Vice President, Payer Contracting (Commercial)

Aledade

Job Location:

Durham, NC - USA

Monthly Salary: Not Disclosed

Posted on: 30+ days ago

Vacancies: 1 Vacancy

Job Summary

The Vice President Payer Contracting leads the strategy negotiation and execution of Aledades Commercial value-based care contracts with national and regional health plans and other purchasers serving commercially insured members. This role also supports securing health plan network participation agreements between Aledade and health plans.

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.

Primary Duties:

Commercial Performance

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

Strategy & Relationship Management

Collaborate with Executive Leadership to shape Aledades 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

Leadership & Execution

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 Aledades core values.

Network Participation

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

Minimum Qualifications

Bachelors 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

Preferred Qualifications

Masters degree in related field

Physical Requirements

Prolonged periods of sitting at a desk and working on a computer.

Who We Are:

Aledade a public benefit corporation exists to empower the most transformational part of our health care landscape - independent primary care. We were founded in 2014 and since then weve become the largest network of independent primary care in the country - helping practices health centers and clinics deliver better care to their patients and thrive in value-based care. Additionally by creating value-based contracts across a wide variety of health plans we aim to flip the script on the traditional fee-for-service model. Our work strengthens continuity of care aligns incentives and ensures primary care physicians are paid for what they do best - keeping patients healthy. If you want to help create a health care system that is good for patients good for practices and good for society - and if youre eager to join a collaborative inclusive and remote-first culture - youve come to the right place.

What Does This Mean for You

At Aledade you will be part of a creative culture that is driven by a passion for tackling complex issues with respect open-mindedness and a desire to learn. You will collaborate with team members who bring a wide range of experiences interests backgrounds beliefs and achievements to their work - and who are all united by a shared passion for public health and a commitment to the Aledade mission.

In addition to time off to support work-life balance and enjoyment we offer the following comprehensive benefits package designed for the overall well-being of our team members:

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!

At Aledade we dont just accept differences we celebrate them! We strive to attract develop and retain highly qualified individuals representing the diverse communities where we live and work. Aledade is committed to creating a diverse environment and is proud to be an equal opportunity employer. Employment policies and decisions at Aledade are based on merit qualifications performance and business needs. All qualified candidates will receive consideration for employment without regard to age race color national origin gender (including pregnancy childbirth or medical conditions related to pregnancy or childbirth) gender identity or expression religion physical or mental disability medical condition legally protected genetic information marital status veteran status or sexual orientation.

Privacy Policy:By applying for this job you agree to AledadesApplicant Privacy Policy available at may use automated tools including artificial intelligence (AI) to help organize and evaluate application materials. These tools support our recruiters and hiring managers by helping manage large applicant pools. Human judgment plays an essential role in our hiring process including in the oversight and use of any automated tools. If you would like more information about our screening and hiring process please contact us.

Required Experience:

Exec

The Vice President Payer Contracting leads the strategy negotiation and execution of Aledades Commercial value-based care contracts with national and regional health plans and other purchasers serving commercially insured members. This role also supports securing health plan network participation ag...