IPA/Medical Group Network Administration Manager

Job Number: 7457

Workplace Type: Hybrid Remote

Position Title: IPA/Medical Group Network Administration Manager

External Description:

Position Summary: 

The Administration Manager at Alignment Health plays a pivotal role in planning and managing medical groups and Independent Practice Associations (IPAs) to facilitate growth. The position involves ensuring performance aligns with the overall objectives of the health plan and requires proficiency in marketing, provider CMS guidelines, and end-to-end understanding of these aspects. The Administration Manager will collaborate with Market General Managers, Finance teams, and Sales departments to prioritize and achieve monthly, quarterly, and annual objectives set by the President. Additionally, the role involves demonstrating excellent operational skills, effective communication, and proficiency in Microsoft Office.

General Duties / Responsibilities (may include but not limited to):

• Track performance to ensure alignment with the overall objectives of the health plan.
• Receive ongoing reporting from clinical or RAF teams gaps.
• Work with IPAs to develop, implement and monitor progress of remediation plans where  performance requires improvement.
• Serve as the IPAs’ main point of contact on day to day activities and timely issue resolution.
• Attend external meetings with IPA leaders, as required.  Document and follow up on action items that may arise from the meetings.
• Participate in and contribute to Joint Operating Committees (JOC), Joint Work Groups (JWG) and other collaborative meetings with the IPAs and key internal stakeholders.
• Demonstrate proficiency in marketing and provider CMS guidelines, with an end-to-end understanding of these aspects.
• Collaborate with Market General Managers, Finance teams, and Sales departments to prioritize and achieve monthly, quarterly, and annual objectives set by the President.
• Build strong relationships with assigned IPAs to drive collaboration and engagement.

Qualifications:

• Strategic thinker with a strong understanding of healthcare management.
• Capable of influencing growth and performance in a dynamic environment.
• Ability to work cross-functionally with various teams.
• Demonstrate excellent operational skills, including effective communication and proficiency in Microsoft Office.
• Deep knowledge of CMS guidelines. 

Minimum Requirements:

• Bachelor's degree in healthcare administration, business, or related field; Master's degree preferred
• Proven experience in a management role
• Excellent understanding of CMS guidelines and regulations
• Strong leadership, presentation and interpersonal skills
• Position based in Stanislaus or San Joaquin counties preferred. Must be willing to travel in regions as needed.

Pay Range: $90,000 - $100,000 annually.

City: Modesto

State: California

Location City: Modesto

Location State: California

Community / Marketing Title: IPA/Medical Group Network Administration Manager

Company Profile:

Alignment Health is revolutionizing health care for seniors by leveraging our world-class technology platform, innovative care delivery models, deep physician partnerships and our serving heart culture! From member experience professionals and clinicians, to data scientists and operations leaders, we have built a talented and passionate team that is deeply committed to our mission of transforming health care for the seniors we serve. Ready to join us?

At Alignment Alignment, delivering exceptional care to seniors starts with ensuring an exceptional experience for our over 1,300 employees. At the center of our employee experience is a culture where employees at all levels and across all teams are encouraged to share their unique ideas and perspectives. After all, when you can bring your authentic self to work, whether that’s in a clinical setting, our corporate office or a home office, creativity and innovation flourish! Another important part of the Alignment culture is a belief in continuous learning and growth. As a result, in this fast-growing company, you will find ample support to grow your skills and your career – with us.

EEO Employer Verbiage:

 Please note: All clinical positions are contingent upon successful engagement with Alignment Health’s COVID-19 Vaccination program (fully vaccinated with documented proof or approved exception/deferral).

Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation.

*DISCLAIMER: Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information. Please be advised that Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at https://reportfraud.ftc.gov/#/. If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health’s talent acquisition team, please email [email protected].