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Program Manager – Explorer Contract Operations
Location
United States
Posted
83 days ago
Salary
0
Seniority
Senior
Job Description
Program Manager – Explorer Contract Operations
Aledade, Inc.
• 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 • 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 • 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 • Proactively identify ways to contribute to the company’s future through strategic partnerships • Lead practice service model innovation with focus on standardization and automation • 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
Job 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
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!
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