网络合约经理
Manager, Network Contracting
负责战略支付方合作团队的网络合同经理将支持并执行Aledade与全国性和区域性医疗计划的网络合同。该职位专注于谈判和管理一系列网络参与协议。与高级管理层合作,经理将直接与支付方协商新协议并管理续约。该职位将重点关注合同生命周期管理、分析以及维护积极的支付方关系。
我们对地理位置较为灵活,理想的候选人应能够在全美范围内远程办公或在家办公,或在马里兰州贝塞斯达的办公室工作。
主要职责:
谈判:
直接与医疗计划方谈判网络参与协议,包括新协议、续约和修改
生命周期管理:
管理并跟踪交付成果和文档库
识别并缓解风险,确保符合条款
进行全面的费率分析
跟踪并报告关键合同指标
关系管理:
与内部跨职能团队和相关方协作,成功执行网络参与协议
与区域和全国性支付方相关方建立并维护高层次关系
最低资格要求:
学士学位
8年以上在医疗计划或提供方的网络合同或开发经验
对医疗计划网络参与协议生命周期有深入了解
具备处理复杂支付方动态的经验
强大的分析和风险评估技能
出色的沟通能力,能够建立、维持并改善支付方关系
以结果为导向,能够同时管理多个项目
热衷于确保提供方获得公平的护理报酬
优先资格:
硕士学位
身体要求:
长时间坐着。需要大量使用电脑和键盘。偶尔需要走动和搬运物品。
我们是谁:
Aledade PBC是一家公共利益公司,旨在赋能我们医疗保健领域最具变革性的部分——独立初级护理。我们成立于2014年,至今已成为全国最大的独立初级护理网络,帮助诊所、卫生中心和诊所为患者提供更好的护理,并在基于价值的护理中蓬勃发展。
查看英文原文
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.
Who We Are:
Aledade PBC, a public benefit corporation, exists to empower the most transformational part of our health care landscape - independent primary care. We were founded in 2014, and since then, we've become the largest network of independent primary care in the country - helping practices, health centers and clinics deliver better care to their patients and thrive in value-based care. Additionally, by creating value-based contracts across a wide variety of health plans, we aim to flip the script on the traditional fee-for-service model. Our work strengthens continuity of care, aligns incentives and ensures primary care physicians are paid for what they do best - keeping patients healthy. If you want to help create a health care system that is good for patients, good for practices and good for society - and if you're eager to join a collaborative, inclusive and remote-first culture - you've come to the right place.
What Does This Mean for You?
At Aledade PBC, you will be part of a creative culture that is driven by a passion for tackling complex issues with respect, open-mindedness and a desire to learn. You will collaborate with team members who bring a wide range of experiences, interests, backgrounds, beliefs and achievements to their work - and who are all united by a shared passion for public health and a commitment to the Aledade mission.
In addition to time off to support work-life balance and enjoyment, we offer the following comprehensive benefits package designed for the overall well-being of our team members:
Flexible work schedules and the ability to work remotely are available for many roles
Health, dental and vision insurance paid up to 80% for employees, dependents and domestic partners
Robust time-off plan (21 days of PTO in your first year)
Two paid volunteer days and 11 paid holidays
12 weeks paid parental leave for all new parents
Six weeks paid sabbatical after six years of service
Educational Assistant Program and Clinical Employee Reimbursement Program
401(k) with up to 4% match
Stock options
And much more!
At Aledade PBC, we don’t just accept differences, we celebrate them! We strive to attract, develop and retain highly qualified individuals representing the diverse communities where we live and work. Aledade is committed to creating a diverse environment and is proud to be an equal opportunity employer. Employment policies and decisions at Aledade are based on merit, qualifications, performance and business needs. All qualified candidates will receive consideration for employment without regard to age, race, color, national origin, gender (including pregnancy, childbirth or medical conditions related to pregnancy or childbirth), gender identity or expression, religion, physical or mental disability, medical condition, legally protected genetic information, marital status, veteran status, or sexual orientation.