RiseMe
Aledade logo
Aledade Verified
Healthcare, Health Technology, Value-Based Care

Sr. Project Specialist, Payer Solutions

RemoteRemoteFull TimeSeniorPosted 1 day agoVisa sponsorship available

Is this role right for you?

Upload your resume and get a skill-by-skill breakdown — see exactly where you match, where you're close, and what to highlight. Not a mystery percentage.

Get a tailored resume highlighting what this role needs.

Required skills

  • AI-enabled operations
  • health plan performance
  • governance frameworks
  • AI-powered tools
  • workflow optimization
  • performance management
  • operational trends
  • strategic reports
  • AI-first reporting framework
  • Google Workspace

Nice to have

  • Value Based Care

Role summary

Aledade PBC is seeking a Sr. Project Specialist, Payer Solutions to drive strategic project execution, continuous improvement, and cross-functional alignment within health plan performance and AI-enabled operations. This role involves leading complex deliverables, establishing governance frameworks, and optimizing workflows using AI tools. Responsibilities include overseeing project plans, designing test-and-learn programs, analyzing operational trends, developing AI-first reporting, and serving as a liaison between teams. The ideal candidate has a Bachelor's degree, 4+ years of project management experience, proficiency in Google Workspace, Microsoft Excel, project management platforms, reporting tools like Tableau and Snowflake, and AI tools like Claude and Gemini. Familiarity with managed care, Medicare/Medicaid regulations, and quality measures is required.

The Sr. Project Specialist drives strategic project execution, continuous improvement, and cross-functional alignment to optimize health plan performance and AI-enabled operations across multiple lines of business. This role is responsible for leading complex deliverables and establishing governance frameworks across multiple lines of business.

Primary Duties

Planning & Execution

  • Oversees the end-to-end delivery of complex project plans and workstreams from concept to execution.

  • Design, build, and implement test-and-learn programs from concept to rollout to support operational excellence and potential program scaling 

  • Drive systematic workflow optimization by leveraging AI-powered tools and workflows to streamline operations, manage multiple simultaneous priorities, identify/mitigate risks, and increase team capacity for performance management. 

    • Stakeholder Engagement & Communication

  • Serve as a subject matter expert and key liaison between SME teams and cross-functional project groups to eliminate communication silos.

  • Proactively identify risks and implement solutions to align stakeholders on project goals and deliverables.

  • Establish structured governance frameworks and automations to manage operating cadences, autonomously support leadership in executive forums, and mentor junior Project Specialists.

    • Data Analytics & Reporting

  • Analyze operational trends to identify key optimization opportunities and synthesize findings into strategic reports.

  • Develop an AI-first reporting framework to showcase health plan performance, ROI, and Value-Based Care (VBC) outcomes.

    • Other duties as assigned 

    Minimum Qualifications

    Core Competencies

  • Bachelor’s degree in Business, Project Management, or a related field

  • 4+ years of experience in project management or project coordination

  • Strong organizational, time management, and problem-solving skills, with acute attention to detail and the ability to bring clarity to complex initiatives

  • Exceptional written and verbal communication skills, with proven ability to collaborate across cross-functional teams

  • Demonstrated ability to document and maintain standard operating procedures (SOPs) and effectively communicate data insights to diverse audiences

    • Technical & AI Proficiencies

  • Proficiency with Google Workspace (Docs, Sheets, Slides), Microsoft Excel, and project management platforms (Monday.com, Salesforce)

  • Experience with reporting/collaboration tools (Tableau, Snowflake, Power BI, Jira, Miro)

  • Experience leveraging AI-driven tools and platforms (Claude, Gemini) with a proven ability to quickly adopt new technologies

    • Industry Knowledge

  • Familiarity with managed care frameworks, Medicare/Medicaid regulations, and quality performance measures (HEDIS, STARS)

    • Preferred Qualifications

  • PMP Certification

  • Value Based Care experience across multiple lines of business

    • Physical Requirements

  • Prolonged periods of sitting at a desk and working on a computer.

    • Who We Are: Aledade PBC, a public benefit corporation, exists to empower the most transformational part of our health care landscape - independent primary care. We were founded in 2014, and since then, we've become the largest network of independent primary care in the country - helping practices, health centers and clinics deliver better care to their patients and thrive in value-based care. Additionally, by creating value-based contracts across a wide variety of health plans, we aim to flip the script on the traditional fee-for-service model. Our work strengthens continuity of care, aligns incentives and ensures primary care physicians are paid for what they do best - keeping patients healthy. If you want to help create a health care system that is good for patients, good for practices and good for society - and if you're eager to join a collaborative, inclusive and remote-first culture - you've come to the right place. What Does This Mean for You? At Aledade PBC, you will be part of a creative culture that is driven by a passion for tackling complex issues with respect, open-mindedness and a desire to learn. You will collaborate with team members who bring a wide range of experiences, interests, backgrounds, beliefs and achievements to their work - and who are all united by a shared passion for public health and a commitment to the Aledade mission. In addition to time off to support work-life balance and enjoyment, we offer the following comprehensive benefits package designed for the overall well-being of our team members: 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! At Aledade PBC, we don’t just accept differences, we celebrate them! We strive to attract, develop and retain highly qualified individuals representing the diverse communities where we live and work. Aledade is committed to creating a diverse environment and is proud to be an equal opportunity employer. Employment policies and decisions at Aledade are based on merit, qualifications, performance and business needs. All qualified candidates will receive consideration for employment without regard to age, race, color, national origin, gender (including pregnancy, childbirth or medical conditions related to pregnancy or childbirth), gender identity or expression, religion, physical or mental disability, medical condition, legally protected genetic information, marital status, veteran status, or sexual orientation.
    Ready to apply?
    You'll be redirected to Aledade's application page.

    Similar roles

    See how RiseMe works

    Match, tailor, and prep so you send fewer applications and land more interviews.