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The Manager of Network Operations on the Strategic Payer Partnerships team will support the scaling of operational excellence for Aledade Complete, our network contracting, provider credentialing, and health plan enrollment offering. This role will be responsible for building and optimizing processes, ensuring cross-functional alignment, and delivering operational rigor through launch and growth phases. The Manager will also identify and eliminate operational bottlenecks and inefficiencies, and oversee relationships with vendors, partners, and third-party service providers as needed.
Job Responsibility:
Supports & manages the implementation of market entry plans, include vendor implementation, vendor management, initial health plan operational alignment, establishment of internal processes, internal project management and overall coordination
Validates Aledade’s operational requirements as established in various provider manuals, confirms operational readiness for each before contract go-live, and monitors compliance with active contract requirements (tracks KPIs and other performance measures)
Interfaces with other teams and practices enrolling in Aledade Complete to manage the ongoing execution of Aledade Complete’s various processes and workflows
Identifies and develops plans and SOPs for common workflows and is accountable for resolving operational issues arising during and after implementation
Requirements:
8+ years of progressive experience in operational and strategic roles with health plans or provider organizations
Bachelor’s degree
Sitting for prolonged periods of time
Extensive use of computers and keyboard
Occasional walking and lifting may be required
Ability to travel
Nice to have:
Master’s degree in related field and 6+ years in clinical back office or payer operations functions
1+ years experience with network management, credentialing and enrollment processes and platforms
Results-oriented with the ability to exercise significant influence to achieve strategic goals
Proven track record of creating, maintaining, and enhancing relationships and communicating effectively with senior management, both internally and externally
What we offer:
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
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