[Remote] Director, MA & Medicaid Contracting at Aledade

United States

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Not SpecifiedCompensation

N/AExperience Level

N/AJob Type

Not SpecifiedVisa

N/AIndustries

Requirements

12+ years in healthcare with health plans or provider groups working on contract negotiations within value-based care
Bachelor’s degree
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
Ability to sit for prolonged periods of time
Extensive use of computers and keyboard
Occasional walking and lifting may be required
Ability to travel

Responsibilities

Negotiate and renegotiate MA & Medicaid value-based care contracts with prospective payer partners
Proactively engage with payer partners to improve terms
Read contracts
Set contract terms
Track deliverables
Interface with internal teams
Compile data
Report updates
Execute 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

Skills

Aledade

Supports independent primary care practices

About Aledade

Aledade operates in the primary care sector, focusing on supporting independent primary care practices. The company provides these practices with essential support and data to help them navigate the challenges of the changing healthcare landscape. Aledade offers personalized, on-the-ground assistance, ensuring that practices have timely access to the right data to improve the quality of care they deliver to their communities. Additionally, Aledade has developed a proprietary technology application that gives practices insights about their patients, further enhancing their care capabilities. Unlike many competitors, Aledade is dedicated to the success of independent practices, making it the largest network of its kind in the nation. The company's goal is to empower these practices to thrive and provide high-quality care through its support services and technology.

Bethesda, MarylandHeadquarters

2014Year Founded

$662MTotal Funding

SERIES_FCompany Stage

Enterprise Software, HealthcareIndustries

1,001-5,000Employees

Risks

Increased competition from platforms like Privia Health threatens Aledade's market share.

Integration challenges from acquiring Medical Advantage may disrupt operations in Michigan.

Rapid technological advancements require continuous updates to Aledade's technology platform.

Differentiation

Aledade partners with independent primary care physicians to create Accountable Care Organizations.

The company offers a proprietary technology platform for timely patient insights.

Aledade provides personalized, on-the-ground support to enhance care quality.

Upsides

Aledade's acquisition of Medical Advantage expands its presence in Michigan significantly.

The rise of telehealth creates new opportunities for Aledade's primary care practices.

Aledade's focus on value-based care aligns with increasing demand for ACOs.

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