aledade - Program Manager, Explorer Contract Operations, Remote
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Requirements
• Graduate of an accredited college or university in healthcare, health technology or information systems-related programs. • Significant and relevant work experience in lieu of educational requirements may be accepted. • 6+ years of experience with relevant experience • Proven ability to work effectively with cross-functional teams • Expertise in contract management and healthcare operations • Ability to work in a fast-paced environment and manage multiple priorities • 2-3 years of management experience or mentorship • Project management certification or demonstrated competency • Experience with ACO models and value-based care contracts • Healthcare practice management experience • Data analysis and process improvement skills • Sitting for prolonged periods of time. • Extensive use of computers and keyboard. • Occasional walking and lifting may be required. • Ability to travel 10-15% (team and company retreats)
Responsibilities
• Contract Operations Management: • Own end-to-end contract lifecycle for extensive contract portfolio including, but not limited to, ACO REACH, PC Flex, MSSP, MA, Commercial and CCF agreements • Navigate complex contract terms and provide expert guidance on eligibility issues • Attend and represent the Explorer market at any relevant meetings such as contracting or cross-sell launches • Practice Partnership & Contract Success: • Partner directly with practices to ensure successful contract onboarding and ongoing compliance • Serve as primary point of contact for practice level contracting questions and resolution • Collaborate with practices to identify and resolve barriers to contract performance and participation • Support cross-sell opportunities and practice expansion initiatives across contract portfolio • Cross-Functional Leadership: • Act as the SME of the Explorer market with all relevant groups such as Payer Networks, SPP, Withdrawal, Legal, and Growth teams • Lead collaborations efforts to establish predictability to enable scalability • Process Innovation & Automation: • Proactively identify ways to contribute to the company’s future through strategic partnerships • Lead practice service model innovation with focus on standardization and automation • Team Leadership & Development: • Provide direction to PTS team members on how to navigate project roadblocks • Partner with Program specialist in day-to-day activities related to contracting/rostering • Guide PTS team through complex contract eligibility issues
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