Director, Payer and Value Based Contracting

Schedule: Days: M-F

Job Location Type: Hybrid - Brentwood TN

Your experience matters

At Lifepoint Health we are committed to empowering and supporting a diverse and determined workforce who can drive quality scalability and significant impact across our hospitals and communities. As a member of the Health Support Center (HSC) team youll support those that are in our facilities who are interfacing and providing care to our patients and community members to positively impact our mission of making communities healthier .

More about our team

The Director Payer Relationships and Value-Based Contracting provides strategic and operational leader-ship for Advantage Point Health Alliances payer relationships and value-based care contract portfolio across Medicare Advantage Medicaid Commercial and ACA lines of business. This role serves as the primary Population Health liaison for payer engagement contract negotiation support contract performance oversight and ongoing relationship management in partnership with Managed Care network leadership Finance Analytics Quality Medical Group Services Legal and market stakeholders.

How youll contribute

ADirector Payer Relationships and Value-Based Contracting who excels in this role:

• Responsible for the development management negotiation support and performance oversight of Advantage Point Health Alliances value-based care payer contracts across Medicare Advantage Medicaid Commercial and ACA lines of business in accordance with the companys strategic plan and in compliance with all relevant federal state and local regulations.

• Serve as the primary Population Health relationship lead for payer partners working in close collaboration with Managed Care leaders to source review negotiate implement renew and monitor value-based care contracts and associated performance metrics.

• Attend and actively participate in all payer Joint Operating Committee meetings operational calls and other payer-facing meetings related to assigned value-based care contracts. Ensure key decisions action items performance concerns contract requirements and follow-up needs are documented and communicated to appropriate internal stakeholders.

• Maintain a comprehensive master tracker of value-based care contracts including payer product line covered lives contract term key quality measures financial performance indicators reporting requirements payment methodology performance status risks opportunities and assigned action items.

• Monitor contract performance in partnership with Finance Analytics Quality Clinical Operations Network Directors and other support teams with particular focus on quality measure achievement financial performance shared savings/shared risk status care gap performance utilization trends and emerging performance risks.

• Prepare concise and actionable summary materials for network board meetings committee meetings and internal leadership updates including payer relationship updates contract performance summaries quality measure status financial performance trends risks opportunities and recommended next steps.

• Assist Network Directors in strategic planning to improve performance under value-based care contracts including translating payer contract requirements and performance data into actionable market strategies provider engagement priorities operational focus areas and measurable improvement plans.

• Facilitate strategic discussions build consensus and support decision-making among payer partners Net-work Directors physician leaders market leadership Managed Care Finance Analytics Quality Legal Clinical Operations and Health Support Center leadership to advance value-based care contract success.

• Maintain a proactive approach to identifying payer relationship issues contract performance risks operational barriers and emerging value-based care opportunities; develop recommendations and coordinate cross-functional solutions to support long-term success for the Clinically Integrated Networks.

• Provide subject matter expertise on payer contracting value-based care performance payer operations contract metrics and payer reporting requirements. Stay informed on value-based care program changes payer market trends quality measure updates and reimbursement models impacting Medicare Advantage Medicaid Commercial and ACA contracts.

• Work with Support Teams within the HSC including Managed Care Legal Quality Communications Finance Marketing HITs Medical Group Services Hospital Operations Leadership and local markets to ensure payer contract performance priorities are aligned tracked and supported.

Why join us

We believe that investing in our employees is the first step to providing excellent patient addition to your base compensation this position also offers:

• Comprehensive Benefits:Multiple levels of medical dental and vision coverage for full-time andpart-time employees.

• Financial Protection & PTO:Life accident critical illness hospital indemnity insurance short- and long-term disability paid family leave and paid time off.

• Financial & Career Growth:Higher education and certification tuition assistance loan assistance and 401(k) retirement package and company match.

• Employee Well-being:Mental physical and financial wellness programs (free gym memberships virtual care appointments mental health services and discount programs).

• Professional Development:Ongoing learning and career advancement opportunities.

What were looking for

• Education: Bachelors Degree in Business Finance Healthcare Administration or related field. Masters degree preferred.

• Experience: Minimum of 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.

  • Experience with Medicare Advantage Medicaid Commercial ACA or other risk-based/value-based reimbursement arrangements preferred.

• Travel: Ability to travel up to 10% of the time

EEOC Statement

Lifepoint Healthis an Equal Opportunity Employer.Lifepoint Healthis committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment.

You must be authorized to work in the United States without employer sponsorship.