Vice President, Payer Contracting (Commercial) bei Aledade

 

The Vice President, Payer Contracting leads the strategy, negotiation, and execution of Aledade’s 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 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

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 Aledade’s 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

• 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

Preferred Qualifications

• Master’s degree in related field

Physical Requirements

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

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, we've 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 you're eager to join a collaborative, inclusive and remote-first culture - you've come to the right place.

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!