Alignment Health
IPAManager
“IPA Manager at Alignment Health. Skills: process management, cross-functional coordination, vendor/stakeholder management, operational metrics, resource planning, continuous improvement. planning, managing, and strengthening relationships with medical groups, Independent Practice Associations (IPAs), hospitals, and provider partners. supports market growth initiatives”
What You'll Achieve.
ensure IPA and provider partner performance aligns with the overall objectives of the health plan; prioritize and achieve monthly, quarterly, and annual objectives set by market and executive leadership; Track performance to ensure alignment with the overall objectives of the health plan; develop, implement and monitor progress of remediation plans where performance requires improvement; prioritize and achieve monthly, quarterly, and annual objectives set by the President
Industry & Context.
timely issue resolution
regular in-person engagement throughout the region, including meetings with IPAs, hospitals, brokers, provider partners, and internal stakeholders, averaging approximately 2–3 days per week in the field, Candidates should reside within or near Tulare, Kings, Kern, or Fresno County areas and be comfortable traveling throughout the Central Valley region as needed, Must be willing to travel in regions as needed, The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to use hands to finger, handle, or feel and talk or hear. The employee is frequently required to reach with hands and arms. The employee is occasionally required to walk; climb or balance and stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.
What They're Looking For.
Must Have
Proven experience in a management role, Excellent understanding of CMS guidelines and regulations, leadership, presentation and interpersonal skills
Nice to Have
Master's degree preferred
What You'll Do.
and strengthening relationships with medical groups
Independent Practice Associations (IPAs)
and provider partners
supports market growth initiatives
ensures IPA and provider partner performance aligns with the overall objectives of the health plan
serves as a key liaison between provider organizations and internal teams
prioritize and achieve monthly
and annual objectives
Track performance to ensure alignment with the overall objectives of the health plan
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
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
Build relationships with assigned IPAs to drive collaboration and engagement
How You'll Work.
Team & Collaboration
cross-functional coordination; partnering closely with Market General Managers, Finance, Sales, Clinical, STARS, Risk Adjustment, and other cross-functional stakeholders; Serve as the IPAs’ main point of contact; Participate in and contribute to Joint Operating Committees (JOC), Joint Work Groups (JWG) and other collaborative meetings with the IPAs and key internal stakeholders; Collaborate with Market General Managers, Finance teams, and Sales departments; Build relationships with assigned IPAs to drive collaboration and engagement
Communication Scope
communication; leadership; presentation; interpersonal skills; excellent communication
Process & Methodology
resource planning, continuous improvement, develop, implement and monitor progress of remediation plans
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