Job description
The VP, Medicare Stars will be a key member of Aledade’s Payer Strategy and Engagement team and will be responsible for understanding, aligning, and integrating health plan strategies with Aledade’s operating model to ensure success in Medicare Star ratings performance
Primary Duties:
Stakeholder Engagement & Representation
Build and sustain relationships with health plan leaders focused on Star quality measure success
Ensure deep understanding of health plan goals and strategies, able to balance macro trends and granular insights
Lead health plan meetings with over 10 partners to discuss Aledade’s Star performance and shared priorities with health plan partners; consistently presenting Aledade’s unique advantages and opportunities
Execute on mutual goals including and not limited to clinical and operational strategies, data availability, programs, and incentives
Partner with Aledade Clinical leadership to represent our comprehensive Star strategy to external partners
Partner with Aledade Health Plan Performance team to engage and align field teams’ practice performance activities on key strategies
Partner with Aledade Policy team to understand CMS Star measure ratings’ policies and regulations; follow industry ecosystem and trends
Quality Performance & Strategy
Share and align health plan perspectives and strategies with cross-functional leaders including Aledade clinical and product owners
Identify and troubleshoot potential areas of misalignment
Minimum Qualifications:
- Bachelor’s Degree
- 15+ yrs’ in healthcare ideally in healthcare strategy. Plus 8-10 yrs’ in a senior level role.
- 7+ yrs’ in Medicare Stars performance and/or value-based care and “provider enablement”
- Strong knowledge of current CMS policies governing Medicare Stars Ratings performance
- Data-driven with the ability to synthesize data from multiple sources to inform action plans and strategy and make sound decisions; Root cause/corrective action expertise.
- Strong executive presence, communication, and presentation skills
- Ability to get results by successfully navigating key stakeholder relationships (Internal & external) at all levels in a highly collaborative environment
- Strong focus on tech enablement to improve scalability and reduce operating costs.
Preferred Qualifications:
- Master’s degree in business, health administration, and/or public policy
- Clinical experience (i.e. RN, APRN, PA, MD, DO) preferably in the primary care setting
- Knowledge and/or experience in performing internal and external quality audits
- Prior experience in a provider setting (i.e. value-based care enabler) or a health plan setting
- Experience with Google Suite
- Familiarity with Electronic Health Record (EHR) systems
Physical Requirements:
- Prolonged periods of sitting at a desk and working on a computer
- This role requires up to 20% travel
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.
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