Manager, Payer Contracting (Remote)
Aledade
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Posted on Friday, January 26, 2024
As Manager of Payer Contracting, you will lead and support the execution of Aledade’s value-based care contracts with national and regional health plans as we help primary care providers shift into value-based care.
In this role, you will oversee and manage projects related to developing and executing contracts, drafting financial and legal contract summaries and partnering with cross-functional teams to share information and obtain buy-in for new contracts. You will actively track and report on new and existing contracts. Additionally, the Manager of Payer Contracting will develop new processes to ensure alignment across Aledade and manage the internal “source of truth” for all contracts and terms. Reporting to the VP of Payer Contracting, you will manage and oversee strategic projects, contract terms research, and contract and financial analyses in support of the senior contracting team.
We are flexible with respect to geographic location, and the ideal candidate will be comfortable working remotely/work from home within the U.S. or from our headquarters office in Bethesda, MD.
Primary Duties:
- Payer contracting process support activities, including scheduling meetings, taking notes, managing follow-ups, sending W-9s, managing contracts and related documents, performing contract document quality assurance, obtaining legal approvals, and providing internal team and external progress updates.
- Post-signing contracting support activities, including leading the contract handoff process, tracking down and providing contract information for other teams, creating and managing contract summaries, and other tracking and reporting activities as needed.
- Process design, redesign and maintenance activities, including tracking renewals and other key contract dates, updating, enhancing and leading internal and external contract information sharing processes, and optimizing the contracting team workflows (Monday.com and Salesforce optimization).
- Other strategic projects, including contract language analysis, regulatory, state and federal policy analysis, and other ad hoc projects to support the contracting team.
Minimum Qualifications:
- Bachelor’s degree and 8+ years of experience with health plans or providers
Preferred knowledge, skills, and/or abilities:
- Master’s degree and 6+ year in value-based care contracting with health plans or providers
- Understanding of the health plan contracting process from initial conversations through contract signing and launch
- Strong project and process management skills
- Ability to own processes from start-to-finish and independently engage stakeholders
- Proven success in working cooperatively and strategically in a team-oriented matrixed environment with the ability to influence and interact with all levels
- Results-oriented with the ability to balance a wide variety of responsibilities
- Proven track record of creating, maintaining, and enhancing customer relationships and communicating effectively with colleagues or external parties
- 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.
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.See open jobs similar to "Manager, Payer Contracting (Remote)" Venrock.