Director, Payer and Value Based Contracting

Memorial Physician Practices; Brentwood (TN); Hybrid; USD 140,000 - 190,000; Full time

Benefits offered by this job

Comprehensive Benefits

Financial Protection & PTO

Financial & Career Growth

Employee Well-being

Professional Development

Job summary

Lifepoint Health is seeking a Director of Payer Relationships and Value-Based Contracting to lead and oversee a portfolio of value-based contracts across Medicare Advantage, Medicaid, Commercial, and ACA lines. You will serve as the Population Health liaison and work with Managed Care, Finance, Analytics, and legal teams to optimize performance and compliance.

You will maintain contract trackers, monitor performance, and translate payer requirements into actionable market strategies, driving

Qualifications

• Bachelor’s degree required; Master’s preferred.
• 5+ years of relevant healthcare experience.
• Experience with Medicare Advantage, Medicaid, Commercial, ACA, or other risk-based models preferred.

Responsibilities

• Develop, manage, negotiate, and oversee value-based payer contracts across Medicare Advantage, Medicaid, Commercial, and ACA.
• Lead Population Health relationships with payer partners and collaborate with cross-functional teams.
• Prepare summaries for board meetings and leadership updates on contract performance and risks.

Skills

Healthcare

Payer relations

Value-based care

Contracting

Managed care

Finance

Provider networks

Consulting

Population health liaison

Education

Bachelor’s Degree in Business/Finance/Healthcare Administration

Job description

Schedule: Days: M-F

Job Location Type: Hybrid - Brentwood, TN

Your experience matters

At Lifepoint Health, we are committed to empowering and supporting a diverse and determined workforce who can drive quality, scalability, and significant impact across our hospitals and communities. As a member of the Health Support Center (HSC) team, you'll support those that are in our facilities who are interfacing and providing care to our patients and community members to positively impact our mission of making communities healthier®.

More about our team

The Director, Payer Relationships and Value-Based Contracting provides strategic and operational leader‑ship for Advantage Point Health Alliance's payer relationships and value-based care contract portfolio across Medicare Advantage, Medicaid, Commercial, and ACA lines of business. This role serves as the primary Population Health liaison for payer engagement, contract negotiation support, contract performance oversight, and ongoing relationship management in partnership with Managed Care, network leadership, Finance, Analytics, Quality, Medical Group Services, Legal, and market stakeholders.

How you'll contribute

A Director, Payer Relationships and Value-Based Contracting who excels in this role:

• Responsible for the development, management, negotiation support, and performance oversight of Advantage Point Health Alliance's value-based care payer contracts across Medicare Advantage, Medicaid, Commercial, and ACA lines of business, in accordance with the company's strategic plan and in compliance with all relevant federal, state, and local regulations.

• Serve as the primary Population Health relationship lead for payer partners, working in close collaboration with Managed Care leaders to source, review, negotiate, implement, renew, and monitor value-based care contracts and associated performance metrics.

• Attend and actively participate in all payer Joint Operating Committee meetings, operational calls, and other payer-facing meetings related to assigned value-based care contracts. Ensure key decisions, action items, performance concerns, contract requirements, and follow-up needs are documented and communicated to appropriate internal stakeholders.

• Maintain a comprehensive master tracker of value-based care contracts, including payer, product line, covered lives, contract term, key quality measures, financial performance indicators, reporting requirements, payment methodology, performance status, risks, opportunities, and assigned action items.

• Monitor contract performance in partnership with Finance, Analytics, Quality, Clinical Operations, Network Directors, and other support teams, with particular focus on quality measure achievement, financial performance, shared savings/shared risk status, care gap performance, utilization trends, and emerging performance risks.

• Prepare concise and actionable summary materials for network board meetings, committee meetings, and internal leadership updates, including payer relationship updates, contract performance summaries, quality measure status, financial performance trends, risks, opportunities, and recommended next steps.

• Assist Network Directors in strategic planning to improve performance under value-based care contracts, including translating payer contract requirements and performance data into actionable market strategies, provider engagement priorities, operational focus areas, and measurable improvement plans.

• Facilitate strategic discussions, build consensus, and support decision-making among payer partners, Net-work Directors, physician leaders, market leadership, Managed Care, Finance, Analytics, Quality, Legal, Clinical Operations, and Health Support Center leadership to advance value-based care contract success.

• Maintain a proactive approach to identifying payer relationship issues, contract performance risks, operational barriers, and emerging value-based care opportunities; develop recommendations and coordinate cross-functional solutions to support long-term success for the Clinically Integrated Networks.

• Provide subject matter expertise on payer contracting, value-based care performance, payer operations, contract metrics, and payer reporting requirements. Stay informed on value-based care program changes, payer market trends, quality measure updates, and reimbursement models impacting Medicare Advantage, Medicaid, Commercial, and ACA contracts.

• Work with Support Teams within the HSC including Managed Care, Legal, Quality, Communications, Finance, Marketing, HITs, Medical Group Services, Hospital Operations Leadership, and local markets to ensure payer contract performance priorities are aligned, tracked, and supported.

Why join us

We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers:

• Comprehensive Benefits:Multiple levels of medical, dental and vision coverage for full-time andpart-time employees.

• Financial Protection & PTO:Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off.

• Financial & Career Growth:Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match.

• Employee Well-being:Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs).

• Professional Development:Ongoing learning and career advancement opportunities.

What we're looking for

• Education: Bachelor's Degree in Business, Finance, Healthcare Administration, or related field. Master's degree preferred.

• Experience: Minimum of 5 years of relevant experience in healthcare, managed care, payer relations, value-based care contracting, clinically integrated networks, accountable care organizations, provider network strategy, consulting, or finance.

  • Experience with Medicare Advantage, Medicaid, Commercial, ACA, or other risk-based/value-based reimbursement arrangements preferred.

• Travel: Ability to travel up to 10% of the time

EEOC Statement

"Lifepoint Health is an Equal Opportunity Employer. Lifepoint Health is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment."

You must be authorized to work in the United States without employer sponsorship.

Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.