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About the Role
The Manager, Network Contracting will support and execute Aledade’s network contracts with national and regional health plans, focusing on negotiating and managing a portfolio of network participation agreements. This role involves direct interaction with payers for new agreements and renewals, with a strong emphasis on contract lifecycle management, analysis, and maintaining positive payer relationships.
Responsibilities
- Negotiate network participation agreements directly with health plans, including new agreements, renewals, and amendments.
- 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.
- 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.
Requirements
- Bachelor’s degree.
- 8+ years of 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.
Skills
- Network contracting
- Network development
- Health plan agreements
- Contract lifecycle management
- Risk assessment
- Analytics
- Communication
- Project management
Location
- Remote (U.S.)
- Bethesda, MD
Work Type
- Remote
- Work from home
Experience Level
- 8+ years
Education Level
- Bachelor’s degree
- Master’s degree
Benefits
- Flexible work schedules
- Ability to work remotely
- Health, dental, and vision insurance paid up to 80% for employees, dependents, and domestic partners
- 21 days of PTO in the first year
- Two paid volunteer days
- 11 paid holidays
- 12 weeks paid parental leave
- Six weeks paid sabbatical after six years of service
- Educational Assistant Program
- Clinical Employee Reimbursement Program
- 401(k) with up to 4% match
- Stock options
About the Company
- Aledade PBC is a public benefit corporation dedicated to empowering independent primary care.
- Founded in 2014, Aledade is the largest network of independent primary care in the country.
- The company helps practices, health centers, and clinics deliver better care and thrive in value-based care.
- Aledade creates value-based contracts across various health plans to shift from the traditional fee-for-service model.
- The company's work strengthens continuity of care, aligns incentives, and ensures primary care physicians are paid for keeping patients healthy.
- Aledade fosters a creative culture driven by passion, respect, open-mindedness, and a desire to learn.
- The company offers a collaborative, inclusive, and remote-first culture.
Equal Opportunity
- Aledade PBC is committed to creating a diverse environment and is proud to be an equal opportunity employer.
- Employment policies and decisions 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.