Manager, Network Contracting

This is a fully remote position, open to applicants in North Carolina, +4 more states.

📋 Description

• Assist in the execution of Aledade’s network contracts with both national and regional health plans.

• Negotiate participation agreements with health plans, encompassing new contracts, renewals, and amendments.

• Oversee and monitor deliverables as well as documentation repositories.

• Identify potential risks and ensure adherence to agreement terms.

• Conduct thorough rate analyses.

• Monitor and report on essential contract metrics.

• Collaborate with internal cross-functional teams and stakeholders to implement network participation agreements.

• Build and sustain strong relationships with regional and national payer stakeholders.

• Engage directly with payers in coordination with senior leadership.

⛳️ Requirements

• A Bachelor’s degree is required.

• Over 8 years of experience in network contracting or development with health plans or providers.

• Solid understanding of the lifecycle of health plan network participation agreements.

• Proven experience in navigating complex payer dynamics.

• Strong analytical and risk assessment capabilities.

• Excellent communication skills with the ability to establish, maintain, and enhance payer relationships.

• Results-driven, capable of managing multiple projects simultaneously.

• Committed to ensuring that providers receive fair reimbursement for the care they provide.

• Ability to sit for extended periods.

• Frequent use of computers and keyboard is necessary.

• Occasional walking and lifting may be required.

🏝️ Benefits

• Flexible work schedules and remote work options are available for many positions.

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

• Comprehensive time-off plan, including 21 days of PTO in your first year.

• Two paid volunteer days and 11 paid holidays annually.

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

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

• Educational Assistant Program and Clinical Employee Reimbursement Program.

• 401(k) plan with up to a 4% match.

• Stock options available.