Vice President, Payer Economics (Remote)

Aledade

Aledade

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Chicago, IL, USA
Posted on Friday, August 11, 2023
The VP of Payer Economics will apply a rigorous analytical approach to value-based care contracts as well as overseeing financial planning and analysis for the Strategic Payer Partnerships team. These contracts will span Medicare Advantage, Commercial and Medicaid lines of business. The value-based care contract analysis will include evaluating potential outcomes in upside, downside and full risk contracts, evaluating impacts of individual contracting terms, and evaluating the need for reinsurance. In addition, this role will be responsible for devising internal financial risk-mitigation strategies, evaluating the financial benefits of high priority strategic initiatives, overseeing the team financial planning and reporting process, and using financial analyses to convey key messages to senior stakeholders.
As a senior leader within the Strategic Payer Partnerships team, the VP will actively promote a culture that aligns with Aledade and team values, and will coach and mentor other team members.
We are flexible with respect to geographic location, and the ideal candidate will be comfortable working remotely within the US with considerable amounts of travel.

Primary Duties:

  • Establish an actuarial/economic framework for evaluating value-based care contracts and deal terms across MA, Commercial and Medicaid contracts
  • Apply analytical rigor to calculating the economic costs and benefits of different permutations of deal terms within a single contract and across contracts
  • Develop and present analyses to Contracting teams and senior leadership in support of payer contracts
  • Oversee the development of the Strategic Payer Partnerships team’s financial plans and model the impact of the team’s long-term strategic plans

Minimum Qualifications:

  • 15+ years in healthcare with health plans or consulting firms within value-based care
  • Master’s degree or other advanced degrees in finance, economics, actuarial sciences, statistics, math or another quantitative field
  • Ability to think beyond their immediate team and contribute to making Aledade holistically better (active engagement in DE&I efforts, culture initiatives, facilitating training, leading roundtables, etc.)

Preferred knowledge, skills, and/or abilities:

  • Demonstrated ability to independently lead and execute complex, high visibility projects with multiple stakeholders
  • Proven track record of creating, maintaining, and enhancing relationships and communicating effectively with senior management as well as a strong ability to communicate actuarial concepts and results to a range of audiences including non-actuarial leaders and colleagues
  • Data manipulation skills, including working knowledge of SQL, R, and/or SAS programming.
  • Experience developing and applying consistent analytical frameworks to contracts in the value-based care space
  • Intense attention to detail and data quality assurance
  • Experience successfully managing a team
  • Passionate about driving the shift from fee-for-service to value-based care

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 payers, 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 2 Paid Volunteer Days & 11 paid holidays
12 weeks paid Parental Leave for all new parents
6 weeks paid sabbatical after 6 years of service
Educational Assistant Program & 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

This job is no longer accepting applications

See open jobs at Aledade.