Membership Associate

The Membership Associate processes and maintains documentation related to PO participation and health plan enrollment. Inputs and updates client data in the customer relationship management software. Maintains accuracy of membership roster for select physician organizations. Independently administers several assigned responsibilities, ensuring excellent customer service for both internal and external clients.

Primary Duties

Provider Life Cycle Management

• Submit and monitor practice and physician applications and terminations; follow up as needed.

• Collaborate with practice coaches to obtain accurate data for enrollment.

• Compile and maintain current and accurate data for all providers in databases and online systems.

• Maintain strict confidentiality of sensitive physician information and membership documentation.

Practice and Stakeholder Communication

• Communicate with practices on a regular basis for physician updates, information requests, and general upkeep.

• Communicate with health plan representatives on outstanding issues.

• Collaborate with Market Operations Managers and Operations Consultants to reconcile physician lists and administrative payments.

Process Optimization and Strategy

• Work alongside the membership team and Operations Manager to streamline and optimize current processes.

• Attend mandatory and routine meetings as required

Administration and Ad Hoc Projects

• Perform other duties as assigned.

• Maintain flexibility to pivot and meet shifting or dynamic business needs.

Minimum Qualifications

• High School Diploma required.

• Proficient in Microsoft Word, Excel, Outlook, and PowerPoint.

• Excellent time management, project management, organizational and communication (written and verbal) skills.

• Ability to work independently and proactively to identify and complete tasks on-time. Capable of prioritizing work and managing multiple priorities.

• Ability to interact effectively with external and internal customers and possess a professional business manner.

• Must be a team player and operate in a collaborative working environment.

• Adept with computers and software applications; aptitude for learning new technology.

Preferred knowledge, skills, and/or abilities

• Associates Degree in Business Administration or Healthcare Administration preferred, or equivalent combination of education and experience.

• 2+ years in a healthcare-related administrative assistant or coordinator position preferred.

• Knowledge and understanding of the credentialing process preferred

•Experience with health plan payer portals preferred

• Familiarity with Monday.com, Salesforce, and AI tools

Physical Requirements

Sitting for prolonged periods of time. Extensive use of computers and keyboard. Occasional walking and lifting may be required.

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Who We Are:

Aledade, 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 creat…