Program Manager, Explorer Contract Operations, Remote

Aledade

5d • Remote

About The Position

The Program Manager, Explorer Contract Operations will serve as the Subject Matter Expert and cross- functional leader for the end-to-end lifecycle management across the Explorer Program. This role will manage all contract operations within the contract lifecycle for the entire Explorer Market portfolio across all contract types. This leadership position will enable the team to achieve OKR performance goals by resolving operational bottlenecks and enabling the Practice Transformation Specialist to focus on revenue-driving Performance Excellence work.

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

Nice To Haves

• 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

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

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

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level