Vice President, Medicare Stars

Summary

Join Aledade as the VP, Medicare Stars and become a key member of the Payer Strategy and Engagement team. You will be responsible for understanding, aligning, and integrating health plan strategies with Aledade's operating model to ensure success in Medicare Star ratings performance. This role involves building and sustaining relationships with health plan leaders, ensuring a deep understanding of their goals and strategies, and leading meetings to discuss Aledade's Star performance and shared priorities. You will also partner with Aledade's clinical and policy teams to represent the comprehensive Star strategy to external partners and stay informed about CMS Star measure ratings policies and regulations. The ideal candidate will have a strong understanding of Medicare Stars performance and value-based care, along with data-driven decision-making skills and excellent communication abilities.

Requirements

• Bachelor’s Degree
• 15+ yrs’ in healthcare ideally in healthcare strategy. Plus 8-10 yrs’ in a senior level role
• 7+ yrs’ in Medicare Stars performance and/or value-based care and “provider enablement”
• Strong knowledge of current CMS policies governing Medicare Stars Ratings performance
• Data-driven with the ability to synthesize data from multiple sources to inform action plans and strategy and make sound decisions; Root cause/corrective action expertise
• Strong executive presence, communication,  and presentation skills
• Ability to get results by successfully navigating key stakeholder relationships (Internal & external) at all levels in a highly collaborative environment
• Strong focus on tech enablement to improve scalability and reduce operating costs

Responsibilities

• Build and sustain relationships with health plan leaders focused on Star quality measure success
• Ensure deep understanding of health plan goals and strategies, able to balance macro trends and granular insights
• Lead health plan meetings with over 10 partners to discuss Aledade’s Star performance and shared priorities with health plan partners; consistently presenting Aledade’s unique advantages and opportunities
• Execute on mutual goals including and not limited to clinical and operational strategies, data availability, programs, and incentives
• Partner with Aledade Clinical leadership to represent our comprehensive Star strategy to external partners
• Partner with Aledade Health Plan Performance team to engage and align field teams’ practice performance activities on key strategies
• Partner with Aledade Policy team to understand CMS Star measure ratings’  policies and regulations; follow industry ecosystem and trends
• Share and align health plan perspectives and strategies with cross-functional leaders including  Aledade clinical and product owners
• Identify and troubleshoot potential areas of misalignment

Preferred Qualifications

• Master’s degree in business, health administration, and/or public policy
• Clinical experience (i.e. RN, APRN, PA, MD, DO) preferably in the primary care setting
• Knowledge and/or experience in performing internal and external quality audits
• Prior experience in a provider setting (i.e. value-based care enabler) or a health plan setting
• Experience with Google Suite
• Familiarity with Electronic Health Record (EHR) systems

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