BethesdaRecruiter Since 2001
the smart solution for Bethesda jobs

Director, Commercial Payer Performance - Remote

Company: Lever
Location: Bethesda
Posted on: January 12, 2021

Job Description:

Director, Commercial Payer Performance - Remote Bethesda, MD / Provider Networks - Network Operations & Performance / We are actively recruiting for a Director of Commercial Payer Performance. The Director will play a critical role in driving performance strategy and contract operations in Aledade's national portfolio of value-based contracts across Commercial lines of business ( We are flexible with respect to geographic location, and the ideal candidate will be comfortable working remotely/work from home within the US. Responsibilities:

  • Develop and implement strategic and operational plan for each commercial contract to drive successful outcomes across Aledade's provider network
  • Serve as the subject matter expert of each contract; able to translate contract terms into actionable approaches to achieve savings
  • Conduct analyses to pinpoint greatest areas for cost and quality interventions--
  • Work alongside and support Aledade's field teams to prioritize and integrate key initiatives--
  • Collaborate across Aledade teams, including Product, Training & Learning, Business Operations, and Business Development to advance Aledade's payer strategy at the market level
  • Develop tracking tools and metrics for monitoring progress for each contract and across the portfolio of contracts--
  • Synthesize performance status including key successes and challenges by contract and report to leadership and other stakeholders
  • Manage payer partner relationship and ensure deliverables are met
  • Manage and mentor Performance Analysts
  • Perform all other duties and special projects as requested by Aledade's Provider Network leadership team. Preferred Qualifications:
    • A Master's degree or other advanced degrees in health services research, health policy, mathematics/statistics, information technology, or other relevant fields is preferred
    • Candidate should have a deep understanding of the payor landscape and value-based care--
    • Candidates should have a minimum 6 years of related experience working in the healthcare industry (i.e., health plan, hospital, pharmaceutical manufacturer, government, pharmacy chain, management consulting) with a proven track record of successfully managing projects and performance and interfacing with internal or external stakeholders
    • Familiar with HEDIS quality measures and quality improvement approaches--
    • Relevant competencies include developing and maintaining customer relationships, analytical problem solving, project management, effective written and verbal communication, and strategic insight
    • Familiar with quality measures & quality performance initiatives--
    • Must be results-oriented with the ability to prioritize and manage multiple projects simultaneously to consistently meet deadlines and client expectations
    • Periodic travel to assigned Aledade markets and team retreats is required.--
    • Comfortable working in a fast-paced, dynamic environment while maintaining focus on key goals. If you are passionate about transforming the healthcare system into one that best serves the needs of patients, doctors, and society, we'd love for you to join us! Who We Are: Aledade is a leader in population health that is using innovative, value based solutions to transform the way physicians interact with their patients. We are on a mission to change healthcare for the better and solve complex problems within the healthcare system.-- We follow the simple but radical idea that Aledade only succeeds when our partner practices succeed. From our cutting-edge technology platform to practice transformation services, we provide physicians with everything they need to create and run an accountable care organization (ACO ), revamping the way they practice and getting them back to where they should be: quarterbacking their patients' health care! Our customized solutions help clinicians in communities across America preserve their autonomy, deliver better care to their patients, reduce overall costs, and keep independent physician practices flourishing. What Does This Mean for You? At Aledade, 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 work with team members that bring a wide range of experiences, interests, backgrounds, beliefs, and achievements to their work, united by a shared passion for public health and a commitment to the Aledade mission. We've recently been recognized as a Top Workplace by The Washington Post, Best Workplace in HealthCare & Biopharma, Top 100 Best Small & Medium Workplaces, Glassdoor Best Places to Work, a Best and Brightest Companies to Work for in the Nation, a Tech Tribune 10 Best Tech Startups in Maryland and Bethesda, Best Tech for Good, Best Workplaces for Millennials, Best Workplaces for Women, Best Workplaces for Parents, and a 2020 Inno on Fire by DC Inno. That's because the things that matter to you also matter to us! In addition to time off to support work-life balance and enjoyment, we offer the following comprehensive benefits package designed for the needs of our team-members: Flexible work schedules and ability to work remotely available for many roles Educational Assistant Program Robust time off plan (21 days of PTO in your first year!) 10 paid holidays 12 weeks paid Parental Leave for all new parents 6 weeks paid sabbatical Health, dental and vision insurance paid at 80% for employees, dependents, and domestic partners 401(k) with up to 4% match Stock options Monthly cell phone stipend-- Weekly catered lunches Jeans everyday workplace Gender neutral bathrooms-- And more! At Aledade, 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.

