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The Director will manage strategic payer portfolios, build relationships with payer partners, and contribute to health plan contracting for value-based contracts. Develop and lead a team for strong execution and effective storytelling with data. Influence collaboration with internal and external stakeholders.

Aledade empowers independent primary care practices to deliver better care and thrive in value-based care arrangements.

• Oversee day-to-day operations of a Team of Analysts and/or Specialists, fostering a high-performing team.
• Lead quality improvement initiatives by managing analytics to determine the greatest areas for quality and cost interventions.
• Develop strategies to improve health plan performance, operational efficiency, and payer experience.

Aledade partners with independent practices, health centers, and clinics to build and lead Accountable Care Organizations (ACOs) anchored in primary care. They offer a comprehensive, value-based care solution that includes data analytics, guided workflows, and user-friendly technology, supported by on-the-ground experts.

• Oversee operational and clinical performance of contracted provider partners.
• Drive execution on economic, clinical, and population health strategies.
• Proactively analyze population health data to identify opportunities for improvement.

Apree Health is a national care delivery platform focused on expanding access to comprehensive primary care for consumers with coverage across Commercial, Individual Exchange, Medicare, and Medicaid health plans. They seem to have a fast-paced evolving environment.

Own strategic, lasting relationships with external partners at leading health plans across the country. Partner cross-functionally with internal teams including sales and product to unblock growth at a state level. Coach a team of talented Associate Principals and Leads, helping develop their skills and accelerating their growth.

Headway is building a new mental healthcare system that everyone can access by making it easy for therapists to accept insurance and scale their practice.

Lead and scale strategic relationships with key partners while driving operational excellence. Build executive-level relationships and represent partner needs internally. Design, implement, and improve processes, influencing senior stakeholders to drive outcomes.

Rula is a remote-first company that believes that mental health is just as important as physical health and aims to create a world where mental health is embraced.

• The Director, MSSP Quality will lead cross-functional operational initiatives across Provider Networks and Product to ensure comprehensive data integrity and optimal performance in Quality reporting.
• The Director will be responsible for managing and resolving field queries, preparing comprehensive reporting for executive and practice leadership, and formulating strategic initiatives for MSSP Quality programs across the organization.
• The role requires strong leadership capabilities, analytical experience, and the ability to collaborate effectively with cross-functional teams while translating complex quality data into actionable insights that drive organizational excellence in MSSP Quality performance.

Aledade empowers independent primary care practices to deliver better care and thrive in value-based care. Founded in 2014, they are the largest network of independent primary care in the country with a collaborative, inclusive, and remote-first culture.

• Build and manage relationships with key targets to achieve KPIs.
• Articulate the vision of enterprise product offering to various prospects.
• Collaborate cross-functionally to deliver all aspects of the deal, including pricing and contract negotiations.

Pearl Health empowers primary care providers, health systems, and physician-led networks to succeed in the shift to value-based care.

The Payer Partnerships Lead will oversee the development, execution, and refinement of Trial Library's payer vertical strategy, owning the go-to-market motion for health plans and other entities. This role involves defining and executing the payer go-to-market strategy, leading end-to-end partnerships, and developing value propositions for payers and employers. The lead will also oversee partnership activities, collaborate with cross-functional teams, and establish KPIs to measure success with payer partners.

Trial Library is a mission-driven health technology company dedicated to improving health equity in cancer care by expanding access to precision medicine through clinical trials.

• Lead strategic partnerships with health plans and drive growth.
• Develop and execute growth strategies targeting payer organizations, health systems, and TPAs.
• Initiate and foster executive-level relationships at managed care organizations, health systems, and TPAs.

Tava Health believes mental health care should be as accessible and stigma-free as a checkup, and are reimagining the entire experience.

• Lead end-to-end implementation and operational rollout of new and existing programs.
• Develop and execute a customer support strategy rooted in responsiveness, partnership, and operational clarity.
• Partner with stakeholders to implement scalable, API-integrated pipelines that connect operational, contractual, financial, and performance data to automated workflows.

