Director, Payer Contracting – MA, Medicaid

📋 Description

• Negotiate and re-negotiate value-based care contracts for MA & Medicaid with potential payer partners.

• Actively collaborate with payer partners to establish and/or enhance contract conditions.

• Work in conjunction with Senior Leadership to identify and source market growth and expansion opportunities for multi-year risk arrangements.

• Liaise with key internal stakeholders to guarantee a smooth and timely execution of negotiated terms.

• Analyze, draft contract language, and monitor deliverables to ensure adherence and consistency; Compile data and provide updates.

• Cultivate and sustain an in-depth understanding of current MA & Medicaid contract terms, serving as the internal authority on contract inquiries.

• Foster and manage relationships with payers and other critical stakeholders to address challenges, enhance performance, and discover new collaboration opportunities.

⛳️ Requirements

• Bachelor’s degree.

• Over 12 years of experience in healthcare, collaborating with health plans or provider groups on contract negotiations within value-based care.

• Results-driven with the capability to influence outcomes to achieve objectives instead of exerting control.

• Proven ability to establish, maintain, and enhance relationships while communicating effectively with senior management.

• Exceptional attention to detail concerning contractual language and processes.

• Expertise in sales, business development, and growth at both local and national levels.

• Enthusiastic about facilitating the transition from fee-for-service to value-based care.

🏝️ Benefits

• Flexible work schedules and options for remote work are available for various roles.

• Health, dental, and vision insurance covered up to 80% for employees, dependents, and domestic partners.

• Comprehensive time-off plan (21 days of PTO in the first year).

• Two paid volunteer days and 11 paid holidays.

• 12 weeks of paid parental leave for all new parents.

• Six weeks of paid sabbatical after six years of service.

• Educational Assistant Program and Clinical Employee Reimbursement Program.

• 401(k) plan with up to a 4% match.

• Stock options.

• And much more!