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Aledade is the largest network of independent primary care.
The Role
Lead and scale payment systems and team to support $2B+ annual payments. Own architecture, integrations, automation, vendor management, reconciliation, governance, and cross-functional partnerships to ensure compliant, reliable payment operations.
Summary Generated by Built In
The Senior Director of Payments Solutions is a highly visible and mission-critical role that will lead the technical transformation of Aledade's Practice Payments operations. Reporting to the VP of Enterprise Applications, this role will oversee the technical team and solutions architecture required to scale our payment operations from current levels (24+ payment types) to over $2B in annual Practice Payments within 2-3 years. This position is essential to Aledade's ability to fulfill our contractual payment obligations to healthcare practice partners and will directly impact our operational success and growth trajectory.
We are looking for a player-coach who is hands-on and is able to scale across strategic topics as well as get into the details and work alongside their team. The Sr. Director must be highly collaborative and effective at working across business functions and organizational boundaries. Success in this role is highly dependent on the ability to be collaborative and effectively influence across the organization.
Primary Duties:
- Technical Solutions Leadership
- Lead the Payment Solutions technical team (Business Analyst, 2 System Administrators to start, additional team growth is expected) in designing and implementing scalable payment solutions
- Oversee current payment technology stack and drive optimization of existing solutions (QuickCap, NetSuite, etc.)
- Spearhead the evaluation and implementation of a second payment solution to handle non-claims based payment types
- Ensure payment systems architecture can scale to support $2B+ in annual payment volume
- Drive automation initiatives to eliminate manual processes between market leaders, central business owners, Payments and Finance teams
- Team Building & Leadership
- Manage and develop initial team of 3 direct reports (1 Business Analyst, 2 System Administrators)
- Build strategic hiring plan and organizational structure to scale the Payments team in alignment with business growth
- Define roles, responsibilities, and career progression paths for expanding payment operations team
- Foster a culture of technical excellence, continuous improvement, and operational reliability
- Establish team processes and methodologies to support rapid scaling while maintaining quality
- Process Architecture & Standardization
- Design standardized, scalable workflows for all 24+ payment types currently managed
- Develop technical specifications and requirements for payment processing improvements
- Create systematic approaches to bank reconciliation processes to address current pain points
- Establish playbook (including technical guardrails, approval workflows and org-wide implications) to facilitate standing up new payment types
- Cross-Functional Partnership & Governance
- Partner with Security team to ensure payment solutions meet cybersecurity and data protection standards
- Collaborate with CRG (Compliance, Risk, Governance) team on regulatory requirements and governance frameworks
- Work closely with Growth, Provider Networks, and Finance teams to ensure streamlined handoffs for full end-to-end processes, in compliance with audit and SOX requirements
- Support Growth and Provider Networks teams by defining technical feasibility parameters for new payment options during contract negotiations
- Work with Engineering and Analytics teams to ensure compliance with organizational data architecture standards
- Systems Integration & Management
- Oversee integration between payment solutions and existing enterprise applications
- Ensure seamless data flow between payment systems, financial systems, and reporting platforms
- Standardize the user experience across the various payment systems and processes
- Manage vendor relationships for payment technology solutions
- Drive system performance monitoring and optimization initiatives
- Strategic Planning & Execution
- Develop technical roadmap for payment solutions that aligns with business growth projections
- Create scalability assessments and capacity planning for payment infrastructure
- Establish technical KPIs and metrics for payment system performance and reliability
- Support enterprise-wide Payments Excellence program with technical expertise and solutions
Minimum Qualifications:
- Bachelor's degree in Engineering, Information Systems, Finance, or related technical field; advanced degree preferred
- 12+ years of experience managing payments technology, financial systems, or enterprise applications
- 3-5 years of experience implementing payment systems, processes, and related technology and support adoption by working with business partners and stakeholders
- 5+ years of management experience leading technical teams, with demonstrated ability to scale organizations
- Extensive hands-on experience with payment processing systems and financial technology platforms
- Proven track record scaling payment operations in high-growth environments
- Strong understanding of payment reconciliation, financial controls, and audit requirements
- Experience with enterprise system integrations and data management
- Demonstrated ability to manage complex, high-visibility technical initiatives
- Experience building and scaling technical teams from startup through enterprise levels
Preferred Knowledge, Skills and/or Abilities:
- Experience with QuickCap, NetSuite, or similar enterprise payment/ERP solutions
- Ideal candidate will have deep healthcare industry expertise, particularly in value-based care models and payor contract structures, to ensure our practice payment solutions meet all specialized accounting requirements
- Background in financial services or fintech environments
- Experience with API integrations and payment gateway technologies
- Knowledge of banking systems, ACH processing, and financial reconciliation platforms
- Project management certification (PMP) or similar credentials
- Strong communication skills for presenting to executive-level stakeholders
Physical Requirements:
- Sitting for prolonged periods of time. Extensive use of computers and keyboard. Occasional walking and lifting may be required.
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
Ach Processing
Api Integrations
Banking Systems
Financial Reconciliation Platforms
NetSuite
Payment Gateway Technologies
Payment Processing Systems
Quickcap
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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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