Director, Payer Contracting (MA & Medicaid)

Aledade•Austin, TX

23h•Remote

About The Position

The Director, Payer Contracting, MA & Medicaid on the Strategic Payer Partnerships team will execute Aledade’s Medicare Advantage and Medicaid value-based care contracts with national and regional health plans as we help primary care providers shift into value-based care. The role will be focused on negotiating value-based care contracts with health plans for their Medicare Advantage and Medicaid members. This role will report to the VP, MA & Medicaid Contracting. We are flexible with respect to geographic location, and the ideal candidate will be comfortable working remotely/work from home within the US or be based from Bethesda, MD office.

Requirements

Bachelor’s degree
12+ years in healthcare with health plans or provider groups working on contract negotiations within value-based care
Results-oriented with the ability to exercise influence to achieve goals rather than control
Proven track record of creating, maintaining, and enhancing relationships and communicating effectively with senior management
Exceptional attention to detail in contractual language and processes
Expert sales, business development, growth professional at local and national level
Passionate about driving the shift from fee-for-service to value based care

Nice To Haves

Master’s degree or other advanced degrees in management, health services research, health and/or public policy, or other relevant fields

Responsibilities

Negotiate and renegotiate MA & Medicaid value-based care contracts with prospective payer partners
Proactively engage with payer partners to set and/or improve contract terms
Collaborate with Senior Leadership to qualify and source market growth and expansion for multi-year risk arrangements
Communicate with key, internal stakeholders to ensure a smooth and timely implementation of negotiated terms
Read, draft contract language, and track deliverables to ensure compliance and consistency; Compile data and report updates
Develop and maintain a deep knowledge of existing MA & Medicaid contract terms and act as the internal expert for contract questions
Build and manage relationships with payers and other key stakeholders to resolve issues, optimize performance, and identify new opportunities for collaboration.
Other duties as assigned

Benefits

Flexible work schedules
Ability to work remotely
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
11 paid holidays
12 weeks paid parental leave for all new parents
Six weeks paid sabbatical after six years of service
Educational Assistant Program
Clinical Employee Reimbursement Program
401(k) with up to 4% match
Stock options