We are actively recruiting for a Senior Manager of Medicare Advantage Performance. The Sr. 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 internal teams across multiple MA contracts and markets, work with payer partners, develop and execute on strategic plans, and provide input for further strengthening Aledade technology for success. The Sr. Manager of Medicare Advantage Performance must be able to establish strong, collaborative relationships with internal and external partners to reach mutually defined quality and cost goals, have experience in achieving 4.5+ Star ratings, and direct working knowledge of key Medicare Advantage performance strategies such as Annual Wellness Visits, complete and accurate diagnosis submission, and care coordination strategies. This role requires demonstrated excellence in creating “buy-in” with internal and external stakeholders to promote and impact positive 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. This position will work remotely with occasional travel to assigned markets.
Your footprint & specific duties within role:
- Lead a team of Medicare Advantage Performance Managers and Analysts within a defined geographical footprint
- Serve as the primary liaison with select Medicare Advantage Payer Partner National points of contact to ensure deliverables are met, develop presentations to facilitate effective Joint Operating Committee (JOC) meetings with payers, and drive ongoing collaboration and coordination with Aledade’s Medicare Advantage Payer Partners
- Guide the development of strategies and operational plans 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 contracts and be able to translate contract terms into actionable approaches to achieve savings and 4.5+ Star ratings by partnering with Aledade field teams and other internal stakeholders
- Conduct detailed analyses to pinpoint greatest areas for quality and cost interventions across multiple contracts and markets
- Collaborate across Aledade teams to advance Aledade’s strategy at the regional and national levels
- 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
- Lead the development and creation of Standard Operating Procedures to drive efficiency and scalability across a rapidly growth Medicare Advantage contract portfolio
- Perform all other duties and special projects as requested by Aledade’s Provider Network leadership team.
- Develop, mentor, and lead a team of Medicare Advantage Performance Managers and Analysts
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
- Previous supervisory experience is required
- Deep understanding of the Medicare Advantage landscape; Stars program, and value-based care
- 5-10 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 and 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
- Comfortable working in a fast-paced, dynamic environment while maintaining focus on key goals.
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 best serves the needs of patients, doctors, and society, we’d love for you to join us!
Who We Are:
Aledade is a leader in population health that is using innovative, value based solutions to transform the way physicians interact with their patients. We are on a mission to change healthcare for the better and solve complex problems within the healthcare system.
We follow the simple but radical idea that Aledade only succeeds when our partner practices succeed. From our cutting-edge technology platform to practice transformation services, we provide physicians with everything they need to create and run an accountable care organization (
ACO), revamping the way they practice and getting them back to where they should be: quarterbacking their patients’ health care!
Our customized solutions help clinicians in communities across America preserve their autonomy, deliver better care to their patients, reduce overall costs, and keep independent physician practices flourishing.
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 work with team members that bring a wide range of experiences, interests, backgrounds, beliefs, and achievements to their work, united by a shared passion for public health and a commitment to the Aledade mission.
We’ve recently been recognized as a Top Workplace by The Washington Post, Best Workplace in HealthCare & Biopharma, Top 100 Best Small & Medium Workplaces, Glassdoor Best Places to Work, a Best and Brightest Companies to Work for in the Nation, a Tech Tribune 10 Best Tech Startups in Maryland and Bethesda, Best Tech for Good, Best Workplaces for Millennials, Best Workplaces for Women, Best Workplaces for Parents, Top Workplaces USA, and a Healthcare Industry Top Workplace.
That’s because the things that matter to you also matter to us!
In addition to time off to support work-life balance and enjoyment, we offer the following comprehensive benefits package designed for the needs of our full-time team-members:
Flexible work schedules and ability to work remotely available for many roles
Educational Assistant Program
Robust time off plan (21 days of PTO in your first year!)
Paid Volunteer Days
11 paid holidays
12 weeks paid Parental Leave for all new parents
6 weeks paid sabbatical
Health, dental and vision insurance paid up to 80% for employees, dependents, and domestic partners
401(k) with up to 4% match
Stock options
Monthly cell phone stipend
Jeans everyday workplace
Gender neutral bathrooms
And 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.
