Remote Operations Lead, IPA & Payer Enrollment

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

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.