IPA\/Medical Group Network Administration Manager at Alignment Healthcare USA, LLC in Modesto , California

Job 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.

• 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.

• 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.