Remote Payer Enrollment Ops Leader — Value-Based Care

Remote; San Francisco (CA); Remote; USD 120,000 - 180,000; Full time

Benefits offered by this job

Flexible remote work options

Health insurance

401(k) with match

Paid time off and holidays

Professional development support

Job summary

Aledade PBC is seeking an experienced Michigan Payer Enrollment Operations Manager (IPA Operations Manager) to oversee payer contracts, enrollment, payments, and client services delivery. You will collaborate across departments to optimize value-based arrangements and lead a team including an Operations Specialist and Membership Associates.

This remote-first role prioritizes Michigan knowledge while remaining open to candidates nationwide, with responsibilities spanning contract administration,

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.
• Interact effectively with customers and maintain professional business manner with tact and diplomacy.
• Must manage multiple projects and meet deadlines; strong organizational skills.
• Prior management experience preferred.

Responsibilities

• Builds respectful, trusting, and productive relationships with internal departments, payers, and client practices.
• Partners with Market Manager to develop strategic initiatives and operational tracking in payer contracting, payments, and membership.
• Monitors payer enrollments, reports, and payments.
• Leads payment distribution, payment reporting, and tracking.
• Develops, monitors, and reports on KPIs related to IPA operations.
• Provides care management program oversight and third-party management performance.
• Mentors and manages direct reports, including overseeing the Operations Specialist.
• Oversees Membership team for accurate and efficient processes.

Skills

Strong communication

Interpersonal skills

Leadership

Project management

Customer relationship

Analytical thinking

Education

Bachelor’s degree in Business/Healthcare Admin

Equivalent education/experience

Tools

Microsoft Office

Google Workspace

Job description

Aledade PBC is seeking an experienced Michigan Payer Enrollment Operations Manager (IPA Operations Manager) to oversee payer contracts, enrollment, payments, and client services delivery. You will collaborate across departments to optimize value-based arrangements and lead a team including an Operations Specialist and Membership Associates.

This remote-first role prioritizes Michigan knowledge while remaining open to candidates nationwide, with responsibilities spanning contract administration,