Director, Payer Relationships & Value-Based Contracts

Lifepoint Health®; Brentwood (TN); Hybrid; USD 150,000 - 190,000; Full time

Benefits offered by this job

Comprehensive Benefits

Paid Time Off

Tuition Assistance

401(k) Match

Job summary

Lifepoint Health in Brentwood, TN is seeking a Director, Payer Relationships and Value‑Based Contracting to lead Advantage Point Health Alliance’s payer strategy across Medicare Advantage, Medicaid, Commercial, and ACA lines.

The role partners with Managed Care, Finance, Analytics, Quality, Legal, and operat1ions to optimize contract performance and drive value-based care across networks.

Qualifications

• Bachelor’s degree in Business, Finance, Healthcare Administration, or related field; Master’s preferred.
• Experience in healthcare payer relations, value-based contracting, and provider networks.
• Experience with Medicare Advantage, Medicaid, Commercial, ACA, or other risk-based reimbursement preferred.

Responsibilities

• Develop, manage, negotiate, and oversee value-based payer contracts across Medicare Advantage, Medicaid, Commercial, and ACA lines.
• Serve as the Population Health liaison for payer partners, negotiating, implementing, renewing, and monitoring contracts.
• Attend payer meetings and document key decisions, actions, and performance issues for internal stakeholders.
• Maintain a master tracker of contracts including terms, measures, financials, and risks.
• Monitor contract performance with Finance, Analytics, Quality, and Clinical Operations to ensure quality and financial goals.
• Prepare concise summary materials for board and leadership updates on payer relationships and performance.
• Assist strategic planning to improve performance under value-based contracts and translate requirements into market actions.
• Facilitate discussions among payer partners and leadership to advance contract success.
• Identify issues and opportunities; coordinate cross-functional solutions for long-term success.
• Provide expertise on payer contracting, performance metrics, and reporting requirements; stay updated on market trends.

Skills

Payer relationships

Value-based contracting

Contract negotiation

Population Health liaison

Cross-functional leadership

Education

Bachelor's Degree in Business, Finance, Healthcare Administration, or related field

Master’s degree preferred

Job description

Lifepoint Health in Brentwood, TN is seeking a Director, Payer Relationships and Value‑Based Contracting to lead Advantage Point Health Alliance’s payer strategy across Medicare Advantage, Medicaid, Commercial, and ACA lines.

The role partners with Managed Care, Finance, Analytics, Quality, Legal, and operat1ions to optimize contract performance and drive value-based care across networks.