Director, Payer Contracting (MA & Medicaid)
New
Working remotely/work from home within the US or be based from Bethesda, MD officeFull-TimeDirector
Salary not disclosed
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Job Details
- Experience
- 12+ years in healthcare with health plans or provider groups
- Required Skills
- Business DevelopmentRelationship management
Requirements
- Bachelor’s degree
- 12+ years in healthcare with health plans or provider groups working on contract negotiations within value-based care
- Results-oriented with the ability to exercise influence to achieve goals
- Proven track record of creating, maintaining, and enhancing relationships and communicating effectively with senior management
- Exceptional attention to detail in contractual language and processes
- Expert sales, business development, growth professional at local and national level
- Passionate about driving the shift from fee-for-service to value based care
Responsibilities
- Negotiate and renegotiate MA & Medicaid value-based care contracts with prospective payer partners
- Proactively engage with payer partners to set and/or improve contract terms
- Collaborate with Senior Leadership to qualify and source market growth and expansion for multi-year risk arrangements
- Communicate with key, internal stakeholders to ensure a smooth and timely implementation of negotiated terms
- Read, draft contract language, and track deliverables to ensure compliance and consistency
- Compile data and report updates
- Develop and maintain a deep knowledge of existing MA & Medicaid contract terms
- Act as the internal expert for contract questions
- Build and manage relationships with payers and other key stakeholders to resolve issues, optimize performance, and identify new opportunities for collaboration
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