Manager, Network Operations

Job not on LinkedIn

September 18

🌲 North Carolina – Remote

Although this job is listed in North Carolina, this company may be open to hiring remote in other states.

🦀 Maryland – Remote

Although this job is listed in Maryland, this company may be open to hiring remote in other states.

+1 more states

🌲 North Carolina – Remote 🦀 Maryland – Remote 🤠 Texas – Remote

⏰ Full Time

🟠 Senior

🔴 Lead

🌐 Network Operations

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Aledade, Inc.

WebsiteLinkedInAll Job Openings

Healthcare Insurance • Enterprise

Aledade, Inc. is a public benefit corporation that operates as the largest network of independent primary care practices in the United States. The company specializes in Accountable Care Organizations (ACOs), which help primary care practices and health centers improve patient outcomes and generate sustainable revenue through value-based care solutions. Aledade offers data insights, support, and business solutions to achieve sustainability and clinical autonomy. It collaborates with a wide range of healthcare providers, including primary care practices, community health centers, and network ACOs, ensuring improved quality of care and patient satisfaction. With operations in 45 states and affiliations with over 20,000 clinicians serving more than 2. 5 million patients, Aledade is committed to reducing care fragmentation and enhancing the overall quality of life for clinicians and patients alike.

501 - 1000 employees

Founded 2014

⚕️ Healthcare Insurance

🏢 Enterprise

📋 Description

• 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 • 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

🏖️ Benefits

• 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!