Manager, Health Plan Performance
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Job Description
Manager of Health Plan Performance leading strategic initiatives at Aledade to enhance health plan efficiencies. Overseeing team operations and driving quality improvement projects remotely.
Responsibilities:
- Oversee the day-to-day operations of a Team of Analysts and/or Specialists fostering a high-performing team
- Monitor and evaluate employee and team performance; Handle performance issues according to company policy.
- Provide continuous performance feedback, coaching and development Ensure adherence to healthcare regulations (i.e. CMS), company policies, and department process and procedures.
- Lead quality improvement initiatives by managing analytics to determine the greatest areas for quality and cost interventions
- Develop performance tracking tools and metrics for monitoring progress
- Guide the synthesis of performance status including key successes and opportunities by contract and communicate to key stakeholders
- Lead the development of external facing materials for strategic payer partners (i.e National JOC deck)
- Lead external payer engagements on behalf of the HPP Directors as needed
- Develop strategies to improve health plan performance, operational efficiency, and payer experience
- Collaborate cross functionally with key stakeholders to implement performance initiatives ensuring operational excellence in each market
- Translate contract terms and performance data into actionable steps to achieve contract, market, and company-level savings and quality targets
- Partner with field teams to implement their strategic and operational plans for relevant value-based contracts
Requirements:
- Bachelor’s degree in Healthcare Administration, Business, Public Health, or related field
- 8 yrs of experience working in the healthcare industry specifically with health plans
- 2-4 yrs of people management experience
- Deep understanding of health plan payer insurance landscape and value-based care
- Strong project and performance management skills
- Ability to effectively collaborate and influence key stakeholders at all levels
- Results-oriented with the ability to prioritize to consistently meet deadlines
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