Director, Payer Contracting – MA, Medicaid

This is a fully remote position, open to applicants in Virginia.

📋 Description

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

• Actively collaborate with payer partners to establish and enhance contract terms.

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

• Liaise with key internal stakeholders to ensure the timely and smooth implementation of negotiated terms.

• Review, draft contractual language, and monitor deliverables to guarantee compliance and consistency; gather data and provide updates.

• Cultivate and maintain an in-depth understanding of existing MA & Medicaid contract terms, serving as the internal authority for contract inquiries.

• Build and nurture relationships with payers and other significant stakeholders to address issues, optimize performance, and uncover new collaboration opportunities.

⛳️ Requirements

• Bachelor’s degree.

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

• Results-driven with the ability to influence outcomes to meet objectives rather than control them.

• Demonstrated success in establishing, maintaining, and enhancing relationships while effectively communicating with senior management.

• Exceptional attention to detail in contractual language and processes.

• Proven 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 working hours and the option to work remotely are available for many positions.

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

• Comprehensive time-off policy (21 days of PTO in your 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 Assistance Program and Clinical Employee Reimbursement Program.

• 401(k) plan with up to 4% matching.

• Stock options.

• And much more!