarity with Google suite
• Prior management experience preferred

Physical Requirements

• Work involves extended periods of sitting and using a computer screen.
• Hours may extend beyond the normal workday as needed to serve clients and meet deadlines.

Salary and Compensation

$90,000 - $110,000 a year

Salary Range: $90,000—$110,000 base + bonus + equity

Compensation for the role will depend on a number of factors, including a candidate’s qualifications, skills, competencies and experience.

Who We Are

Aledade PBC, a public benefit corporation, exists to empower the most transformational part of our health care landscape - independent primary care. We were founded in 2014, and since then, we've become the largest network of independent primary care in the country - helping practices, health centers and clinics deliver better care to their patients and thrive in value-based care. Additionally, by creating value-based contracts across a wide variety of health plans, we aim to flip the script on the traditional fee-for-service model. Our work strengthens continuity of care, aligns incentives and ensures primary care physicians are paid for what they do best - keeping patients healthy. If you want to help create a health care system that is good for patients, good for practices and good for society - and if you're eager to join a collaborative, inclusive and remote-first culture - you've come to the right place.

What Does This Mean for You?

At Aledade PBC, you will be part of a creative culture that is driven by a passion for tackling complex issues with respect, open-mindedness and a desire to learn. You will collaborate with team members who bring a wide range of experiences, interests, backgrounds, beliefs and achievements to their work - and who are all united by a shared passion for public health and a commitment to the Aledade mission.

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!

At Aledade PBC, we don’t just accept differences, we celebrate them! We strive to attract, develop and retain highly qualified individuals representing the diverse communities where we live and work. Aledade is committed to creating a diverse environment and is proud to be an equal opportunity employer. Employment policies and decisions at Aledade are based on merit, qualifications, performance and business needs. All qualified candidates will receive consideration for employment without regard to age, race, color, national origin, gender (including pregnancy, childbirth or medical conditions related to pregnancy or childbirth), gender identity or expression, religion, physical or mental disability, medical condition, legally protected genetic information, marital status, veteran status, or sexual orientation.