We are actively recruiting for a Manager of Medicare Advantage Performance. The Manager of Medicare Advantage Performance will play a critical role in driving strategy, operations, and performance in Aledade’s multiple Medicare Advantage contracts across multiple payers and markets. She or he will be at the intersection of all key activities: guiding our field teams with MA (often multiple) contracts, work with payer partners, develop and execute on strategic plans, and provide input for further strengthening Aledade technology for success. The Manager of Medicare Advantage Performance must be able to establish strong, collaborative relationships with payer partners to reach mutually defined quality and cost goals, have experience in achieving 4.5+ STAR rating, and working knowledge of key Medicare Advantage programs such as Annual Wellness Visits, diagnosis submission, and care coordination strategies. This role requires demonstrated excellence in creating “buy-in” with internal and external stakeholders to promote and affect change in the way healthcare is delivered. We are looking for individuals who genuinely believe that Aledade’s model of physician-led ACO’s can improve quality and lower cost.
Your footprint & specific duties within role:
- Develop strategy and operational plan for Medicare Advantage contracts to drive successful outcomes across Aledade’s provider network, including achieving 4.5+ STARS rating and generating shared savings
- Serve as the subject matter expert for Medicare Advantage contract(s); able to translate contract terms into actionable approaches to achieve savings and 4.5+ STAR score working with Aledade field teams
- Conduct analyses to pinpoint greatest areas for quality and cost interventions
- Collaborate across Aledade teams including Clinical Innovation, Operational Excellence, and Product to advance Aledade’s strategy at the market level
- Develop tracking tools and metrics for monitoring progress for each contract and across the portfolio of contracts
- Synthesize performance status including key successes and challenges by contract and communicate to leadership and other stakeholders
- Manage payer partner relationship and ensure deliverables are met; develop presentations to facilitate effective Joint Operating Committee (JOC) meetings with payers
- Perform all other duties and special projects as requested by Aledade’s Provider Network leadership team.
- Develop, mentor, and lead Analyst(s)
What we value & position requirements:
- A Master’s degree or other advanced degrees in health services research, health policy, mathematics/statistics, information technology, or other relevant fields is preferred
- Deep understanding of the Medicare Advantage landscape; STARS program, and value-based care
- 5+ 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
- Relevant competencies include developing and maintaining customer relationships, analytical problem solving, project management, effective written and verbal communication, and strategic insight
- Must be results-oriented with the ability to prioritize and manage multiple projects simultaneously to consistently meet deadlines and client expectations
- Periodic travel to assigned Aledade markets and team retreats is required (post pandemic).
- Comfortable working in a fast-paced, dynamic environment while maintaining focus on key goals.
- Thinks beyond their immediate team and contributes to making Aledade holistically better (active engagement in D&I efforts, culture initiatives, facilitating training, leading roundtables, etc.)
All prospective hires will be required to demonstrate that they have been fully vaccinated, including booster shots, against COVID-19 with a COVID-19 vaccine for which the U.S. Food and Drug Administration has issued a license or an Emergency Use Authorization prior to mutually agreed upon start date at Aledade, unless they qualify for a medical or religious accommodation to this vaccination requirement.
If you are passionate about transforming the healthcare system into one that works better for patients, practices and society, we’d love for you to join us!
Who We Are:
Aledade, a public benefit corporation, exists to empower the most transformational part of our health care landscape - independent primary care.We were founded in 2014, and since then, we’ve become the largest network of independent primary care in the country - helping practices, health centers and clinics deliver better care to their patients and thrive in value-based care. Additionally, by creating value-based contracts across a wide variety of payers, we aim to flip the script on the traditional fee-for-service model. Our work strengthens continuity of care, aligns incentives, and ensures primary care physicians are paid for what they do best - keeping patients healthy.If you want to help create a health care system that is good for patients, good for practices and good for society - and if you’re eager to join a collaborative, inclusive and remote-first culture - you’ve come to the right place.
What Does This Mean for You?
At Aledade, you will be part of a creative culture that is driven by a passion for tackling complex issues with respect, open-mindedness and a desire to learn. You will collaborate with team members who bring a wide range of experiences, interests, backgrounds, beliefs and achievements to their work - and who are all united by a shared passion for public health and a commitment to the Aledade mission.
In addition to time off to support work-life balance and enjoyment, we offer the following comprehensive benefits package designed for the overall well-being of our team members:
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 2 Paid Volunteer Days & 11 paid holidays
12 weeks paid Parental Leave for all new parents
6 weeks paid sabbatical after 6 years of service
Educational Assistant Program & Clinical Employee Reimbursement Program
401(K) with up to 4% match
Stock options
And much more!
At Aledade, we don’t just accept differences, we celebrate them! We strive to attract, develop, and retain highly qualified individuals representing the diverse communities where we live and work. Aledade is committed to creating a diverse environment and is proud to be an equal opportunity employer. Employment policies and decisions at Aledade are based on merit, qualifications, performance, and business needs. All qualified candidates will receive consideration for employment without regard to age, race, color, national origin, gender (including pregnancy, childbirth or medical conditions related to pregnancy or childbirth), gender identity or expression, religion, physical or mental disability, medical condition, legally protected genetic information, marital status, veteran status, or sexual orientation.
