Vice President, Payer Engagement (Remote)
Austin, TX - USA
Job Summary
- Build and sustain relationships with health plan leaders to drive mutual success balancing macro industry trends with granular insights to align on shared strategic goals.
- Lead partnership governance structures (i.e. JOC meetings) presenting Aledades value proposition and executing on joint clinical operational and data-interoperability strategies.
- Partner across internal teamsincluding Clinical Analytics Product Health Plan Performance and Policyto champion areas of mutual alignment between health plans our practices and Aledade and navigate evolving CMS regulations and market trends.
- Build direct and retain a high-performing team by fostering a collaborative work culture.
- Translate strategic organizational goals into actionable targets coach employees and manage performance against key objectives.
- Oversee resource allocation and cross-functional leadership alignment to optimize resources and remove roadblocks.
- Share and align health plan perspectives and strategies with cross-functional leaders including clinical and product.
- Proactively identify troubleshoot and resolve potential areas of misalignment between payer partners and internal teams.
- Monitor key MA performance metrics risk adjustment and quality initiatives to continuously optimize health plan partnership outcomes.
- Lead Payer GTM to ensure maximum eligibility and enrollment of practices into our value-based contracts
- Bachelors degree
- 15 years of progressive healthcare experience combining senior leadership across healthcare strategy business development management consulting and finance.
- 10 years within a health plan environment demonstrating deep expertise in Medicare Advantage fundamentalsincluding financial performance bid processes network management VBC strategies interoperability and Stars.
- Data-driven strategic thinker with a proven ability to synthesize complex insights into actionable operational plans.
- Exceptional leadership and interpersonal skills capable of building and maintaining strong relationships across all organizational levels.
- Demonstrated success collaborating with executive-level external stakeholders.
- Strategic leader with a strong track record of tactical execution driving measurable results through diplomacy and cross-functional alignment.
- Forward-thinking mindset with a focus on leveraging technology to enhance scalability and operational efficiency.
- Masters degree or MBA
- Prolonged periods of sitting at a desk and working on a computer.
Required Experience:
Exec
About Company
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 - helpi ... View more