Vice President, Payer Contracting (Commercial)
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.
\n
\nWho 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, 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.
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 don’t 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 Aledade's Applicant Privacy Policy available at https://www.aledade.com/privacy-policy-applicants
Apply To This Job
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.
\n
\nWho 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, 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.
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 don’t 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 Aledade's Applicant Privacy Policy available at https://www.aledade.com/privacy-policy-applicants
Apply To This Job