Vice President, Payer Engagement (Remote)

Aledade

🇺🇸 United States

Remote

Manager or above

18 hours ago

Health insurance

18 hours ago

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The Vice President, Payer Engagement leads post-contract payer partnerships and executive health plan relationships to drive value-based care success and practice participation. In this high-visibility role, you'll serve as a trusted strategic partner to senior health plan executives, translating post-contract relationships into lasting, mutually beneficial success for practices, payers, and Aledade alike. You'll sit at the intersection of strategy and execution—leading governance forums, shaping Medicare Advantage strategy, and rallying cross-functional teams around a shared vision for better outcomes. If you're energized by building high-trust executive relationships, driving measurable results in a fast-moving, mission-driven environment, and leading a team that thrives on collaboration and impact, this is your opportunity to shape what payer partnership looks like in value-based care. We are flexible with respect to geographic location, and the ideal candidate will be comfortable working remotely/work from home within the US or be based from Bethesda, MD office.

Primary Duties:

Stakeholder Strategy & Engagement:

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 Aledade’s value proposition and executing on joint clinical, operational, and data-interoperability strategies.
Partner across internal teams—including Clinical, Analytics, Product, Health Plan Performance,, and Policy—to champion areas of mutual alignment between health plans, our practices, and Aledade and navigate evolving CMS regulations and market trends.

Team Leadership:

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.

MA Performance & Strategy:

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

Minimum Qualifications:

Bachelor’s 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 fundamentals—including 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.

Preferred Qualifications:

Master’s degree or MBA

Physical Requirements:

Prolonged periods of sitting at a desk and working on a computer.

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 - helping practices, health centers and clinics deliver better care to their patients and thrive in value-based care. Additionally, by creating value-based contracts across a wide variety of health plans, we aim to flip the script on the traditional fee-for-service model. Our work strengthens continuity of care, aligns incentives and ensures primary care physicians are paid for what they do best - keeping patients healthy. If you want to help create a health care system that is good for patients, good for practices and good for society - and if you're eager to join a collaborative, inclusive and remote-first culture - you've come to the right place. What Does This Mean for You?At Aledade PBC, you will be part of a creative culture that is driven by a passion for tackling complex issues with respect, open-mindedness and a desire to learn. You will collaborate with team members who bring a wide range of experiences, interests, backgrounds, beliefs and achievements to their work - and who are all united by a shared passion for public health and a commitment to the Aledade mission. In addition to time off to support work-life balance and enjoyment, we offer the following comprehensive benefits package designed for the overall well-being of our team members: Flexible work schedules and the ability to work remotely are available for many rolesHealth, dental and vision insurance paid up to 80% for employees, dependents and domestic partnersRobust time-off plan (21 days of PTO in your first year)Two paid volunteer days and 11 paid holidays12 weeks paid parental leave for all new parentsSix weeks paid sabbatical after six years of serviceEducational Assistant Program and Clinical Employee Reimbursement Program401(k) with up to 4% matchStock optionsAnd much more! At Aledade PBC, we don’t just accept differences, we celebrate them! We strive to attract, develop and retain highly qualified individuals representing the diverse communities where we live and work. Aledade is committed to creating a diverse environment and is proud to be an equal opportunity employer. Employment policies and decisions at Aledade 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.

Vice President, Payer Engagement (Remote) · Aledade

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