Director, MA & Medicaid Contracting

Primary Duties:

• Negotiate and renegotiate MA & Medicaid value-based care contracts with prospective payer partners, which may include: proactively engaging with payer partners to improve terms, reading contracts, setting contract terms, tracking deliverables, interfacing with internal teams, compiling data, reporting updates and executing value-based care contracts for Medicare Advantage & Medicaid members/patients
• Develop a deep knowledge of Aledade’s existing MA & Medicaid contract terms and act as the internal expert for contract questions for teams across Aledade
• Support the VP’s efforts to qualify and source market growth and expansion for multi-year risk arrangements
• Develop and nurture relationships with key stakeholders and team members within Aledade and at payer partners

Minimum Qualifications:

• 12+ years in healthcare with health plans or provider groups working on contract negotiations within value-based care
• Bachelor’s degree

Preferred knowledge, skills, and/or abilities:

• Results-oriented with the ability to exercise influence to achieve goals rather than control
• Proven track record of creating, maintaining, and enhancing relationships and communicating effectively with senior management
• Passionate about driving the shift from fee-for-service to value based care
• Master’s degree or other advanced degrees in management, health services research, health and/or public policy, or other relevant fields is preferred.
• Expert sales, business development, growth professional at local and national level

Physical Requirements:

• Sitting for prolonged periods of time. Extensive use of computers and keyboard. Occasional walking and lifting may be required.
• Ability to travel