Program Manager, Explorer Contract Operations, Remote

Aledade, Inc. is a public benefit corporation focused on empowering independent primary care. The Program Manager, Explorer Contract Operations will lead contract lifecycle management for the Explorer Market, ensuring successful onboarding and compliance while driving operational excellence across teams.

Responsibilities:

• 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
• 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
• 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
• Proactively identify ways to contribute to the company’s future through strategic partnerships
• Lead practice service model innovation with focus on standardization and automation
• 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

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
• 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