Senior Manager, Health Plan Performance, Remote
The Senior Manager, Health Plan Performance (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
Originally posted on Himalayas
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