Source Job

• Oversee operational and clinical performance of contracted provider partners.
• Drive execution on economic, clinical, and population health strategies.
• Proactively analyze population health data to identify opportunities for improvement.

Apree Health is a national care delivery platform focused on expanding access to comprehensive primary care for consumers with coverage across Commercial, Individual Exchange, Medicare, and Medicaid health plans. They seem to have a fast-paced evolving environment.

• Lead the team responsible for defining, measuring, and improving how Spring Health’s Operations delivers excellence.
• Own the performance management frameworks that govern quality, consistency, and operational effectiveness across the organization.
• Develop the systems and standards that help Operations teams identify performance gaps, drive accountability, and continuously improve results.

Spring Health is on a mission to revolutionize mental healthcare by removing every barrier that prevents people from getting the help they need, when they need it.

The Operations and Planning Manager oversees strategic planning and execution on key activities. They support the infrastructure of the RBE, focusing on organizational effectiveness. They drive initiatives to improve the quality of care, efficiency, and growth in the market.

agilon health is changing the way healthcare is delivered, bringing the joy back to practicing medicine, and improving the care experience for patients.

• The Director, MSSP Quality will lead cross-functional operational initiatives across Provider Networks and Product to ensure comprehensive data integrity and optimal performance in Quality reporting.
• The Director will be responsible for managing and resolving field queries, preparing comprehensive reporting for executive and practice leadership, and formulating strategic initiatives for MSSP Quality programs across the organization.
• The role requires strong leadership capabilities, analytical experience, and the ability to collaborate effectively with cross-functional teams while translating complex quality data into actionable insights that drive organizational excellence in MSSP Quality performance.

Aledade empowers independent primary care practices to deliver better care and thrive in value-based care. Founded in 2014, they are the largest network of independent primary care in the country with a collaborative, inclusive, and remote-first culture.

• Execute data analysis of trends and strategic opportunities for quality improvement across Aledade’s value based care portfolio.
• Track key performance indicators (KPIs) relating to risk, quality, and affordability for all health plan payer contracts.
• Support ad-hoc reporting and data analysis requests for field teams specifically relating to MSSP.

Aledade empowers independent primary care practices to succeed in value-based care. Founded in 2014, they've become the largest network of independent primary care in the country with a collaborative, inclusive, and remote-first culture.

Healthcare operations leader with deep expertise in quality improvement across diverse provider networks. Responsible for overseeing the performance and reliability of the organization's network infrastructure. Leads cross-functional efforts that improve provider engagement, optimize workflows, and elevate overall network performance.

Humana Inc. is committed to putting health first – for our teammates, our customers and our company through insurance and healthcare services.

• Lead the Quality BI team, driving insights across the Quality ecosystem.
• Develop interactive dashboards and executive-level reports.
• Partner with senior leaders to translate clinical goals into a technical vision.

Aledade exists to empower the most transformational part of our health care landscape - independent primary care.

• Provide strategic leadership and expert oversight for payer relations and contracting.
• Manage a team responsible for negotiating and monitoring contracts with payers.
• Analyze contract terms and financial performance to influence strategic pricing strategies.

CommonSpirit Health is building a healthier future for all through its integrated health services as one of the nation’s largest nonprofit Catholic healthcare organizations.

Accountable for the management, performance, quality improvement and scalability of our HCP contractor base. Work cross-functionally with Product, Medical Directors, Data, Regulatory, Patient Experience, and Pharmacy teams. Combine people leadership, operational rigour, analytical ownership, and applied AI/automation in a regulated healthcare environment.

Founded in 2019, Felix is a patient-driven digital healthcare company that puts you in control of your health and wellbeing.

The Director will manage strategic payer portfolios, build relationships with payer partners, and contribute to health plan contracting for value-based contracts. Develop and lead a team for strong execution and effective storytelling with data. Influence collaboration with internal and external stakeholders.

Aledade empowers independent primary care practices to deliver better care and thrive in value-based care arrangements.

Ensure day-to-day operational reliability and drive optimal clinician performance in our 24/7 virtual Urgent Care practice. Lead a team of clinician liaisons and schedulers to ensure clinician satisfaction, productivity, engagement, and success. Partner with the Director of Practice Operations and Urgent Care Clinical Leadership to operationalize strategic growth, scale, and quality projects.

Included Health is a new kind of healthcare company, delivering integrated virtual care and navigation to raise the standard of healthcare for everyone.

This role involves overseeing the strategic and operational management of a healthcare provider network. The role ensures network design, credentialing, enrollment, data management, and compliance meet regulatory and accreditation standards. The position emphasizes operational excellence, strategic oversight, and effective provider relationship management.

Jobgether uses an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements.

• Lead the RCM Performance Management team and work with Revenue Cycle Operations teams.
• Foster relationships and identify RCM improvement opportunities.
• Develop quality metrics related to claims processed, rejected, and denied.

Hanger, Inc. is the world's premier provider of orthotic and prosthetic (O&P) services and products, offering the most advanced O&P solutions.

The role involves driving strategic decision-making and ensuring operational excellence across functional areas. You will cultivate and manage strong working relationships with colleagues across functions. You will bring a multi-disciplinary skill set–including strategy, operations, project management, and financial analysis/modeling.

Paradigm is rebuilding the clinical research ecosystem by enabling equitable access to trials for all patients.

• Enhancing patient experience in ambulatory and virtual care across a designated region.
• Implementing and optimizing patient experience initiatives, programs, and best practices.
• Identifying improvement opportunities and helping facilities achieve high patient satisfaction.

Dignity Health Medical Foundation is a California nonprofit public benefit corporation with care centers throughout California and is an affiliate of Dignity Health.

• Supports & manages the implementation of market entry plans including vendor and health plan operational alignment.
• Validates operational requirements, confirms operational readiness and monitors compliance with contract requirements.
• Identifies and develops plans and SOPs for common workflows and resolves operational issues.

Aledade empowers independent primary care practices to deliver better care and thrive in value-based care. Founded in 2014, they are the largest network of independent primary care in the country with a collaborative, inclusive, and remote-first culture.

• Manage the delivery and success of complex, global healthcare primary market research (PMR) programs.
• Act as the strategic partner for high-value clients, ensuring operational excellence and stakeholder alignment.
• Lead a team of Project Managers providing guidance and removing roadblocks.

m360 Research is a full-service market research agency specializing in the healthcare space and a wholly owned subsidiary of M3.