IPA Manager (Field Remote Tulare Kern Kings, CA)

Alignment Health is breaking the mold in conventional health care committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we this fast-growing company you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters not only changing lives but saving them. Together.

The IPA Manager is responsible for planning managing and strengthening relationships with medical groups Independent Practice Associations (IPAs) hospitals and provider partners throughout Alignment Healths Central Valley markets including Tulare Kings Kern and surrounding areas. This field remote role supports market growth initiatives and ensures IPA and provider partner performance aligns with the overall objectives of the health plan.

This position requires strong knowledge of Medicare Advantage provider and CMS guidelines marketing considerations and health plan operations. The IPA Manager will serve as a key liaison between provider organizations and internal teams partnering closely with Market General Managers Finance Sales Clinical STARS Risk Adjustment and other cross-functional stakeholders to prioritize and achieve monthly quarterly and annual objectives set by market and executive leadership.

The ideal candidate brings prior health plan IPA or medical group experience and is comfortable leading meetings presenting operational and performance data creating presentation materials documenting action items and following up on provider partner initiatives. Strong operational skills communication organization and proficiency with Microsoft Office including PowerPoint and Excel are important for success in this role.

During initial market expansion efforts this role will require regular in-person engagement throughout the region including meetings with IPAs hospitals brokers provider partners and internal stakeholders averaging approximately 23 days per week in the field. As the market becomes more established in-person meetings are expected to transition to a more periodic business-needs basis. Candidates should reside within or near Tulare Kings Kern or Fresno County areas and be comfortable traveling throughout the Central Valley region as needed.

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:

• Bachelors degree in healthcare administration business or related field; Masters degree preferred

• Proven experience in a management role

• Excellent understanding of CMS guidelines and regulations

• Strong leadership presentation and interpersonal skills

• Position based in Central Valley (Tulare / Kern King) counties preferred. Must be willing to travel in regions as needed.

Work Environment:

• The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Essential Physical Functions:

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 sit; 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 stand; 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.

Pay Range: $98550.00 - $147825.00

Pay range may be based on a number of factors including market location education responsibilities experience etc.

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.

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