Aledade exists to empower the most transformational part of our health care landscape - independent primary care.

• Provide strategic leadership and expert oversight for payer relations and contracting.
• Manage a team responsible for negotiating and monitoring contracts with payers.
• Analyze contract terms and financial performance to influence strategic pricing strategies.

CommonSpirit Health is building a healthier future for all through its integrated health services as one of the nation’s largest nonprofit Catholic healthcare organizations.

• Manage strategic initiatives and new health plan launches.
• Facilitate collaboration across multiple departments and external health plan partners.
• Build project plans and track progress against milestones.

Zócalo Health is the first tech-driven provider built specifically for Latinos, by Latinos, developing a new approach to care designed around shared experiences.

• Engaging with prospective practices to secure commitment to value-based care contracts.
• Extending and negotiating participation agreements using Salesforce CRM/Conga/DocuSign.
• Serving as a mentor to Network Development Leads and other Growth / Field team members.

Aledade empowers independent primary care, forming the largest network in the US. They focus on value-based contracts and aim to improve healthcare for patients and practices, with a collaborative and remote-first culture.

• Supports & manages the implementation of market entry plans including vendor and health plan operational alignment.
• Validates operational requirements, confirms operational readiness and monitors compliance with contract requirements.
• Identifies and develops plans and SOPs for common workflows and resolves operational issues.

Aledade empowers independent primary care practices to deliver better care and thrive in value-based care. Founded in 2014, they are the largest network of independent primary care in the country with a collaborative, inclusive, and remote-first culture.

• Support the Chief Performance Officer on team goals and KPIs.
• Own all communications for the Office of the Chief Performance Officer.
• Project manage company and team-level goals for key senior leaders.

Aledade empowers independent primary care practices to deliver better care and thrive in value-based care. Founded in 2014, we've grown into the largest network of independent primary care in the country with a collaborative, inclusive, and remote-first culture.

• Lead payer-focused marketing initiatives to improve reach and pipeline performance.
• Build understanding of payer partners' business models to inform GTM strategies.
• Partner with marketing to elevate Maven’s relevance in the payer market.

Maven is the world's largest virtual clinic for women and families, dedicated to making healthcare accessible for all. With over 2,000 employers and health plans trusting their platform, Maven provides clinical, emotional, and financial support through innovative digital programs.

• Partner with the Sir Dir of CSPBD to develop and drive the company’s long range strategy process.
• Support the enterprise-level integrated planning process, including assessing competitive landscapes.
• Identify and execute on deals and novel partnerships that advance our business objectives.

Omada Health inspires and engages people in lifelong health, one step at a time. They have over a decade of experience and data, and 29 peer-reviewed publications showcasing clinical and economic proof points. Omada strives to build an inclusive culture where differences are celebrated.

• Own and manage ongoing relationships with oncology practice partners, ensuring clear, consistent communication between key stakeholders on both teams
• Monitor and report on partnership performance metrics, providing actionable insights to partner practices and internal leadership
• Continuously evaluate and optimize workflows to improve efficiency, performance outcomes, and overall partner experience, including adapting to new software releases or operational updates

Protocol Behavioral Health provides cancer-specific behavioral health treatment to patients by partnering with oncology clinics and cancer centers. The team consists of top tier executives and operators who have depth in experience across behavioral health, healthcare services and oncology payer relationships.

Lead the execution of operational strategy for assigned surgery centers, supporting growth initiatives and patient experience enhancements. Oversee day-to-day operations and governance, including board meetings and financial performance. Manage and mentor Center Administrators, ensuring alignment with organizational goals and delivery of high-quality operations.

This position is posted by Jobgether on behalf of a partner company and uses AI-powered matching process to ensure your application is reviewed quickly.

Healthcare operations leader with deep expertise in quality improvement across diverse provider networks. Responsible for overseeing the performance and reliability of the organization's network infrastructure. Leads cross-functional efforts that improve provider engagement, optimize workflows, and elevate overall network performance.

Humana Inc. is committed to putting health first – for our teammates, our customers and our company through insurance and healthcare services.