The Manager, Network Contracting on the Strategic Payer Partnerships team will support and execute Aledade’s network contracts with national and regional health plans. The role is focused on negotiating and managing a portfolio of network participation agreements. In collaboration with senior leadership, the manager will interface directly with payers to negotiate new agreements and manage renewals. This role will have a strong focus on contract lifecycle management, analysis, and maintaining positive payer relationships.
We are flexible with respect to geographic location, and the ideal candidate will be comfortable working remotely/work from home within the U.S. or from our office in Bethesda, MD.
Primary Duties:
Negotiation:
Negotiate network participation agreements directly with health plans including new agreements, renewals, and amendments
Lifecycle Management:
Manage and track deliverables and document repositories
Identify and mitigate risks ensuring compliance with terms
Perform comprehensive rate analyses
Track and report on key contract metrics
Relationship Management:
Collaborate with internal cross-functional teams and stakeholders to successfully execute network participation agreements
Develop and maintain high-level relationships with regional and national payer stakeholders
Minimum Qualifications:
Bachelor’s degree
8+ yrs experience in network contracting or development with health plans or providers
Strong understanding of the health plan network participation agreement lifecycle
Demonstrated experience navigating complex payer dynamics
Strong analytics and risk assessment skills
Exceptional communication skills with the ability to establish, sustain, and improve payer relationships
Results-oriented with the ability to project manage multiple projects simultaneously
Passionate about ensuring providers are fairly reimbursed for the care they deliver
Preferred Qualifications:
Master’s degree
Physical Requirements:
Sitting for prolonged periods of time. Extensive use of computers and keyboard. Occasional walking and lifting may be required.
