Lead, Operations Excellence (Remote) at Aledade

Atlanta, Georgia, United States

Aledade Logo
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

Process Improvement
Lean Six Sigma
Data Analysis
Excel
Spreadsheets
KPIs
Quality Assurance
Provider Enrollment
Network Management
Rostering
Workflow Automation
Project Leadership
Cross-Functional Collaboration
Dashboards
Performance Metrics

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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