Manager, Health Plan Performance - Remote

Join Aledade as a Manager of Health Plan Performance (HPP) to lead a dynamic team in executing strategic initiatives that enhance our Health Plan Performance portfolio. This remote role involves overseeing daily operations, guiding quality improvement projects, and collaborating cross-functionally to drive healthcare efficiencies and achieve our savings and quality targets. Ideal candidates will have significant experience in the healthcare industry, particularly with health plans, and the ability to manage and influence stakeholders at various levels.

Must Have

• Oversee day-to-day operations of a team of Analysts and/or Specialists.
• Monitor and evaluate employee and team performance; handle performance issues.
• Provide continuous performance feedback, coaching and development.
• Ensure adherence to healthcare regulations (i.e. CMS), company policies, and department processes.
• Lead quality improvement initiatives by managing analytics.
• Develop performance tracking tools and metrics.
• Guide the synthesis of performance status and communicate to key stakeholders.
• Lead the development of external facing materials for strategic payer partners.
• Lead external payer engagements on behalf of HPP Directors as needed.
• Develop strategies to improve health plan performance, operational efficiency, and payer experience.
• Collaborate cross-functionally with key stakeholders to implement performance initiatives.
• Translate contract terms and performance data into actionable steps.
• Partner with field teams to implement strategic and operational plans for value-based contracts.
• Bachelor’s degree in Healthcare Administration, Business, Public Health, or related field.
• 8 years of experience working in the healthcare industry specifically with health plans.
• 2-4 years of people management experience.
• Deep understanding of health plan payer insurance landscape and value-based care.
• Strong project and performance management skills.
• Ability to effectively collaborate and influence key stakeholders at all levels.
• Results-oriented with the ability to prioritize to consistently meet deadlines.

Good to Have

• Master’s degree in Healthcare Administration, Business, Public Health, or related field.

Management Responsibilities

• Oversee the day-to-day operations of a Team of Analysts and/or Specialists fostering a high-performing team
• Monitor and evaluate employee and team performance; Handle performance issues according to company policy.
• Provide continuous performance feedback, coaching and development Ensure adherence to healthcare regulations (i.e. CMS), company policies, and department process and procedures.

Analytics & Performance Improvement

• Lead quality improvement initiatives by managing analytics to determine the greatest areas for quality and cost interventions
• Develop performance tracking tools and metrics for monitoring progress
• Guide the synthesis of performance status including key successes and opportunities by contract and communicate to key stakeholders
• Lead the development of external facing materials for strategic payer partners (i.e National JOC deck)
• Lead external payer engagements on behalf of the HPP Directors as needed

Strategy & Stakeholder Collaboration

• Develop strategies to improve health plan performance, operational efficiency, and payer experience
• Collaborate cross functionally with key stakeholders to implement performance initiatives ensuring operational excellence in each market
• Translate contract terms and performance data into actionable steps to achieve contract, market, and company-level savings and quality targets
• Partner with field teams to implement their strategic and operational plans for relevant value-based contracts

Minimum Qualifications

• Bachelor’s degree in Healthcare Administration, Business, Public Health, or related field
• 8 yrs of experience working in the healthcare industry specifically with health plans
• 2-4 yrs of people management experience
• Deep understanding of health plan payer insurance landscape and value-based care
• Strong project and performance management skills
• Ability to effectively collaborate and influence key stakeholders at all levels
• Ability to effectively collaborate and influence key stakeholders at all levels
• Results-oriented with the ability to prioritize to consistently meet deadlines

Preferred Qualifications

• Master’s degree in Healthcare Administration, Business, Public Health, or related field

We may use automated tools, including artificial intelligence (AI), to help organize and evaluate application materials. These tools support our recruiters and hiring managers by helping manage large applicant pools. Human judgment plays an essential role in our hiring process, including in the oversight and use of any automated tools. If you would like more information about our screening and hiring process, please contact us.