15+ years of healthcare experience in contract negotiations within value-based care., Bachelor’s degree required; Master’s degree or higher preferred., Strong relationship-building and communication skills with senior management., Results-oriented with the ability to influence and drive change..
Key responsibilities:
Lead negotiations and renegotiations of value-based care contracts with health plans.
Develop expertise in existing contract terms and act as an internal resource.
Support business development and new partnership efforts with health plans.
Mentor junior team members involved in contract negotiations.
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Aledade
1001 - 5000
Employees
About Aledade
Aledade, a public benefit corporation, is the largest network of independent primary care in the country, helping independent practices, health centers and clinics deliver better care to their patients and thrive in value-based care. Through its proven, scalable model, which includes cutting-edge data analytics, user-friendly guided workflows, health care policy expertise, strong payer relationships and integrated care solutions delivered through Aledade Care Solutions, Aledade empowers physicians to succeed financially by keeping people healthy. Together with more than 1,500 practices in 45 states and the District of Columbia, Aledade shares in the risk and reward across more than 150 value-based contracts representing more than 2 million patient lives under management.
To learn more, visit us at: www.aledade.com.
The Senior Director, Commercial Contracting on the Strategic Payer Partnerships team will execute Aledade’s Commercial valuebased care contracts with national and regional health plans as we help primary care providers shift into valuebased care.
In addition to renegotiating existing health plan agreements and negotiating new value based contracts with health plans, the Senior Director will play a leading role in new relationship development with Commercial health plans. This includes identifying high potential partners and geographies, as well as leading internal teams to support the initial factfinding phase and eventual negotiation process.
This role will be expected to focus on supporting and mentoring junior team members so that they can take more active roles managing projects and contracts. This role will report to the VP, Commercial Contracting.
Primary Duties:
Independently lead negotiations and renegotiations of Commercial valuebased care contracts with prospective health plan partners, which may include: proactively engaging with health plan partners to improve terms, assessing and drafting contractual language, establishing initial contract terms, tracking deliverables, interfacing with internal teams, compiling data, reporting updates and executing valuebased care contracts for Commercial memberspatients
Develop a deep knowledge of Aledade’s existing Commercial contract terms and preferred approaches to valuebased reimbursement components, and act as the internal expert for contract questions for teams across Aledade
Colead business development and new health plan partnership efforts with VP in support of new multiyear risk arrangements
Oversee and mentor junior team members leading or working on Commercial negotiations
Develop and nurture relationships with key stakeholders within Aledade and at health plan partners
Minimum Qualifications:
15+ years of progressive experience in healthcare with health plans or provider groups working on contract negotiations within valuebased care
Bachelor’s degree
Preferred knowledge, skills, andor abilities
Resultsoriented 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 feeforservice to value based care
Master’s degree or other advanced degrees in management, health services research, health andor 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
Required profile
Experience
Level of experience:Senior (5-10 years)
Spoken language(s):
English
Check out the description to know which languages are mandatory.