JobMesh

Director, Payer Contracting (MA & Medicaid)

Aledade · Arlington, Virginia, US

The Director, Payer Contracting, MA & Medicaid on the Strategic Payer Partnerships team will execute Aledade’s Medicare Advantage and Medicaid value-based ca...

Job description

The Director, Payer Contracting, MA & Medicaid 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. We are flexible with respect to geographic location, and the ideal candidate will be comfortable working remotely/work from home within the US or be based from Bethesda, MD office. Primary Duties: Negotiation & Strategy: - Negotiate and renegotiate MA & Medicaid value-based care contracts with prospective payer partners - Proactively engage with payer partners to set and/or improve contract terms - Collaborate with Senior Leadership to qualify and source market growth and expansion for multi-year risk arrangements Contract Management & Reporting: - Communicate with key, internal stakeholders to ensure a smooth and timely implementation of negotiated terms - Read, draft contract language, and track deliverables to ensure c...