Director, Payer Contracting – MA, Medicaid

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🕒 May 13

⚔️ Virginia – Remote

⚔️ Virginia – Remote

⏰ Full Time

🔴 Lead

👔 Director

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Aledade, Inc.

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2014

⚕️ Healthcare Insurance

🏢 Enterprise

Healthcare Insurance • Enterprise

Aledade, Inc. is a public benefit corporation that operates as the largest network of independent primary care practices in the United States. The company specializes in Accountable Care Organizations (ACOs), which help primary care practices and health centers improve patient outcomes and generate sustainable revenue through value-based care solutions. Aledade offers data insights, support, and business solutions to achieve sustainability and clinical autonomy. It collaborates with a wide range of healthcare providers, including primary care practices, community health centers, and network ACOs, ensuring improved quality of care and patient satisfaction. With operations in 45 states and affiliations with over 20,000 clinicians serving more than 2. 5 million patients, Aledade is committed to reducing care fragmentation and enhancing the overall quality of life for clinicians and patients alike.

📋 Description

• 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.

🎯 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

🏖️ Benefits

• 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!