Senior Manager, Health Plan Performance, Remote

Aledade; Arlington (VA); Remote; USD 100,000 - 140,000; Full time

Job summary

A public benefit corporation is seeking a Senior Manager for Health Plan Performance in Arlington, VA. This role prepares the candidate to significantly impact business strategies by engaging stakeholders, guiding performance initiatives, and ensuring operational excellence across various healthcare contracts. The candidate will also develop performance tracking tools while influencing C-suite executives in decision-making processes.

Benefits

Flexible work schedules

Health, dental, and vision insurance paid up to 80%

21 days of PTO in the 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

Educational Assistant and Clinical Employee Reimbursement programs

401(k) with up to 4% match

Stock options

Commitment to diversity and inclusion

Qualifications

• 10+ years of experience in the healthcare industry, focusing on health plan management.
• 4+ years of people management experience required.
• Deep understanding of health plan payer insurance landscape and value-based care.

Responsibilities

• Execute the HPP Strategy by partnering with stakeholders to deploy performance initiatives.
• Manage analyses to identify areas for quality and cost interventions.
• Guide synthesis of performance status and communicate to leadership.

Skills

Project Management

Stakeholder Engagement

Strategic Insights

Data Analysis

Negotiation

Education

Bachelor's Degree

Master's Degree in Health Services or related fields

Job description

The Senior Manager, Health Plan Performance (HPP) will play a pivotal role in advancing key business objectives for Aledade’s Health Plan Performance portfolio. This role will be responsible for executing the overall HPP strategy and facilitating the effectiveness of the HPP team.

Primary Duties:

• Execute the HPP Strategy by partnering with key stakeholders across the three pillars of risk, affordability, and quality to deploy performance initiatives, achieve company targets, and ensure operational excellence in each market.
• Translate contract terms and performance data into actionable approaches to achieve contract, market, and company-level savings and quality targets.
• Manage analyses conducted by Analyst(s) from various internal and external datasets to pinpoint greatest areas for quality and cost interventions.
• Develop performance tracking tools and metrics for monitoring progress for each contract and across the portfolio of contracts.
• Guide the synthesis of performance status including key successes and opportunities by contract and communicate to leadership and other stakeholders, including payer partners in partnership with the PSE team.
• Lead the development of external facing materials for strategic payer partners to include National JOC deck creation, aligning performance narratives across internal matrix partners (in partnership with the PSE team), and articulating wins and opportunity with internal and external executive leadership.
• Lead external payer engagements on behalf of the HPP Directors as needed.
• Partner with Aledade field teams to implement their strategic and operational plans for relevant value-based contracts to drive successful outcomes across Aledade’s provider networks, including achieving contractual quality thresholds and generating shared savings.
• Provide bidirectional feedback to Aledade internal teams, and support the strategic deployment of all performance activities within the market.
• Support the professional development goals and endeavors of direct reports, guiding their aspirations to align with company goals and OKRs.
• Other duties as assigned

Minimum Qualifications:

• Bachelor’s Degree
• 10+ years of related experience working in the healthcare industry (i.e., health plan, provider groups, hospital, pharmaceutical manufacturer, government, pharmacy chain, management consulting) with a proven track record of successfully managing projects and performance and interfacing with internal or external stakeholders.
• 4 + years of people management experience
• Proven ability to effectively partner with and influence C-suite executives, providing strategic insights and guidance.
• Deep understanding of health plan payer insurance landscape and value-based care.
• Must be results-oriented with the ability to prioritize and manage multiple projects simultaneously to consistently meet deadlines and stakeholder expectations.

Preferred Qualifications:

• A Master’s degree or other advanced degrees in health services administration, health policy, mathematics/statistics, information technology, or other relevant fields is preferred.

Physical Requirements:

• Prolonged periods of sitting at a desk and working on a computer.
• Ability to travel

Who We Are:

Aledade, 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, 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.

In addition to time off to support work-life balance and enjoyment, we offer the following comprehensive benefits package designed for the overall well-being of our team members:

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, 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.

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