Director, Network Operations

United States

Apply with AI Apply

Not SpecifiedCompensation

Expert & Leadership (9+ years)Experience Level

Full TimeJob Type

UnknownVisa

Health Plan, Provider OrganizationIndustries

Requirements

Candidates must possess a Bachelor's degree and a minimum of 12 years of progressive experience in operational and strategic roles within health plans or provider organizations. At least 4 years of experience with network management, credentialing, and enrollment processes and platforms is required. A Master's degree in a related field and 8+ years in clinical back office or payer operations functions, along with 2+ years of management experience, are preferred. Proven ability to create, maintain, and enhance relationships and communicate effectively with senior management, both internally and externally, is essential.

Responsibilities

The Director of Network Operations will lead and scale operational excellence for Aledade Complete, focusing on network contracting, provider credentialing, and health plan enrollment. This role involves building and optimizing processes, ensuring cross-functional alignment, and delivering operational rigor through launch and growth phases. Responsibilities include identifying and eliminating operational bottlenecks, overseeing vendor and partner relationships, managing market entry plans, validating operational requirements, monitoring contract compliance, interfacing with other teams, and developing plans and SOPs for common workflows.

Skills

Network Operations

Network Contracting

Provider Credentialing

Health Plan Enrollment

Process Optimization

Cross-functional Alignment

Vendor Management

Project Management

KPI Tracking

SOP Development

Operational Excellence

Strategic Planning

Aledade

Supports independent primary care practices

About Aledade

Aledade operates in the primary care sector, focusing on supporting independent primary care practices. The company provides these practices with essential support and data to help them navigate the challenges of the changing healthcare landscape. Aledade offers personalized, on-the-ground assistance, ensuring that practices have timely access to the right data to improve the quality of care they deliver to their communities. Additionally, Aledade has developed a proprietary technology application that gives practices insights about their patients, further enhancing their care capabilities. Unlike many competitors, Aledade is dedicated to the success of independent practices, making it the largest network of its kind in the nation. The company's goal is to empower these practices to thrive and provide high-quality care through its support services and technology.

Bethesda, MarylandHeadquarters

2014Year Founded

$662MTotal Funding

SERIES_FCompany Stage

Enterprise Software, HealthcareIndustries

1,001-5,000Employees

Risks

Increased competition from platforms like Privia Health threatens Aledade's market share.

Integration challenges from acquiring Medical Advantage may disrupt operations in Michigan.

Rapid technological advancements require continuous updates to Aledade's technology platform.

Differentiation

Aledade partners with independent primary care physicians to create Accountable Care Organizations.

The company offers a proprietary technology platform for timely patient insights.

Aledade provides personalized, on-the-ground support to enhance care quality.

Upsides

Aledade's acquisition of Medical Advantage expands its presence in Michigan significantly.

The rise of telehealth creates new opportunities for Aledade's primary care practices.

Aledade's focus on value-based care aligns with increasing demand for ACOs.

Land your dream remote job 3x faster with AI

Try Jobo Free