Job Description
This role will drive Aledade’s strategy for national health information exchange, serving as the primary business and industry-facing counterpart for product, business, and policy teams engaged with Health Information Exchanges (HIEs), Carequality, CommonWell, and the Trusted Exchange Framework and Common Agreement (TEFCA). You will represent Aledade in standards groups and network governance bodies to advance interoperable data exchange in the context of value-based care (VBC). You will partner with senior business, policy, and technology leaders to shape Aledade’s market agenda, influencing regulators, vendors, and strategic business partners to resolve challenges in payer-provider interoperability and AI standards adoption. You will own the strategic roadmap for network participation, provide guidance to the technology roadmap, and negotiate business deals to advance Aledade’s connectivity with HIEs, payers, vendors, and more. You will ensure Aledade remains a leader in the evolving national interoperability landscape and achieves greater continuity of patient data across its VBC platform.
Primary Duties:
Champion National HIE Participation: Define and champion the long-term vision for Aledade’s participation in TEFCA, Carequality, and CommonWell. Identify the optimal network participation strategy to support Aledade’s business goals and clinical performance, inclusive of evaluating partnership opportunities, market/policy developments, and high-value use cases, such as treatment workflows and HEDIS reporting. Assist in defining measurement strategies, new workflows, go-to-market strategies, and opportunities to advance Aledade’s leadership in health information exchange.
Drive Internal Alignment: Act as the primary liaison between legal, business, policy, product, and technology to translate complex regulatory requirements into actionable product and business strategies, ensuring alignment with Aledade’s VBC model and technology roadmap. Act as a subject matter expert to internal teams on evolving data exchange standards, market developments, and network/HIT regulatory requirements. Assist with prioritization decisions, goal setting, and building business cases for new investments. Communicate regularly with stakeholders across the organization for purposes of decision making and strategic alignment.
Influence HIT Policy & Lead Industry Strategy: Actively monitor relevant HIT policy, standards, and regulatory developments to ensure adequate planning for technology and operational investments. Represent Aledade to national and regional health information exchange governance, trade group and standards bodies (e.g., NCQA, ONC, HL7, HIMSS, Carequality) to influence rulemaking and advocate for network standards and trust frameworks that support value-based care and primary care outcomes. Attend trade groups and source demonstration opportunities to increase Aledade’s influence in Health Information Exchange, source new business opportunities, and synthesize key market trends.
Lead Strategic Interoperability Initiatives & Partnerships: Lead the end-to-end execution of complex interoperability initiatives, including onboarding Aledade’s network of primary care practices, payers, and data partners to TEFCA. Manage strategic relationships with HIEs, EHR vendors, consultants and payers to resolve data-exchange blockers and drive the adoption of more standards-based interoperability in value-based care. Facilitate evaluation and lead planning for key accreditation or certification processes involving our technology stack, e.g. NCQA DAV.
Minimum Qualifications:
- 15+ years of health technology leadership experience with proven track record in health information exchange
- 8+ years experience negotiating and leading partnerships involving advanced interoperability with enterprise payer or provider partners, vendors, accreditation bodies, regulators, or health information exchanges
- Strong technical fluency in healthcare data standards, specifically HL7, FHIR, and USCDI
Preferred Knowledge, Skills and/or Abilities:
- Leadership experience in product/technology, customer success, and/or strategic partnerships development
Experience influencing and/or steering national technology initiatives surrounding health information exchange, including participation in trade groups, demonstrations, standards groups (e.g. HL7) , governance organizations (e.g. Carequality or Sequoia Project), and/or accreditation bodies (e.g. NCQA)
- Deep understanding of healthcare privacy and security standards (e.g. HIPAA, patient consent, sensitive data rules) governing health information exchange and product development
- Skilled in analyzing complex federal rules (e.g., ONC, CMS) and translating them into actionable business and product strategies, while simultaneously facilitating feedback processes
- History of leading TEFCA/Carequality/CommonWell implementation, accreditation/certification processes with ONC or NCQA, and/or technical policy advocacy at your organization
- Proven ability to create and enhance relationships with HIEs, payers, and technology vendors to resolve data-exchange blockers
- Experience aligning interoperability efforts with various value-based care use cases, e.g. clinical workflows, quality measurement (HEDIS), risk adjustment, prior authorizations, and/or financial processes of Accountable Care Organizations (ACOs)
- Proven track record of creating, maintaining, and enhancing business relationships and communicating effectively with senior management
- Strong analytical skills, with a proven ability to set and drive quantitative goals
- Experience partnering with cross-functional teams in the creation and development of internal tools, systems, processes, and technology roadmap
- Deep expertise in national exchange frameworks and regulatory context
Physical Requirements:
- Sitting for prolonged periods of time. Extensive use of computers and keyboard. Occasional walking and lifting may be required.
Who We Are:
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.
What Does This Mean for You?
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 roles
Health, dental and vision insurance paid up to 80% for employees, dependents and domestic partners
Robust time-off plan (21 days of PTO in your first year)
Two paid volunteer days and 11 paid holidays
12 weeks paid parental leave for all new parents
Six weeks paid sabbatical after six years of service
Educational Assistant Program and Clinical Employee Reimbursement Program
401(k) with up to 4% match
Stock options
And 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.
Privacy Policy: By applying for this job, you agree to Aledade’s Applicant Privacy Policy available at https://www.aledade.com/privacy-policy-applicants
We may use automated tools, including artificial intelligence (AI), to help organize and evaluate application materials. These tools support our recruiters and hiring managers by helping manage large applicant pools. Human judgment plays an essential role in our hiring process, including in the oversight and use of any automated tools. If you would like more information about our screening and hiring process, please contact us.
