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• Oversee day-to-day operations of a Team of Analysts and/or Specialists, fostering a high-performing team.
• Lead quality improvement initiatives by managing analytics to determine the greatest areas for quality and cost interventions.
• Develop strategies to improve health plan performance, operational efficiency, and payer experience.

Aledade partners with independent practices, health centers, and clinics to build and lead Accountable Care Organizations (ACOs) anchored in primary care. They offer a comprehensive, value-based care solution that includes data analytics, guided workflows, and user-friendly technology, supported by on-the-ground experts.

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.

• Owns end to end operations and expansions for our provider networks in the US & Canada.
• Deeply understand and elevate Carrot’s strategic positioning within the US & Canada healthcare and provider ecosystems.
• Define and deliver on KPIs related to provider network operations response including establishing goals, methodology on measurement/tracking, and execution.

Carrot is a global, comprehensive fertility and family care platform, supporting members and their families through life's memorable moments. They are trusted by multinational employers and health plans, offering localized support in over 170 countries and 25 languages.

• Optimize the provider network to power the care delivery model.
• Own the systems and processes that ensure the provider workforce is fully utilized.
• Collaborate with Clinical Operations, Care Navigation, and Product teams.

Hazel Health & Little Otter have joined forces to deliver comprehensive services to the children and families we serve.

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.

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 and scale strategic relationships with key partners while driving operational excellence. Build executive-level relationships and represent partner needs internally. Design, implement, and improve processes, influencing senior stakeholders to drive outcomes.

Rula is a remote-first company that believes that mental health is just as important as physical health and aims to create a world where mental health is embraced.

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.

• 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.

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.

• 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.

• 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.

• Manage strategic initiatives and new health plan launches.
• Facilitate collaboration across multiple departments and external health plan partners.
• Build project plans and track progress against milestones.

Zócalo Health is the first tech-driven provider built specifically for Latinos, by Latinos, developing a new approach to care designed around shared experiences.

• Develop and execute comprehensive partner operations strategies aligned with large, complex deal cycles and overall AMS GTM objectives.
• Oversee AMS partner operational initiatives, including process improvement, workflow optimization, and enablement of internal and partner teams for scalable growth and productivity.
• Leverage analytics and KPIs to monitor AMS partner and channel performance, deal velocity, and business impact, providing actionable insights for decision-making.

ServiceNow provides AI-enhanced technology to over 8,100 customers, including 85% of the Fortune 500. Their intelligent cloud-based platform connects people, systems, and processes to empower organizations to find smarter, faster, and better ways to work.

• 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.

• Engaging with prospective practices to secure commitment to value-based care contracts.
• Extending and negotiating participation agreements using Salesforce CRM/Conga/DocuSign.
• Serving as a mentor to Network Development Leads and other Growth / Field team members.

Aledade empowers independent primary care, forming the largest network in the US. They focus on value-based contracts and aim to improve healthcare for patients and practices, with a collaborative and remote-first culture.

• Lead end-to-end service-line operations, including clinician onboarding, deployment, and readiness for new program launches.
• Design, implement, and continuously improve scalable processes and systems to ensure efficiency, accuracy, and consistent service delivery.
• Collaborate cross-functionally with Legal, Payroll, Recruiting, Technology, and other teams to ensure operational alignment.

This position is posted by Jobgether on behalf of a partner company.

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.

• Develop a deep understanding of our business, care programs, and data.
• Synthesize data into actionable insights that improves clinical quality, operational efficiency, and outcomes.
• Partner with product, clinical, engineering, and operations teams to translate business needs into analytics solutions.

Cayaba Care is working to drastically improve the experience of affected communities by reimagining how they deliver meaningful and compassionate care to expectant moms. The team is focused on building trust-based engagement and wrap-around support for expectant moms at home, in person and virtually.

• Establish and direct the strategic vision for the Imagine Pediatrics centralized call center.
• Lead a team of engagement associates that enroll attributed eligible patients into the clinical program.
• Partner with Product, Engineering, and Data teams to inform the technical infrastructure.

Imagine Pediatrics is a tech-enabled, pediatrician-led medical group reimagining care for children with special health care needs. They deliver 24/7 virtual-first and in-home medical, behavioral, and social care, enhancing existing care teams with compassion and an unwavering commitment.