Posted 1 month ago

Manager, Network Contracting (Remote)

ArlingtonRemoteFull-time

AI Summary

Manages and negotiates network participation agreements with national and regional health plans, overseeing contract lifecycle, rate analyses, and payer relationships.

About this role

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.

Skills

AnalyticsContract Lifecycle ManagementDocument RepositoriesHealth Plan Network ParticipationPayer DynamicsProject ManagementRate AnalysisRisk Assessment