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Director, Payer Commercial Contracting (Remote)

The Director, Commercial Contracting on the Strategic Payer Partnerships team will execute Aledade’s commercial 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 commercially insured members (not those covered by Medicare Advantage or Medicaid). This role will report to the VP, Commercial Contracting.


The Director will also 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 with considerable amounts of travel. 



Primary Duties:
  • Negotiate commercial value-based care contracts with prospective payer partners, which may include: reading contracts, setting contract terms, tracking deliverables, interfacing with internal teams, compiling data and executing value-based care contracts for commercial members/patients
  • Track and report on ongoing payer discussions as well as key contract metrics such as renewal dates
  • Support the VP’s efforts to qualify and source market growth and expansion for multi-year risk arrangements
  • Proactively engage with payer partners in advance of renewals and scheduled renegotiations to improve contract terms
  • Develop a deep knowledge of Aledade’s existing Commercial contract terms, and hold responsibility for new and historical contracts
  • 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


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

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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

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What You Should Know About Director, Payer Commercial Contracting (Remote), Aledade

If you're looking for an exciting opportunity to lead the way in innovative healthcare, the Director, Payer Commercial Contracting role at Aledade might be the perfect fit for you! This remote position allows you to join a dynamic team dedicated to transforming primary care into a value-based care model, a mission that lies at the core of Aledade's vision since its founding in 2014. In this vital role, you'll be responsible for negotiating commercial value-based care contracts with national and regional health plans, making a real impact in the lives of primary care providers and the patients they serve. You'll spend your days diving into contracts, tracking deliverables, and ensuring that Aledade's interests align with those of our strategic payer partners. As a Director, your leadership skills will shine as you mentor team members and cultivate relationships within the organization. With a strong emphasis on flexibility, you’ll find that working remote, coupled with some travel, gives you a great work-life balance. Aledade prides itself on nurturing a collaborative and inclusive culture, making it a fantastic place to grow your career while contributing to a better healthcare system. Join us in our mission to empower independent primary care and help create a world where quality healthcare is accessible for all!

Frequently Asked Questions (FAQs) for Director, Payer Commercial Contracting (Remote) Role at Aledade
What are the primary responsibilities of the Director, Payer Commercial Contracting at Aledade?

The Director, Payer Commercial Contracting at Aledade will focus on negotiating commercial value-based care contracts, managing relationships with payer partners, and supporting market growth initiatives. Key duties include reading and setting contract terms, tracking metrics related to contracts, and proactively engaging partners ahead of renewals.

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What qualifications are required for the Director, Payer Commercial Contracting position at Aledade?

Candidates for the Director, Payer Commercial Contracting position at Aledade should have at least 12 years of experience in healthcare, specifically in contract negotiations related to value-based care. A Bachelor's degree is required, and a Master's degree is preferred. Strong relationship-building and communication skills are essential for success in this role.

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How does the Director, Payer Commercial Contracting contribute to Aledade’s mission?

The Director, Payer Commercial Contracting plays a crucial role in Aledade's mission by negotiating contracts that facilitate value-based care, ensuring that primary care providers are compensated fairly for delivering quality services. This contributes to Aledade's goal of improving patient outcomes and supporting independent practices.

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What skills are preferred for the Director, Payer Commercial Contracting role at Aledade?

For the Director, Payer Commercial Contracting position at Aledade, preferred skills include results-oriented negotiation capabilities, influence without authority, and a proven track record in maintaining effective relationships with senior stakeholders. A passion for value-based care and health policy is also beneficial.

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What is the work environment like for the Director, Payer Commercial Contracting at Aledade?

The work environment for the Director, Payer Commercial Contracting at Aledade is remote-friendly, encouraging flexibility in work schedules. The company fosters a collaborative culture and emphasizes respect, open-mindedness, and a commitment to public health, making it a supportive place for professionals in the healthcare field.

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Common Interview Questions for Director, Payer Commercial Contracting (Remote)
Can you describe your experience with negotiating value-based care contracts?

When answering this question, highlight specific contract negotiations you've conducted, the strategies you employed, and the outcomes achieved. Use examples that demonstrate your negotiation skills, ability to build relationships, and understanding of value-based care principles.

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How do you approach building relationships with payer partners?

Explain your approach to relationship-building, such as regular communication, understanding the partner's goals, and creating win-win solutions. Use specific examples to show how your efforts have fostered trust and collaboration with payer partners.

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What metrics do you consider essential when tracking contract performance?

Discuss key metrics like renewal dates, deliverable tracking, and performance indicators related to the value-based care models you've engaged with. Emphasize your experience using data to inform decisions and drive contract success.

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How do you stay informed about trends in the healthcare contracting landscape?

Mention your commitment to continuous learning through industry publications, attending workshops, or networking with peers. Highlight specific resources or organizations that you follow to stay current in the value-based care sector.

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Describe a challenge you've faced in contract negotiations and how you overcame it.

Share a specific example that illustrates your problem-solving skills. Discuss the problem, the steps you took to address it, and the successful outcome to demonstrate your ability to navigate difficult situations effectively.

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What strategies do you use to prepare for contract renewals?

Outline your strategic approach to analyzing current contracts, engaging stakeholders for input, and identifying areas for improvement. Emphasize how you use these insights to optimize terms during renegotiations.

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How do you mentor and coach your team in contract negotiations?

Discuss your mentoring style, emphasizing communication, feedback, and sharing your knowledge and experiences. Provide examples of how you've successfully trained others on negotiation techniques and best practices.

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What is your understanding of the shift from fee-for-service to value-based care?

Provide an overview of the differences between the two models, explaining the benefits of value-based care for patients and providers. Highlight any direct experiences you've had that align with Aledade’s mission to transition the healthcare system.

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How do you prioritize tasks in a fast-paced environment like healthcare contracting?

Share your time management strategies, such as utilizing tools for prioritization, setting clear goals, and balancing ongoing projects. Provide examples of how this approach has helped you meet deadlines and manage workload effectively.

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Why do you want to work at Aledade as a Director, Payer Commercial Contracting?

Articulate your passion for value-based care and how Aledade's mission resonates with you. Discuss how your skills and experience align with the company's values and your eagerness to contribute to its impactful work in the healthcare landscape.

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At the heart of the Aledade model is the simple, but radical, idea that Aledade only succeeds when partner practices succeed in lowering costs to payers through better care for patients. By keeping patients and their healthcare providers at the ce...

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Full-time, remote
DATE POSTED
December 25, 2024

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