Operations Manager

Operations Manager

The Operations Manager works with the IPA leadership team to manage administrative operations including payer contracts, contract membership, payment distribution, and client services delivery. Works with other internal departments to maximize client success in pay-for-performance programs, risk sharing and value-based contracts. Leads team that may include, but is not limited to, an Operations Specialist and Membership Associates.

Responsibilities :

• Initiates and develops respectful, trusting, and productive relationships with Aledade internal departments, payers and client practices.
• Works with Market Manager and IPA Operations Director to develop strategic initiatives and operational tracking in key areas such as payer contracting and payments, provider recruiting and provider membership, population health management, physician alignment, care management oversight, and health information technology.
• Monitors payer enrollments, reports, and payments.
• Leads payment distribution, payment reporting and tracking.
• Develops, monitors, and reports on Key Performance Indicators related to IPA operations.
• Provides care management program oversight.
• Mentors, coaches, and manages direct reports.
• Oversee the Operations Specialist and assists in developing and coordinating implementation of meeting communication and notifications.
• Oversees the Membership team to assure complete, accurate, and efficient membership processes.
• Oversees third party care management function to assure performance and metric achievement.
• Responds to queries from customers and potential customers regarding membership, health plan contracts, incentive programs, and IPA information.
• Coordinates and runs meetings with payers for contract administration, updates, and issues. Works with payers to resolve issues.
• Conducts internal team meetings to develop and communicate overall client strategy, including contract deliverables, progress reports, and implementation plans.
• Oversees delivery of client communication and education material.
• Works with growth department and IPA Operations Director to support recruitment efforts.
• Performs other duties as assigned.

Minimum Qualifications :

Preferred Qualifications :

Physical Requirements :