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Aledade is the largest network of independent primary care.
The Role
Lead process improvement initiatives in payer operations, enhancing workflows, data analysis, and cross-functional collaboration for operational excellence.
Summary Generated by Built In
As Aledade's Lead of Operations Excellence, you'll spearhead transformative process improvement initiatives that directly impact our payer operations landscape, identifying breakthrough opportunities to streamline workflows, eliminate inefficiencies, and elevate performance standards across multiple operational functions. In this strategic role, you'll leverage data-driven insights and innovative methodologies to architect solutions that enhance productivity, reduce costs, and deliver measurable results, while collaborating with cross-functional teams to implement sustainable changes that position our organization for continued growth and operational excellence.
Candidates should be comfortable working remotely/work from home anywhere within the US.
Primary Duties:
Process Transformation
- Lead end-to-end transformation initiatives for payer operations, with a primary focus on practice rostering, provider enrollment, and network management processes
- Design, implement, and monitor process improvements that enhance operational efficiency, reduce manual interventions, and ensure maximum roster accuracy
- Collaborate with cross-functional teams to identify process gaps and implement sustainable solutions
- Establish performance metrics and KPIs to measure transformation success and ongoing process reliability
- Implement quality assurance protocols to minimize rostering errors and compliance risks
- Streamline provider data management workflows and establish automated validation processes
Data Analysis
- Utilize data analysis techniques to identify trends, patterns, and opportunities for process enhancement
- Perform complex data manipulation and analysis using spreadsheet applications and other analytical tools
- Create comprehensive reports and dashboards to track operational performance and transformation progress
- Present data-driven recommendations to senior leadership and stakeholders
Leadership & Collaboration
- Lead project teams and mentor staff on process improvement methodologies
- Facilitate training sessions on new processes
- Serve as subject matter expert for rostering operations
- Partner with Product and Technology teams to identify and implement technology solutions that support process optimization
- Provide escalation support and guidance for complex operational issues
Roster Curation & Administration
- Perform hands-on roster maintenance and data curation activities, especially during peak periods, system implementations, or staff shortages
- Execute complex roster updates, bulk data modifications, and exception handling as needed
- Conduct detailed roster audits and data validation exercises to ensure accuracy and compliance
- Project-manage roster issues from identification to resolution, minimizing operational disruption.
- Maintain expert-level proficiency in roster management systems and processes through direct operational involvement
- Other duties as assigned
Minimum Qualifications:
- Bachelor's degree in Business Administration, Operations Management, Healthcare Administration, Public Health, or related field
- Six Sigma certification or must complete within the first 6 months of employment
- 5+ yrs experience in payer operations, healthcare operations, or similar operational roles
- 3+ yrs experience leading process improvement or transformation initiatives
- Hands-on experience with data management systems and processes (i.e. provider rosters), including data entry, validation, and maintenance activities
- Demonstrated expertise in process mapping, workflow optimization, and change management
- Advanced proficiency in Google Sheets (or Microsoft Excel), including complex formulas, pivot tables, and data visualization
- Excellent communication skills; Demonstrated ability to influence decision makers.
- Strong analytical and problem-solving skills
- Ability to balance strategic work with operational support
Preferred Qualifications:
- Master's degree
- PMP Certification
- Experience with project management and workflow management systems (Monday.com, Jira, Miro, etc.)
- Healthcare insurance or managed care background
- Proficiency in additional data analysis tools (SQL, Tableau, Power BI, etc.)
- 2+ years experience with systems and resources utilized in roster management activities (e.g., CAQH, payer portals, NPPES)
- Knowledge of healthcare regulations and compliance requirements (CAQH, CMS, state regulations)
Physical Requirements:
- Prolonged periods of sitting at a desk and working on a computer.
Who We Are:
Aledade, a public benefit corporation, exists to empower the most transformational part of our health care landscape - independent primary care. We were founded in 2014, and since then, we've become the largest network of independent primary care in the country - helping practices, health centers and clinics deliver better care to their patients and thrive in value-based care. Additionally, by creating value-based contracts across a wide variety of health plans, we aim to flip the script on the traditional fee-for-service model. Our work strengthens continuity of care, aligns incentives and ensures primary care physicians are paid for what they do best - keeping patients healthy. If you want to help create a health care system that is good for patients, good for practices and good for society - and if you're eager to join a collaborative, inclusive and remote-first culture - you've come to the right place.
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 collaborate with team members who bring a wide range of experiences, interests, backgrounds, beliefs and achievements to their work - and who are all united by a shared passion for public health and a commitment to the Aledade mission.
In addition to time off to support work-life balance and enjoyment, we offer the following comprehensive benefits package designed for the overall well-being of our team members:
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
And much 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.
Privacy Policy: By applying for this job, you agree to Aledade's Applicant Privacy Policy available at https://www.aledade.com/privacy-policy-applicants
Top Skills
Google Sheets
JIRA
Excel
Miro
Monday.Com
Power BI
SQL
Tableau
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The Company
What We Do
Aledade is the largest network of independent primary care, enabling clinicians to deliver better patient outcomes and generate more savings revenue through value-based care. Aledade’s data, personal coaching, user-friendly workflows, health care policy expertise, strong payer relationships and integrated care solutions enable primary care organizations to succeed financially by keeping people healthy. Together with more than 1,900 practices and community health centers in 45 states and the District of Columbia, Aledade manages accountable care organizations that share in the risk and reward across more than 200 value-based contracts representing more than 2.5 million patient lives. To learn more, visit www.aledade.com or follow on X (Twitter), Facebook or LinkedIn.
Why Work With Us
At Aledade, we’re all about doing good for patients, practices and society - which is why we’re so passionate about value-based care and the work we do every day. Because we’re working to benefit all of society, we believe the best way to do so is to utilize all of our team members and their unique experiences, interests, backgrounds and beliefs.
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