Senior Vice President of Payer Value Strategy
Remote
Posted on 8/15/2023
INACTIVE
Aledade

1,001-5,000 employees

Empowers primary care practices with value-based solutions
Company Overview
Aledade, Inc. stands out as a leading network of independent primary care, offering robust support to practices through its unique model that combines advanced data analytics, user-friendly workflows, and health care policy expertise. The company's commitment to the success of independent practices is demonstrated through its strong payer relationships and integrated care solutions, which enable physicians to thrive financially while focusing on patient health. With over 1,500 practices across 45 states and the District of Columbia, Aledade's shared risk and reward model, managing over 2 million patient lives, showcases its industry leadership and its significant role in the evolving healthcare landscape.
AI & Machine Learning
Data & Analytics

Company Stage

Series F

Total Funding

$657.6M

Founded

2014

Headquarters

Bethesda, Maryland

Growth & Insights
Headcount

6 month growth

2%

1 year growth

19%

2 year growth

96%
Locations
Chicago, IL, USA
Experience Level
Entry
Junior
Mid
Senior
Expert
Desired Skills
Marketing
CategoriesNew
Business & Strategy
Requirements
  • A Master's Degree in Health Care, Public Health or Business Administration is preferred
  • 15+ years related experience in a managed care payer environment with a minimum of 10 years management or leadership experience in value-based care
  • Prior experience as a thought leader and participation on industry panels
  • In-depth knowledge of the payer market including commercial, Medicare and Medicaid
  • Strong, results-oriented leadership ability in a fast paced, matrix organization
  • Strong financial and operational acumen and understanding of profitability drivers and medical cost trends that drive gains and losses across risk pools
  • Ability to recognize and execute on growth opportunities across payers and markets and adapt business development and contracting approaches, as needed
  • Proven track record of creating, maintaining, and enhancing customer relationships and communicating effectively with senior management
  • Passionate about driving the shift from fee-for-service to value based care
  • Track record of leading teams through “white space” strategic issues, developing frameworks that guide teams to solutions, and implementing those solutions
  • Ability to think beyond your immediate team and contribute to making Aledade holistically better (active engagement in DE&I efforts, culture initiatives, facilitating training, leading roundtables, etc.)
  • Sitting for prolonged periods of time. Extensive use of computers and keyboard. Occasional walking and lifting may be required
  • Ability to travel 10-25%
Responsibilities
  • Lead the company's payer contracting strategy and team members, and actively pursue and drive the development and execution of agreements across Medicare Advantage, commercial insurance and Medicaid, on behalf of independent primary care practices
  • Oversee the development of short and long term cross-payer strategies, such as: broker services, health plan marketing, benefit design integration, high-value network offerings, health plan value-reporting and regional, multi-payer initiatives
  • Maximize efficiency and standardization of the payer contracting and valuation process for the company by establishing internal contract valuation and reporting methodologies to assess current and future total contract value and relative risk by line of business
  • Manage the teams responsible for executing and negotiating complex commercial agreements with health plans, evaluating contract economics, and developing creative growth strategies. This includes setting performance goals, supporting career development, evaluating performance, managing workflows, etc