Senior Counsel, Remote at Aledade

United States

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Not SpecifiedCompensation

Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

HealthcareIndustries

Requirements

J.D. degree and membership in at least one state bar
10+ years prior payer contracting experience in a business-oriented law firm or in-house legal department (preference for in-house at a payer)
Advanced level contract drafting and negotiation skills related to fee-for-service arrangements
Experience with value-based care agreements and capitation agreements (ideal)
Strong written, communication, and research skills
Ability to interact with others in a positive, respectful, and considerate manner and communicate complex information to non-lawyers
Ability to work in a team environment while delivering independent results
Demonstrated ability to work under competing deadlines and adjust to recalibrated business needs
Ability to be flexible and scale in a fast-paced startup environment
Comfortable working remotely within the U.S. or from offices in Bethesda, MD, Durham, NC, or Austin, TX
Comfort with Commercial, Medicare Advantage, and Medicaid programs

Responsibilities

Review, structure, and discuss with internal clients the terms of payer agreements including fee-for-service, capitation, and value-based care agreements for Commercial, Medicare Advantage, and Medicaid programs
Structure, draft, negotiate, and review complex payer agreements, including fee-for-service, capitation, and value-based care agreements, with national and regional payers and other third parties
Review, redline, and negotiate general documents in connection with such agreements, such as confidentiality agreements and data use agreements
Create, improve, review, and implement internal processes and procedures and guide teams in standardizing such agreements
Respond to legal requests on topics related to Aledade’s payer agreements and related programs and provide guidance as a subject matter expert
Handle additional assignments and responsibilities as needed
Provide advice and support on a wide range of legal and business matters related to contracting with regional and national payers
Work closely with Senior Leadership on payer contracts and all related corporate legal matters

Skills

payer contracting

fee-for-service agreements

capitation agreements

value-based care contracting

Medicare Advantage

Medicaid programs

contract drafting

contract negotiation

confidentiality agreements

data use agreements

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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