Director, MA & Medicaid Contracting

Aledade; Atlanta (GA); Remote; USD 120,000 - 160,000; Full time

Job summary

A leading healthcare organization is seeking a Director of MA & Medicaid Contracting to negotiate value-based care contracts with health plans. The ideal candidate will have over 12 years of experience in healthcare, particularly in contract negotiations. This remote role offers a collaborative culture, flexible work schedules, and a robust benefits package including health insurance, generous PTO, and stock options.

Benefits

Health, dental and vision insurance

Robust time-off plan (21 days of PTO)

Six weeks paid sabbatical after six years

Qualifications

• 12+ years in healthcare with health plans or provider groups.
• Experience in contract negotiations within value-based care.

Responsibilities

• Negotiate and renegotiate MA & Medicaid value-based care contracts.
• Support the VP’s efforts to qualify and source market growth.

Skills

Negotiation skills

Relationship building

Results orientation

Education

Bachelor’s degree

Master's degree or other advanced degrees

Job description

Overview

The Director, MA & Medicaid Contracting on the Strategic Payer Partnerships team will execute Aledade’s Medicare Advantage and Medicaid value-based care contracts with national and regional health plans as we help primary care providers shift into value-based care. The role will be focused on negotiating value-based care contracts with health plans for their Medicare Advantage and Medicaid members. This role will report to the VP, MA & Medicaid Contracting.

Location

We are flexible with geographic location—the ideal candidate can work remotely from anywhere in the U.S. or from our Bethesda, MD or Durham, NC offices.

Primary Duties

• Negotiate and renegotiate MA & Medicaid value-based care contracts with prospective payer partners, which may include: proactively engaging with payer partners to improve terms, reading contracts, setting contract terms, tracking deliverables, interfacing with internal teams, compiling data, reporting updates and executing value-based care contracts for Medicare Advantage & Medicaid members/patients
• Develop a deep knowledge of Aledade’s existing MA & Medicaid contract terms and act as the internal expert for contract questions for teams across Aledade
• Support the VP’s efforts to qualify and source market growth and expansion for multi-year risk arrangements
• Develop and nurture relationships with key stakeholders and team members within Aledade and at payer partners

Minimum Qualifications

• 12+ years in healthcare with health plans or provider groups working on contract negotiations within value-based care
• Bachelor’s degree

Preferred knowledge, skills, and/or abilities

• 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

Who 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:

Benefits

• 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!

Aledade is an equal opportunity employer. All qualified candidates will receive consideration for employment without regard to age, race, color, national origin, gender, gender identity or expression, religion, physical or mental disability, medical condition, marital status, veteran status, or sexual orientation. Employment policies and decisions at Aledade are based on merit, qualifications, performance and business needs.

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