Manages and negotiates network participation agreements with national and regional health plans, including new contracts, renewals, and amendments. Oversees contract lifecycle activities, deliverables, documentation, compliance risks, rate analyses, and performance metrics. Builds relationships with payer stakeholders and collaborates with internal teams to execute agreements. Requires strong healthcare contracting, analytics, risk assessment, communication, and project management skills.
The Manager, Network Contracting on the Strategic Payer Partnerships team will support and execute Aledade’s network contracts with national and regional health plans. The role is focused on negotiating and managing a portfolio of network participation agreements. In collaboration with senior leadership, the manager will interface directly with payers to negotiate new agreements and manage renewals. This role will have a strong focus on contract lifecycle management, analysis, and maintaining positive payer relationships.
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 office in Bethesda, MD.
Negotiation:
- Negotiate network participation agreements directly with health plans including new agreements, renewals, and amendments
Lifecycle Management:
- Manage and track deliverables and document repositories
- Identify and mitigate risks ensuring compliance with terms
- Perform comprehensive rate analyses
- Track and report on key contract metrics
Relationship Management:
- Collaborate with internal cross-functional teams and stakeholders to successfully execute network participation agreements
- Develop and maintain high-level relationships with regional and national payer stakeholders
Minimum Qualifications:
- Bachelor’s degree
- 8+ yrs experience in network contracting or development with health plans or providers
- Strong understanding of the health plan network participation agreement lifecycle
- Demonstrated experience navigating complex payer dynamics
- Strong analytics and risk assessment skills
- Exceptional communication skills with the ability to establish, sustain, and improve payer relationships
- Results-oriented with the ability to project manage multiple projects simultaneously
- Passionate about ensuring providers are fairly reimbursed for the care they deliver
Preferred Qualifications:
- Master’s degree
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 PBC, 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 health plans, 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 PBC, 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)
Two paid volunteer days and 11 paid holidays
12 weeks paid parental leave for all new parents
Six weeks paid sabbatical after six years of service
Educational Assistant Program and Clinical Employee Reimbursement Program
401(k) with up to 4% match
Stock options
And much more!
At Aledade PBC, 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.
Aledade Austin, Texas, USA Office
Austin, Texas, United States
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