Senior Manager, Health Plan Performance

Summary

Join Aledade as a Senior Manager, Health Plan Performance (HPP) and play a pivotal role in advancing key business objectives for Aledade’s Health Plan Performance portfolio. Execute the overall HPP strategy, facilitate the effectiveness of the HPP team, and partner with key stakeholders across risk, affordability, and quality. Translate contract terms and performance data into actionable approaches to achieve targets. Manage analyses to pinpoint areas for quality and cost interventions. Develop performance tracking tools and metrics. Guide the synthesis of performance status and communicate to leadership and stakeholders. Lead the development of external-facing materials for strategic payer partners. Lead external payer engagements. Partner with Aledade field teams to implement strategic and operational plans. Provide feedback to internal teams and support the strategic deployment of performance activities. Support the professional development of direct reports.

Requirements

• Bachelor’s Degree
• 10+ years of related experience working in the healthcare industry (i.e., health plan, provider groups, hospital, pharmaceutical manufacturer, government, pharmacy chain, management consulting) with a proven track record of successfully managing projects and performance and interfacing with internal or external stakeholders
• 4 + years of people management experience
• Proven ability to effectively partner with and influence C-suite executives, providing strategic insights and guidance
• Deep understanding of health plan payer insurance landscape and value-based care
• Must be results-oriented with the ability to prioritize and manage multiple projects simultaneously to consistently meet deadlines and stakeholder expectations

Responsibilities

• Execute the HPP Strategy by partnering with key stakeholders across the three pillars of risk, affordability, and quality to deploy performance initiatives, achieve company targets, and ensure operational excellence in each market
• Translate contract terms and performance data into actionable approaches to achieve contract, market, and company-level savings and quality targets
• Manage analyses conducted by Analyst(s) from various internal and external datasets to pinpoint greatest areas for quality and cost interventions
• Develop performance tracking tools and metrics for monitoring progress for each contract and across the portfolio of contracts
• Guide the synthesis of performance status including key successes and opportunities by contract and communicate to leadership and other stakeholders, including payer partners in partnership with the PSE team
• Lead the development of external facing materials for strategic payer partners to include National JOC deck creation, aligning performance narratives across internal matrix partners (in partnership with the PSE team), and articulating wins and opportunity with internal and external executive leadership
• Lead external payer engagements on behalf of the HPP Directors as needed
• Partner with Aledade field teams to implement their strategic and operational plans for relevant value-based contracts to drive successful outcomes across Aledade’s provider networks, including achieving contractual quality thresholds and generating shared savings
• Provide bidirectional feedback to Aledade internal teams, and support the strategic deployment of all performance activities within the market
• Support the professional development goals and endeavors of direct reports, guiding their aspirations to align with company goals and OKRs
• Other duties as assigned

Preferred Qualifications

A Master’s degree or other advanced degrees in health services administration, health policy, mathematics/statistics, information technology, or other relevant fields is preferred

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