Vice President, Payer Contracting – Commercial

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🕒 Maio 14

⚔️ Virginia – Remoto

⚔️ Virginia – Remote

⏰ Tempo Integral

🔴 Especialista

👔 Vice-presidente

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Aledade, Inc.

SiteLinkedInTodas as Vagas

501 - 1000 funcionários

Fundada em 2014

⚕️ Seguro de Saúde

🏢 Corporativo

Healthcare Insurance • Enterprise

Aledade, Inc. é uma corporação de benefícios públicos que opera como a maior rede de práticas independentes de cuidados primários nos Estados Unidos. A empresa é especializada em Organizações de Cuidados Responsáveis (ACOs), que ajudam práticas de cuidados primários e centros de saúde a melhorar os resultados dos pacientes e gerar receita sustentável por meio de soluções de cuidados baseados em valor. A Aledade oferece insights de dados, suporte e soluções de negócios para alcançar sustentabilidade e autonomia clínica. Ela colabora com uma ampla gama de provedores de saúde, incluindo práticas de cuidados primários, centros de saúde comunitários e redes de ACOs, garantindo melhoria na qualidade do cuidado e satisfação dos pacientes. Com operações em 45 estados e afiliações com mais de 20. 000 clínicos atendendo mais de 2,5 milhões de pacientes, a Aledade está comprometida em reduzir a fragmentação do cuidado e melhorar a qualidade de vida geral tanto dos clínicos quanto dos pacientes.

Descrição

• Oversee the Commercial segment within the Strategic Payer Partnerships team ensuring performance goals and objectives are met • Lead the evaluation of prospective health plan partnerships, including negotiating terms and evaluating, editing and recommending approval of value-based care contracts for Commercial members/patients • Qualify and source market growth and expansion for multi-year risk arrangements • Collaborate with Executive Leadership to shape Aledade's strategy for value-based contracting on behalf of independent primary care practices • Develop and nurture collaborative relationships with key stakeholders including both internal and external • Lead, direct, and evaluate a team of senior leaders ranging from Manager to Sr. Director • Motivate, coach, and develop the team to ensure talent is aligned to achieve company and team goals • Foster a productive environment and culture that aligns with Aledade’s core values • Lead the evaluation of prospective health plan network participation agreements including negotiating terms and evaluating, editing and recommending approval of participation agreements across lines of business • Collaborate internally to qualify and recommend prioritized markets growth • Build and deliver external facing materials in support of network participation agreements • Other duties as assigned

🎯 Requisitos

• Bachelor’s degree in related field • 15+ years progressive experience with health plans or payer contracting within value-based care, plus 7+ years experience managing and leading teams • Deep knowledge of Commercially insured populations • Results-oriented with the ability to exercise influence to achieve goals • Proven track record of creating, maintaining, and enhancing relationships and communicating effectively with senior management • Expert at business development at local and national level • Passionate about driving the shift from fee-for-service to value based care

🏖️ Benefícios

• 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!