Operations Manager

The Operations Manager works with the IPA leadership team to manage administrative operations including payer contracts, contract membership, payment distribution, and client services delivery. Works with other internal departments to maximize client success in pay-for-performance programs, risk sharing and value-based contracts. Leads team that may include, but is not limited to, an Operations Specialist and Membership Associates.

• Initiates and develops respectful, trusting, and productive relationships with Aledade internal departments, payers and client practices.
• Works with Market Manager and IPA Operations Director to develop strategic initiatives and operational tracking in key areas such as payer contracting and payments, provider recruiting and provider membership, population health management, physician alignment, care management oversight, and health information technology.
• Monitors payer enrollments, reports, and payments.
• Leads payment distribution, payment reporting and tracking.
• Develops, monitors, and reports on Key Performance Indicators related to IPA operations
• Provides care management program oversight
• Mentors, coaches, and manages direct reports.
• Oversee the Operations Specialist and assists in developing and coordinating implementation of meeting communication and notifications.
• Oversees the Membership team to assure complete, accurate, and efficient membership processes
• Oversees third party care management function to assure performance and metric achievement
• Responds to queries from customers and potential customers regarding membership, health plan contracts, incentive programs, and IPA information
• Coordinates and runs meetings with payers for contract administration, updates, and issues. Works with payers to resolve issues.
• Conducts internal team meetings to develop and communicate overall client strategy, including contract deliverables, progress reports, and implementation plans
• Overseas delivery of client communication and education material
• Works with growth department and IPA Operations Director to support recruitment efforts
• Performs other duties as assigned

Minimum 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.
• Ability to interact effectively with customers and possess a professional business manner. Must exhibit tact and diplomacy in developing and maintaining positive working relationships.
• Ability to work and interact with a wide range of associates and leaders internal and external to the organization.
• Impeccable service ethic characterized by high energy, a positive attitude and the desire to go “the extra mile” for both clients and teammates.
• A strong analytical and consultative thought process that is effectively utilized to solve customer problems and generate new business opportunities.
• Project management skills with the ability to prioritize multiple projects. Must be able to manage and meet multiple deadlines.
• Must be highly motivated, with superior organization skills, to handle multiple simultaneous projects and associated work teams.

Preferred Qualifications:

• Familiarity with Microsoft suite
• Familiarity with Google suite
• Prior management experience preferred

Physical Requirements:

• Requires using a screen for long periods of time
• Must be capable of traveling several days per month. Working beyond normal working hours may be required to service clients and meet deadlines.