Lead, Operations Excellence (Remote) at Aledade

Atlanta, Georgia, United States

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Not SpecifiedCompensation

Senior (5 to 8 years), Expert & Leadership (9+ years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, Payer OperationsIndustries

Requirements

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+ years experience in payer operations, healthcare operations, or similar operational roles
3+ years 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)

Responsibilities

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
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
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
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

Skills

Key technologies and capabilities for this role

Process ImprovementLean Six SigmaData AnalysisExcelSpreadsheetsKPIsQuality AssuranceProvider EnrollmentNetwork ManagementRosteringWorkflow AutomationProject LeadershipCross-Functional CollaborationDashboardsPerformance Metrics

Questions & Answers

Common questions about this position

Is this position remote?

Yes, candidates should be comfortable working remotely/work from home anywhere within the US.

What is the salary range for this role?

This information is not specified in the job description.

What are the minimum qualifications for this position?

A Bachelor's degree in Business Administration, Operations Management, or related field is required.

What key skills are needed for the Lead, Operations Excellence role?

The role requires expertise in process transformation, data analysis using spreadsheet applications and analytical tools, leadership and collaboration with cross-functional teams, and hands-on roster curation and administration.

What does a strong candidate for this role look like?

A strong candidate has a Bachelor's degree, experience leading process improvements in operations like payer rostering and provider enrollment, proficiency in data analysis and reporting, and the ability to lead teams and collaborate cross-functionally.

What does the work environment involve at Aledade?

The role involves collaborating with cross-functional teams, partnering with Product and Technology teams, and leading project teams in a remote setting focused on operational excellence.

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.

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