Vice President, Payer Engagement (Remote)
Aledade PBC
The Vice President Payer Engagement leads post-contract payer partnerships and executive health plan relationships to drive value-based care success and practice this high-visibility role youll serve as a trusted strategic partner to senior health plan executives translating post-contract relationships into lasting mutually beneficial success for practices payers and Aledade alike. Youll sit at the intersection of strategy and executionleading governance forums shaping Medicare Advantage strategy and rallying cross-functional teams around a shared vision for better outcomes. If youre energized by building high-trust executive relationships driving measurable results in a fast-moving mission-driven environment and leading a team that thrives on collaboration and impact this is your opportunity to shape what payer partnership looks like in value-based care.
We are flexible with respect to geographic location and the ideal candidate will be comfortable working remotely/work from home within the US or be based from Bethesda MD office.
Primary Duties:
Stakeholder Strategy & Engagement:
- Build and sustain relationships with health plan leaders to drive mutual success balancing macro industry trends with granular insights to align on shared strategic goals.
- Lead partnership governance structures (i.e. JOC meetings) presenting Aledades value proposition and executing on joint clinical operational and data-interoperability strategies.
- Partner across internal teamsincluding Clinical Analytics Product Health Plan Performance and Policyto champion areas of mutual alignment between health plans our practices and Aledade and navigate evolving CMS regulations and market trends.
Team Leadership:
- Build direct and retain a high-performing team by fostering a collaborative work culture.
- Translate strategic organizational goals into actionable targets coach employees and manage performance against key objectives.
- Oversee resource allocation and cross-functional leadership alignment to optimize resources and remove roadblocks.
MA Performance & Strategy:
- Share and align health plan perspectives and strategies with cross-functional leaders including clinical and product.
- Proactively identify troubleshoot and resolve potential areas of misalignment between payer partners and internal teams.
- Monitor key MA performance metrics risk adjustment and quality initiatives to continuously optimize health plan partnership outcomes.
- Lead Payer GTM to ensure maximum eligibility and enrollment of practices into our value-based contracts
Other duties as assigned.
Minimum Qualifications:
- Bachelors degree
- 15 years of progressive healthcare experience combining senior leadership across healthcare strategy business development management consulting and finance.
- 10 years within a health plan environment demonstrating deep expertise in Medicare Advantage fundamentalsincluding financial performance bid processes network management VBC strategies interoperability and Stars.
- Data-driven strategic thinker with a proven ability to synthesize complex insights into actionable operational plans.
- Exceptional leadership and interpersonal skills capable of building and maintaining strong relationships across all organizational levels.
- Demonstrated success collaborating with executive-level external stakeholders.
- Strategic leader with a strong track record of tactical execution driving measurable results through diplomacy and cross-functional alignment.
- Forward-thinking mindset with a focus on leveraging technology to enhance scalability and operational efficiency.
Preferred Qualifications:
- Masters degree or MBA
Physical Requirements:
- Prolonged periods of sitting at a desk and working on a computer.
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 weve 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 youre eager to join a collaborative inclusive and remote-first culture - youve 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 dont 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.
We may use automated tools including artificial intelligence (AI) to help organize and evaluate application materials. These tools support our recruiters and hiring managers by helping manage large applicant pools. Human judgment plays an essential role in our hiring process including in the oversight and use of any automated tools. If you would like more information about our screening and hiring process please contact Commitment to Authenticity. We use Endorsed a fraud detection tool to validate the authenticity of applications and protect against identity fraud. This ensures we are connecting with real people and allows us to prioritize genuine you apply to a job on this site the personal data contained in your application will be collected by Aledade PBC using Lever a cloud services provider located in the United States. Lever is engaged by Aledade PBC to help manage its recruitment and hiring processes. For more information about how your personal data will be processed by Aledade PBC and any rights you may have please review Aledade PBCs Candidate Privacy Notice. By applying for this job you agree to Aledades Applicant Privacy Policy available at you have any questions about our privacy practices please contact emailprotected.
Required Experience:
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