With Primary Care. For Primary Care.

Senior Director, Medicare Advantage Transformation

DirectorDirectorFull TimeRemoteTeam 501-1,000Since 2014H1B No SponsorCompany Site LinkedIn

Location

Virginia

Posted

21 days ago

Salary

Not specified

Bachelor Degree12 yrs expEnglish

Job Description

• Lead the design and execution of the Medicare Advantage Transformation plan, ensuring alignment with Aledade’s overall growth and performance goals. • Direct cross-functional workstreams to implement key MA initiatives, including Stars performance, risk adjustment accuracy, and medical cost management. • Monitor key performance indicators (KPIs) for the MA business line, identifying performance gaps and pivoting strategy to ensure we meet or exceed shared savings targets. • Collaborate with Payer Strategy, Product, and Field Operations to ensure MA initiatives are translated into actionable practice-level workflows. • Navigate organizational ambiguity to drive "buy-in" across the company, ensuring that MA transformation remains a top-tier priority. • Other duties as assigned

Job Requirements

Bachelor’s degree
12+ years of progressive experience in healthcare strategy or operations with at least 5 years specifically focused on Medicare Advantage.
6+ years of significant cross-functional "pod" leadership.
Deep understanding of the MA landscape, including Stars ratings, HCC coding, V28 transition, and supplemental benefit strategies.
Proven track record of managing complex, large-scale projects from ideation to completion
Comfort in Ambiguity: You thrive in a "build-as-you-go" environment. You can take a high-level goal and break it down into a structured execution plan.
Strong collaboration skills; Ability to lead through influence rather than just authority, working effectively with diverse teams ranging from software engineers to clinicians.
Strong analytical skills; Ability to synthesize complex data into clear, persuasive narratives for Aledade’s executive leadership team.
A deep-seated passion for primary care and a desire to disrupt the fee-for-service status quo.

Benefits

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!