Negotiate MA & Medicaid value-based care contracts with prospective payer partners.
Collaborate with Senior Leadership to qualify and source market growth and expansion for multi-year risk arrangements.
Build and manage relationships with payers and other key stakeholders to resolve issues and optimize performance.
Aledade empowers independent primary care practices to deliver better care to their patients and thrive in value-based care. Founded in 2014, they are the largest network of independent primary care in the country, operating with a collaborative, inclusive, and remote-first culture.
Develop and execute commercial reimbursement strategies aligned with company objectives and growth plans.
Lead engagement with national, regional, and local commercial health plans.
Provide direct people management and leadership for the Market Access Manager team.
Calyxo, Inc. is a medical device company that addresses the need for improved kidney stone treatment. They're a dynamic team with experienced leaders and investors who aim to commercialize devices to meet unmet needs within urology.
You will own payer contracting strategy, aligning business interests with legal terms and regulations.
You will build for scale and implement systems to land high-value payer contracts efficiently.
You will review and negotiate the terms of Headway’s health plan agreements.
Headway is building a new mental healthcare system everyone can access by solving the biggest barrier to care: insurance. It is a Series D company with $325M+ in funding with over 75,000 providers across all 50 states that run their practice on their software, serving over 1 million patients.
Help network development and contracting goals within designated geographies.
Develop and refine local contracting strategies to drive provider participation in Medicare Advantage, Direct Contracting and other value-based initiatives.
Address and resolve any concerns raised by providers and effectively communicate those solutions to internal stakeholders.
Clover Health is a Medicare Advantage and Prescription Drug plan changing how healthcare is delivered by combining data with human empathy to keep members healthier. They are passionate and mission-driven individuals, working together to solve the most complicated problem in the world: healthcare.
Accountable for driving market-wide quality and savings targets by supporting the development of strategies and overseeing the execution of core ACO transformation strategies.
Lead a team of Practice Transformation Specialists (PTS) to ensure high-quality service delivery within the Explorer Market.
Provide frontline feedback to the Program Director to help build and refine the service delivery model while standing up the program.
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.
Lead comprehensive market entry and expansion strategies across regions, channels, and customer segments.
Source, evaluate, and negotiate strategic partnerships, alliances, and joint ventures that drive profitable growth and market penetration.
Collaborate with Sales, Marketing, and Product Development teams to align business development strategies with company objectives.
Virta Health is on a mission to reverse metabolic disease in one billion people through innovations in technology, personalized nutrition, and virtual care delivery. They have raised over $350 million and partner with health plans, employers, and government organizations.
Lead and manage a team of Regional Directors, providing coaching and performance feedback.
Oversee the delivery of consulting services to specialty provider practices.
Develop and implement strategies to support the needs of specialty customers.
The company is looking for a Lead Director, Managed Care. They value creating an inclusive culture by empowering employees to bring their unique and diverse selves to work.
Build partnerships with independent primary care practices and federally qualified health centers (FQHCs).
Lead consultative discussions and close provider participation agreements for value-based care programs.
Guide practices through onboarding and collaborate with clinical teams to ensure their success.
Florence Health is a technology-driven healthcare company that transforms primary care through value-based care partnerships with independent practices. It is an entrepreneurial organization that achieved over 15% cost savings for providers on its Nightingale platform in 2024 and 2025.
Communicating with providers regarding claims, service issues and general network provider complaints.
Developing an adequate provider network in assigned geographical areas (currently Texas metroplex areas).
Building and maintaining relationships with contracted providers, including inquiries related to contract status, roster corrections and information accuracy.
Evry Health, a Globe Life company, aims to bring humanity to health insurance. They are a high-technology health plan expanding benefits and access, and feature a personalized, human approach. Globe Life has 16.8 million policies in force, with more than 3,000 corporate employees and 15,000 agents.