Provider Contracting Director jobs in Georgia

The Director, MA & Medicaid Contracting on the Strategic Payer Partnerships team will execute Aledade’s Medicare Advantage and Medicaid value-based care contracts with national and regional health plans as we help primary care providers shift into value-based care. The role will be focused on negotiating value-based care contracts with health plans for their Medicare Advantage and Medicaid members. This role will report to the VP, MA & Medicaid Contracting.

We are flexible with respect to geographic location, and the ideal candidate will be comfortable working remotely/work from home within the US or from our offices in Durham, NC; New York, NY; Austin, TX; or Bethesda, MD. 

• Negotiate and renegotiate MA & Medicaid value-based care contracts with prospective payer partners, which may include: proactively engaging with payer partners to improve terms, reading contracts, setting contract terms, tracking deliverables, interfacing with internal teams, compiling data, reporting updates and executing value-based care contracts for Medicare Advantage & Medicaid members/patients
• Develop a deep knowledge of Aledade’s existing MA & Medicaid contract terms and act as the internal expert for contract questions for teams across Aledade
• Support the VP’s efforts to qualify and source market growth and expansion for multi-year risk arrangements
• Develop and nurture relationships with key stakeholders and team members within Aledade and at payer partners

• 12 years in healthcare with health plans or provider groups working on contract negotiations within value-based care 
• Bachelor’s degree

• Results-oriented with the ability to exercise influence to achieve goals rather than control
• Proven track record of creating, maintaining, and enhancing relationships and communicating effectively with senior management
• Passionate about driving the shift from fee-for-service to value based care
• Master’s degree or other advanced degrees in management, health services research, health and/or public policy, or other relevant fields is preferred.
• Expert sales, business development, growth professional at local and national level 

• Sitting for prolonged periods of time. Extensive use of computers and keyboard. Occasional walking and lifting may be required.
• Ability to travel