Director, Payer Commercial Contracting Specialist

2 days ago

Miami, Florida, United States Aledade, Inc. Full time
Job Summary

The Director, Payer Commercial Contracting will play a critical role in executing Aledade's commercial value-based care contracts with national and regional health plans. This individual will be responsible for negotiating contracts, tracking deliverables, and interfacing with internal teams to ensure successful contract execution.

Key Responsibilities
  • Negotiate commercial value-based care contracts with prospective payer partners, including reading contracts, setting contract terms, and tracking deliverables.
  • Track and report on ongoing payer discussions and key contract metrics, such as renewal dates.
  • Support the VP's efforts to qualify and source market growth and expansion for multi-year risk arrangements.
  • Proactively engage with payer partners in advance of renewals and scheduled renegotiations to improve contract terms.
  • Develop a deep knowledge of Aledade's existing Commercial contract terms and hold responsibility for new and historical contracts.
  • Develop and nurture relationships with key stakeholders and team members within Aledade and at payer partners.
Requirements
  • 12+ years of experience in healthcare with health plans or provider groups working on contract negotiations within value-based care.
  • Bachelor's degree.
Preferred Qualifications
  • 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.
  • Passionate about driving the shift from fee-for-service to value-based care.
  • Master's degree or other advanced degrees in management, health services research, health and/or public policy, or other relevant fields is preferred.
  • Expert sales, business development, growth professional at local and national level.
Physical Requirements
  • Sitting for prolonged periods of time. Extensive use of computers and keyboard. Occasional walking and lifting may be required.
  • Ability to travel.
About Aledade

Aledade is a public benefit corporation that exists to empower the most transformational part of our healthcare landscape - independent primary care. We were founded in 2014 and have since become the largest network of independent primary care in the country. Our mission is to help practices, health centers, and clinics deliver better care to their patients and thrive in value-based care. We aim to flip the script on the traditional fee-for-service model by creating value-based contracts across a wide variety of payers. Our work strengthens continuity of care, aligns incentives, and ensures primary care physicians are paid for what they do best - keeping patients healthy.

What We Offer

At Aledade, we offer a comprehensive benefits package designed for the overall well-being of our team members. This includes flexible work schedules and the ability to work remotely, health, dental, and vision insurance paid up to 80% for employees, dependents, and domestic partners, robust time off plan, 21 days of PTO in the first year, 2 Paid Volunteer Days & 11 paid holidays, 12 weeks paid Parental Leave for all new parents, 6 weeks paid sabbatical after 6 years of service, Educational Assistant Program & Clinical Employee Reimbursement Program, 401(K) with up to 4% match, stock options, and much more.

We are an equal opportunity employer and are committed to creating a diverse environment. We strive to attract, develop, and retain highly qualified individuals representing the diverse communities where we live and work. 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.

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