Lead, Operations Excellence (Remote)
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.
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 enhancementPerform complex data manipulation and analysis using spreadsheet applications and other analytical toolsCreate comprehensive reports and dashboards to track operational performance and transformation progressPresent data-driven recommendations to senior leadership and stakeholdersLeadership & Collaboration
Lead project teams and mentor staff on process improvement methodologiesFacilitate training sessions on new processesServe as subject matter expert for rostering operationsPartner with Product and Technology teams to identify and implement technology solutions that support process optimizationProvide escalation support and guidance for complex operational issuesRoster Curation & Administration
Perform hands-on roster maintenance and data curation activities, especially during peak periods, system implementations, or staff shortagesExecute complex roster updates, bulk data modifications, and exception handling as neededConduct detailed roster audits and data validation exercises to ensure accuracy and complianceProject-manage roster issues from identification to resolution, minimizing operational disruption.Maintain expert-level proficiency in roster management systems and processes through direct operational involvementOther duties as assignedMinimum Qualifications :
Bachelor's degree in Business Administration, Operations Management, Healthcare Administration, Public Health, or related fieldSix Sigma certification or must complete within the first 6 months of employment5+ yrs experience in payer operations, healthcare operations, or similar operational roles3+ yrs experience leading process improvement or transformation initiativesHands-on experience with data management systems and processes (i.e. provider rosters), including data entry, validation, and maintenance activitiesDemonstrated expertise in process mapping, workflow optimization, and change managementAdvanced proficiency in Google Sheets (or Microsoft Excel), including complex formulas, pivot tables, and data visualizationExcellent communication skills; Demonstrated ability to influence decision makers.Strong analytical and problem-solving skillsAbility to balance strategic work with operational supportPreferred Qualifications :
Master's degreePMP CertificationExperience with project management and workflow management systems (Monday.com, Jira, Miro, etc.)Healthcare insurance or managed care backgroundProficiency 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.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.
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 rolesHealth, dental and vision insurance paid up to 80% for employees, dependents and domestic partnersRobust time-off plan (21 days of PTO in your first year)Two paid volunteer days and 11 paid holidays12 weeks paid parental leave for all new parentsSix weeks paid sabbatical after six years of serviceEducational Assistant Program and Clinical Employee Reimbursement Program401(k) with up to 4% matchStock optionsAnd 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.