Manager, Network Contracting

Job not on LinkedIn

🔥 0 minutes ago

🌲 North Carolina, Maryland, +3 more states – Remote

🌲 North Carolina – Remote 🦀 Maryland – Remote 🚗 Michigan – Remote 🤠 Texas – Remote ⚔️ Virginia – Remote

⏰ Full Time

🟠 Senior

🔴 Lead

👔 Manager

👻 Ghost score 10%

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Aledade, Inc.

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2014

🏥 Healthcare

⚕️ Healthcare Insurance

🏢 Enterprise

Healthcare • 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

• Support and execute Aledade’s network contracts with national and regional health plans • Negotiate network participation agreements directly with health plans, including new agreements, renewals, and amendments • Manage and track deliverables and document repositories • Identify and mitigate risks, ensuring compliance with terms • Perform comprehensive rate analyses • Track and report on key contract metrics • Collaborate with internal cross-functional teams and stakeholders to execute network participation agreements • Develop and maintain high-level relationships with regional and national payer stakeholders • Interface directly with payers in collaboration with senior leadership

🎯 Requirements

• Bachelor’s degree • 8+ yrs experience in network contracting or development with health plans or providers • Strong understanding of the health plan network participation agreement lifecycle • Demonstrated experience navigating complex payer dynamics • Strong analytics and risk assessment skills • Exceptional communication skills with the ability to establish, sustain, and improve payer relationships • Results-oriented with the ability to project manage multiple projects simultaneously • Passionate about ensuring providers are fairly reimbursed for the care they deliver • Sitting for prolonged periods of time • Extensive use of computers and keyboard • Occasional walking and lifting may be required

🏖️ 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