Keywords: Lever, Bethesda , Director, Commercial Payer Performance - Remote, Executive , Bethesda, Maryland

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Executive Jobs


Case Manager, Immigration (Bilingual Spanish)
Description: Facility: ISAP BALTIMORE MD Compensation Base: Compensation Bonus if applicable : Equal Opportunity Employer. Job Description Experienced Case Managers-a world of opportunities awaits you Are you looking (more...)
Company: BI Incorporated
Location: Baltimore
Posted on: 01/24/2021

Junior Account Manager
Description: Junior Account Manager We're Growing Our clients are looking for viable alternatives to their current
Company: USHA
Location: Baltimore
Posted on: 01/24/2021

Vice President
Description: VIce President for Transportation - Mid-AtlanticThis senior position carries responsibilities for managing and leading transportation design, transit design, construction management and inspection services, (more...)
Company: C.C. Johnson & Malhotra, PC
Location: Laurel
Posted on: 01/24/2021


Manager of Legislative and Regulatory Policy
Description: Manager of Legislative and Regulatory PolicyWashington, DC br -- br The American Dental Association is dedicated to promoting the public's health through its initiatives in research, education, advocacy, (more...)
Company: AMERICAN DENTAL ASSOCIATION
Location: Washington
Posted on: 01/24/2021

Senior Account Manager
Description: ABOUT THE OPPORTUNITY:NFF Inc. is currently seeking a Senior Account Manager to focus on State, Local and High Education market to help expand our growth in the Washington, DC Metro Area. The successful (more...)
Company: N.F.F.
Location: Baltimore
Posted on: 01/24/2021

Director Of Business Development
Description: Director of Business Development - Navy and Marine CorpsPosition Summary:For more than 120 years, Janes has been the trusted agency for global open-source Intelligence, supplying our national security, (more...)
Company: Janes
Location: Baltimore
Posted on: 01/24/2021

Manager Software Engineering 3
Description: Category: EngineeringLocation: Baltimore, MarylandUS Citizenship Required for this Position: YesClearance Type: SecretTelecommute: No -Teleworking not available for this positionShift: 1st ShiftTravel (more...)
Company: Northrop Grumman
Location: Baltimore
Posted on: 01/24/2021

CVOR Surgical Services Nurse Director
Description: An extraordinary career opportunity is now available for an experienced CVOR Surgical Services Nurse Director in the Crownsville, MD area. An award-winning hospital is seeking a CVOR Nurse Director to (more...)
Company: Clinical Management Consultants
Location: Arnold
Posted on: 01/24/2021

Management Leaders - Own your own Business
Description: Own A Franchise br 40 BUSINESS CATEGORIES br PROVEN BUSINESS MODELS br FIND OUT HOW BUSINESS br OWNERS CAN EARN MORE br Have you ever thought about owning your own business If so, now is the (more...)
Company: WilliamsonHeckt
Location: Salisbury
Posted on: 01/24/2021

Manufacturing Program Manager
Description: Description: br Representative Duties and Tasks:The Program Manager responsibilities include:- Manage and provide overall leadership and guidance to projects: ul li Primary interface to customer (more...)
Company: Crescend Technologies
Location: New Freedom
Posted on: 01/24/2021

Log In or Create An Account

Get the latest Maryland jobs by following @recnetMD on Twitter!

Bethesda RSS job feeds