Mary Clay
Leading Payer Operations Expert in Healthcare Management and Network Contracting
- Role
- Senior Manager, Payer Operations at Aledade
- Location
- Raleigh-Durham-Chapel Hill, NC, US
- LinkedIn followers
- 500 followers
About Mary Clay
At Aledade, Inc, my focus as Senior Manager in Payer/Roster Operations is on supporting value-based contracts to enhance provider networks and meet shared savings goals. Our team\'s efforts have been instrumental in optimizing network performance, leveraging my expertise in network contracting and manufacturing process improvement. My prior roles led to the development and implementation of strategic initiatives to surpass shared savings goals.Collaborating closely with internal teams and payer partners, I have emerged as a subject matter expert in value-based care strategy and operations. This collaboration has led to the development of initiatives and resource recommendations that align with our quality and cost/utilization objectives, all aimed at elevating the standard of member care within the healthcare management landscape.
Experience
Senior Manager, Payer Operations
Sep 2025 — Present · NC, US
Apply deep knowledge of operations, provider network management, and contracting processes to manage relationships with 20+ payer organizations • Leverage 9+ years payer experience to secure roster submission and other requirements, as well as drive the resolution of complex operational issues• Drive cross-functional collaboration with contracting, clinical, finance, and product development teams to operationalize and deploy key business strategy initiatives• Establish KPIs and monitor related practice roster curation, submission, and reconciliation processes for continued process improvement opportunities• Develop internal dashboards of key status metrics to be distributed for visibility to executive leadership • Lead and develop high-performing provider data management and credentialing teams, using frontline experience with provider issues to implement process improvements, automation, and provider-centric solutions that reduce administrative burden and enhance quality
Education
Western Governors University
Master of Business Administration - MBA, Healthcare Management
2022
Western Governors University
Bachelor of Science - BS, Business Administration, Management and Operations
2020
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