Senior Manager, Health Plan Performance, Remote
: The Senior Manager, Health Plan Performanc e (HPP) will play a pivotal role in advancing key business objectives for Aledade's Health Plan Performance portfolio. This role will be responsible for executing the overall HPP strategy and facilitating the effectiveness of the HPP team.
Primary Duties:
- 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
Minimum Qualifications:
- 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.
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.
Physical Requirements:
- Prolonged periods of sitting at a desk and working on a computer.
- Ability to travel
Recommended Jobs
Senior Field CTO: Data Security & AI Enablement
A leading financial services provider is seeking a Senior Director-level Field CTO to act as an interface between the product team and key security stakeholders. This role involves addressing complex …
Travel Coordinator
Travel Coordinator Position Description CGI has an immediate need for a Travel Coordinator to join our team. This is an exciting opportunity to work in a fast-paced team environment supporting o…
Mid-Level Executive Assistant
USFS is an ISO 9001 management consulting firm with headquarters in the National Capital Region and offices and staff in 12 US states. USFS staff average 10+ years of professional experience, over 80…
Toddler Room Teacher
Summary LLE Education is looking for enthusiastic Teacher who wants to make a positive impact in the lives of our students. Our schools are growing & thriving and we are so excited to welcome n…
Teacher
Early Learning Center Teacher Full-Time -Competitive Pay - Experienced Educators Encouraged to Apply River Road Early Learning Center is seeking a warm, dedicated, and enthusiastic Teacher t…
Investment Banking VP1/2 Transportation and Logistics M&A (Elite Boutique)
Our client is a premier global investment bank with over 30 years of experience advising clients on M&A transactions and private capital solutions. They have built their reputation on execution excel…
Pastry Sous Chef
THE INN AT LITTLE WASHINGTON SUMMARY The Pastry Sous Chef is responsible for oversight of all staff and activities included in the savory evening shift. The position requires continuous monito…
Field Service Technician - Sterling, VA (For Future Consideration)
About Rivian Rivian is on a mission to keep the world adventurous forever. This goes for the emissions-free Electric Adventure Vehicles we build, and the curious, courageous souls we seek to att…
Springhill Suites - Utility/ Kitchen Steward
Springhill Suites - Utility starting at $15.0/hr! If you are seeking to joining a GREAT company that TRULY CARES about YOU - Join our Springhill Suites F&B Team today! We are excited to invit…
Director, Adult Only Household
POSITION: Program Director- Adult Housing Stabilization REPORTS TO: Senior Director of Programs CATEGORY: Full-Time/Exempt/Permanent LOCATION: In-Person, Fairfax, Virginia Position S…