Payer Enrollment Operations Manager

Aledade, Inc.

. Partner with IPA leadership to oversee the administrative engine behind payer contracts, contract membership, payment distribution, and client services delivery .

Posted 10/22/2026full-timeRemote • Michigan • United StatesSeniorLead💰 $90,000 - $110,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in overseeing payer contracts, payment distribution, and client services delivery while leading teams and fostering collaborative relationships across departments. Proficient in developing and monitoring KPIs, managing care programs, and ensuring effective communication with clients and stakeholders.

Highest-signal resume keywords

Payer Contract ManagementKPI Development and MonitoringTeam Leadership and MentoringCustomer Relationship DevelopmentProject Management

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Healthcare AdministrationPayment DistributionContract AdministrationAnalytical SkillsConsultative Thought ProcessProject Management SkillsKPI Reporting

Soft Skills

Strong Communication SkillsInterpersonal SkillsAbility to Persuade and InfluenceTact and DiplomacyImpeccable Service Ethic

Tools & Technologies

Microsoft SuiteGoogle Suite

Industry Keywords

Health PlanPhysician OrganizationValue-Based ContractsPay-for-Performance ProgramsRisk Sharing Arrangements

About the role

Key responsibilities & impact

Partner with IPA leadership to oversee the administrative engine behind payer contracts, contract membership, payment distribution, and client services delivery
Collaborate across internal departments to help clients maximize pay-for-performance programs, risk sharing arrangements, and value-based contracts
Lead a team that may include an Operations Specialist and Membership Associates
Build respectful, trusting, and productive relationships with internal departments, payers, and client practices
Partner with the Market Manager and IPA Operations Director on strategic initiatives and operational tracking
Monitor payer enrollments, reports, and payments
Lead payment distribution, payment reporting, and tracking
Develop, monitor, and report on KPIs related to IPA operations
Provide care management program oversight, including oversight of third-party care management functions
Mentor, coach, and manage direct reports
Oversee Membership team processes
Respond to customer and prospective customer queries regarding membership, health plan contracts, incentive programs, and IPA information
Coordinate payer meetings for contract administration, updates, and issues, and resolve issues with payers
Conduct internal team meetings covering client strategy, contract deliverables, progress reports, and implementation plans
Oversee delivery of client communication and education materials
Support recruitment efforts with the growth department and IPA Operations Director
Perform other duties as assigned

Requirements

What you’ll need

Bachelor’s degree in Business, Healthcare Administration, or related field or equivalent combination of education and experience
8+ years of experience with a health plan, physician organization, physician office or similar employer in progressively more responsible positions
Strong communication (written and verbal)
Excellent interpersonal skills with ability to interact effectively and credibly at all levels of an organization
Ability to lead, persuade, and influence, particularly as it relates to customer relationship development
Ability to interact effectively with customers and possess a professional business manner
Tact and diplomacy in developing and maintaining positive working relationships
Ability to work and interact with a wide range of associates and leaders internal and external to the organization
Impeccable service ethic characterized by high energy, a positive attitude and the desire to go “the extra mile” for both clients and teammates
Strong analytical and consultative thought process to solve customer problems and generate new business opportunities
Project management skills with ability to prioritize multiple projects, manage and meet multiple deadlines
Superior organization skills to handle multiple simultaneous projects and associated work teams
Familiarity with Microsoft suite
Familiarity with Google suite
Prior management experience preferred
Work involves extended periods of sitting and using a computer screen
Hours may extend beyond the normal workday as needed to serve clients and meet deadlines

Benefits

Comp & perks

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
Bonus
Equal opportunity employment