Director, Payer and Value Based Contracting

Lifepoint Health • Brentwood, TN

2d • Hybrid

About The Position

The Director, Payer Relationships and Value-Based Contracting provides strategic and operational leadership for Advantage Point Health Alliance’s payer relationships and value-based care contract portfolio across Medicare Advantage, Medicaid, Commercial, and ACA lines of business. The role is the primary Population Health liaison for payer engagement, contract negotiation support, performance oversight, and relationship management, partnering with Managed Care, network leadership, Finance, Analytics, Quality, Medical Group Services, Legal, and market stakeholders.

The Director supports development, management, negotiation, implementation, renewal, and monitoring of value-based care contracts and related performance metrics. The role tracks and assesses contract and payer performance, prepares leadership updates, helps Network Directors translate contract requirements and performance data into improvement strategies, and coordinates cross-functional work to advance contract success for Clinically Integrated Networks. The position is hybrid in Brentwood, Tennessee, with a Monday–Friday day schedule and travel of up to 10%.

Requirements

• Bachelor’s degree in Business, Finance, Healthcare Administration, or a related field.
• At least 5 years of relevant experience in healthcare, managed care, payer relations, value-based care contracting, clinically integrated networks, accountable care organizations, provider network strategy, consulting, or finance.
• Ability to travel up to 10% of the time.
• Authorization to work in the United States without employer sponsorship.

Nice To Haves

• Master’s degree.
• Experience with Medicare Advantage, Medicaid, Commercial, ACA, or other risk-based/value-based reimbursement arrangements.

Responsibilities

• Develop, manage, support negotiations for, and oversee performance of Advantage Point Health Alliance value-based care payer contracts across Medicare Advantage, Medicaid, Commercial, and ACA lines of business, in alignment with the strategic plan and applicable regulations.
• Serve as the primary Population Health relationship lead for payer partners, working with Managed Care leaders to source, review, negotiate, implement, renew, and monitor value-based care contracts and performance metrics.
• Attend and participate in payer Joint Operating Committee meetings, operational calls, and other payer-facing meetings; document and communicate decisions, actions, performance concerns, contract requirements, and follow-up needs.
• Maintain a master tracker of value-based care contracts, including payer, product line, covered lives, contract term, quality measures, financial indicators, reporting requirements, payment methodology, performance status, risks, opportunities, and action items.
• Monitor contract performance with Finance, Analytics, Quality, Clinical Operations, Network Directors, and other support teams, focusing on quality measures, financial performance, shared savings and risk, care gaps, utilization, and emerging risks.
• Prepare concise summary materials for network boards, committees, and internal leadership, covering payer relationships, contract performance, quality, financial trends, risks, opportunities, and recommended next steps.
• Assist Network Directors with strategic planning to improve value-based contract performance by translating contract requirements and data into market strategies, provider engagement priorities, operational focus areas, and measurable improvement plans.
• Facilitate strategic discussions, consensus-building, and decision-making among payer partners and internal leaders and teams to advance value-based care contract success.
• Identify payer relationship issues, contract performance risks, operational barriers, and emerging opportunities; develop recommendations and coordinate cross-functional solutions for Clinically Integrated Networks.
• Provide expertise on payer contracting, value-based care performance, payer operations, contract metrics, and reporting requirements; stay informed about program changes, market trends, quality measures, and reimbursement models.
• Coordinate with HSC support teams and local markets to align, track, and support payer contract performance priorities.

Benefits

• Multiple levels of medical, dental, and vision coverage for full-time and part-time employees.
• Life, accident, critical illness, and hospital indemnity insurance.
• Short- and long-term disability coverage.
• Paid family leave and paid time off.
• Higher education and certification tuition assistance.
• Loan assistance.
• 401(k) retirement package with company match.
• Mental, physical, and financial wellness programs, including free gym memberships, virtual care appointments, mental health services, and discount programs.
• Ongoing learning and career advancement opportunities.

What This Job Offers

• Job Type: Full-time
• Career Level: Director