Vice President, Payer Engagement

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

📋 Description

• Oversee post-contract payer collaborations and executive health plan relationships to ensure success in value-based care and practice engagement.

• Act as a reliable strategic partner to senior executives within health plans.

• Manage partnership governance frameworks, including Joint Operating Committee (JOC) meetings.

• Articulate Aledade’s value proposition and implement joint clinical, operational, and data interoperability strategies.

• Collaborate with teams in Clinical, Analytics, Product, Health Plan Performance, and Policy.

• Navigate the shifting landscape of CMS regulations and market dynamics.

• Build, lead, and retain a team that performs at a high level.

• Convert strategic organizational objectives into actionable goals, mentor staff, and oversee performance against critical metrics.

• Manage resource distribution and ensure alignment across cross-functional leadership.

• Communicate and synchronize health plan insights and strategies with clinical and product leadership.

• Identify, diagnose, and rectify misalignments between payer partners and internal teams.

• Track MA performance indicators, risk adjustments, and quality initiatives.

• Spearhead Payer Go-To-Market strategies to optimize eligibility and enrollment of practices in value-based agreements.

⛳️ Requirements

• Bachelor’s degree.

• Over 15 years of advancing healthcare experience, integrating senior leadership roles in healthcare strategy, business development, management consulting, and finance.

• More than 10 years in a health plan setting, showcasing deep knowledge of Medicare Advantage principles—including financial performance, bid processes, network management, value-based care strategies, interoperability, and Stars.

• Data-driven strategic thinker with a demonstrated capability to convert complex insights into practical operational plans.

• Outstanding leadership and interpersonal abilities, adept at fostering and sustaining strong relationships across all organizational tiers.

• Proven success in collaborating with executive-level external stakeholders.

• Strategic leader with a solid history of tactical execution, achieving measurable outcomes through diplomacy and cross-functional collaboration.

• Progressive mindset with an emphasis on utilizing technology to improve scalability and operational efficiency.

• Extended periods of sitting at a desk and working on a computer.

🏝️ Benefits

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

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

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

• Two paid volunteer days and 11 paid holidays each year.

• 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 available.