Program Specialist, CMMI Programs

Aledade PBC; Oregon; Hybrid; USD 80,000 - 92,000; Full time

Benefits offered by this job

Flexible work schedules

Health, dental, and vision insurance

21 days PTO

Volunteer days

11 paid holidays

12 weeks parental leave

Sabbatical after six years

Educational assistance program

401(k) with match

Stock options

Job summary

Aledade PBC seeks a Program Specialist to advance CMMI initiatives and optimize program operations across LEAD & REACH models. You will manage Zendesk, build solutions in Monday.com, and generate performance reports to guide improvements.

The role supports cross-functional teams, drafts communications, and maintains calendars and folders. Remote work across the US is encouraged, with light travel as needed.

Qualifications

• Bachelor's degree in a relevant field.
• 3+ years of progressive healthcare experience.
• Familiar with project management tools such as Monday.com.
• Experience in data analytics using Excel or Google Sheets.
• Willingness to travel as needed (less than 10% of the year).

Responsibilities

• Manage Zendesk incoming/outgoing communications for the CMMI team and route tickets as needed.
• Build out solutions in Monday.com for CMMI processes and operations.
• Generate actionable reports from Medicare data (4i) to identify improvement opportunities.
• Create internal/external decks using Tableau/Snowflake data for meetings.
• Draft and maintain the Aledade LEAD newsletter and distribute it.
• Manage the Beneficiary Zoom Voicemail and log inquiries in Monday.com.
• Plan in Monday.com based on CMS calendars to meet deadlines.
• Maintain CMMI program folders and organize access in Google Drive.
• Contribute to interdepartmental projects and Field Team trainings.
• Communicate statuses to stakeholders and support rollout of BE/BEIs (Telehealth).
• Provide input on process development and cross-functional opportunities.

Skills

Healthcare experience

Analytical thinking

Communications

Education

Bachelor's degree in a relevant field

Tools

Monday.com

Tableau

Snowflake

Job description

Reporting directly to the Center for Medicare and Medicaid Innovation (CMMI) Program Manager, the Program Specialist will be a pivotal contributor to the operational excellence and strategic growth of our CMMI initiatives. This role is responsible for the intricate management and refinement of core program processes, ensuring seamless execution across all facets of CMMI models (LEAD & REACH). The Specialist will play a key role in analyzing program performance, identifying opportunities for optimization, and collaborating with diverse internal teams to implement innovative solutions that enhance engagement and outcomes within the CMMI model framework. This position is central to translating strategic vision into operational reality, driving the continuous improvement and successful scaling of CMMI models.

Candidates should be comfortable working remotely from anywhere within the US, across all US time zones.

Primary Duties

Working and supporting day-to-day ACO REACH & LEAD processes and operations:

• Manage Zendesk incoming/outgoing communications for the CMMI team, responsible for all Zendesk tickets, escalating tickets as needed to the appropriate person/team
• Find and build out solutions in Monday.com for any CMMI process and operations needs (Growth, SVA, Contacts, Practice lists, Provider lists, CMS tickets, etc.)
• Utilize Medicare reports from 4i (quality, financial, claims reduction files, SVA response files) to generate reports so actionable insights and opportunities for improvement can be identified
• Utilize reports, calendars, and internal tools (Tableau, Snowflake) to build out internal and external decks for Contract and Resource Meetings and Performance and Resource Meetings
• Utilize insights, opportunities, and calendars to draft and maintain the Aledade LEAD newsletter and its distribution list
• Manage the Beneficiary Zoom Voicemail for the CMMI team, ensuring that beneficiary questions are answered and logged for tracking and documentation purposes in Monday.com

Serve as a trusted planner, organizer, and executor for the CMMI team:

• Plan in Monday.com based on the CMMI programs calendar distributed by CMS so all deadlines are scheduled and met, both internally and externally
• Maintain CMMI programs Google Drive folders, prioritizing organization and appropriate access
• Act as a thought partner in opportunities for CMMI process development, needs, or gaps
• Provide suggestions and recommendations to ambiguous problems that align with program goals
• Think critically and move work forward without clearly defined or outlined next steps

Act as a researcher and advisor for the CMMI team's special projects and cross-functional initiatives:

• Contribute to broader, interdepartmental projects and meetings, including Field Team trainings, support, and inbound questions, as well as Project Turnkey support and coordination
• Communicate statuses on operations and keep stakeholders informed on any progress and roadblocks
• Develop implementation plans, communications, and rollout of approved necessary BE/BEIs (Telehealth)
• Provide details and insights during CMMI team meetings based on the CMS ACO LEAD newsletter, with emphasis on communicating when reports and funds are expected to be released, upcoming changes within the program, and important deadlines
• Serve as a resource to the PTS team to assist in addressing practice needs tied to CMMI operations

Minimum Qualifications

• Bachelor's degree in a relevant field
• 3+ years of progressive healthcare experience
• Thrives in a fast-paced environment and manage multiple priorities
• Familiar with project management tools such as Monday.com
• Experience in data analytics using Excel or Google Sheets
• Willingness to travel as needed to Aledade's headquarters and other offsite meetings (less than 10% across the year anticipated)

Preferred KSA's:

• Knowledge of CMS VBC programs
• Can effectively adapt communication style based on audience needs
• Frequently and effectively collaborates cross functionally
• Exceptional written and verbal communications skills
• Snowflake experience
• Tableau experience
• Self-starter with strong interpersonal skills
• Proven ability to coordinate and facilitate new ideas into action while collaborating across multiple, dynamic, projects and teams

Physical Requirements:

• Sitting for prolonged periods of time. Extensive use of computers and keyboard. Occasional walking and lifting may be required.

$80,000 - $92,000 a yearSalary Range: $80,000—$92,000 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.

• 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.