Membership Associate

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Aledade, Inc.

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2014

⚕️ Healthcare Insurance

🏢 Enterprise

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.

📋 Description

• The Membership Associate processes and maintains documentation related to PO participation and health plan enrollment. • Inputs and updates client data in the customer relationship management software. • Maintains accuracy of membership roster for select physician organizations. • Independently administers several assigned responsibilities, ensuring excellent customer service for both internal and external clients. • Submit and monitor practice and physician applications and terminations; follow up as needed. • Collaborate with practice coaches to obtain accurate data for enrollment. • Compile and maintain current and accurate data for all providers in databases and online systems. • Maintain strict confidentiality of sensitive physician information and membership documentation. • Communicate with practices on a regular basis for physician updates, information requests, and general upkeep. • Communicate with health plan representatives on outstanding issues. • Collaborate with Market Operations Managers and Operations Consultants to reconcile physician lists and administrative payments. • Work alongside the membership team and Operations Manager to streamline and optimize current processes. • Attend mandatory and routine meetings as required. • Perform other duties as assigned. Maintain flexibility to pivot and meet shifting or dynamic business needs.

🎯 Requirements

• High School Diploma required. • Proficient in Microsoft Word, Excel, Outlook, and PowerPoint. • Excellent time management, project management, organizational and communication (written and verbal) skills. • Ability to work independently and proactively to identify and complete tasks on-time. Capable of prioritizing work and managing multiple priorities. • Ability to interact effectively with external and internal customers and possess a professional business manner. • Must be a team player and operate in a collaborative working environment. • Adept with computers and software applications; aptitude for learning new technology.

🏖️ 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!