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Director, Payer Contracting – MA, Medicaid
Aledade, Inc.Director of Payer Contracting negotiating Medicare Advantage and Medicaid value-based care contracts. Collaborating with senior leadership and managing payer relationships within Aledade.
About the role
Key responsibilities & impact- Negotiate and renegotiate MA & Medicaid value-based care contracts with prospective payer partners
- Proactively engage with payer partners to set and/or improve contract terms
- Collaborate with Senior Leadership to qualify and source market growth and expansion for multi-year risk arrangements
- Communicate with key, internal stakeholders to ensure a smooth and timely implementation of negotiated terms
- Read, draft contract language, and track deliverables to ensure compliance and consistency; Compile data and report updates
- Develop and maintain a deep knowledge of existing MA & Medicaid contract terms and act as the internal expert for contract questions
- Build and manage relationships with payers and other key stakeholders to resolve issues, optimize performance, and identify new opportunities for collaboration.
Requirements
What you’ll need- Bachelor’s degree
- 12+ years in healthcare with health plans or provider groups working on contract negotiations within value-based care
- 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
- Exceptional attention to detail in contractual language and processes
- Expert sales, business development, growth professional at local and national level
- Passionate about driving the shift from fee-for-service to value based care
Benefits
Comp & perks- 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!
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
contract negotiationcontract draftingdata compilationcompliance trackingvalue-based caremarket growth sourcingrisk arrangements managementperformance optimizationstakeholder communicationrelationship management
Soft Skills
results-orientedinfluencerelationship buildingeffective communicationattention to detailbusiness developmentgrowth orientationcollaborationproblem-solvingleadership
Certifications
Bachelor's degree