Day-to-Day Responsibilities:
- Review, structure and discuss with internal clients the terms of payer agreements including fee-for-service, capitation and value-based care agreements for Commercial, Medicare Advantage, and Medicaid programs.
- Structure, draft, negotiate and review complex payer agreements, including fee-for-service, capitation, and value-based care agreements, with national and regional payers, and other third parties.
- Review, redline and negotiate general documents in connection with such agreements such as confidentiality agreements and data use agreements.
- Create, improve, review and implement internal processes and procedures and guide teams in standardizing such agreements.
- Respond to legal requests on topics related to Aledade’s payer agreements and related programs and provide guidance as a subject matter expert.
- Handle additional assignments and responsibilities as needed.
Qualifications & Skills:
- J.D. degree and membership in at least one state bar.
- 10+ years prior payer contracting experience in a business-oriented law firm or in-house legal department (preference for someone who has been in-house at a payer).
- Advanced level contract drafting and negotiation skills related to fee-for-service arrangements. Ideal candidates will have experience with value-based care agreements and capitation agreements.
- Strong written, communication, and research skills.
- Interacts with others in a positive, respectful, and considerate manner. Ability to communicate effectively and professionally, including the ability to explain complex information to non-lawyers.
- Ability to work in a team environment while also delivering independent results.
- Demonstrated ability to work under competing deadlines and adjust responsibilities in response to recalibrated business needs.
- Ability to be flexible and scale in an extremely fast-paced, thriving startup environment.
Physical Requirements:
- Sitting for prolonged periods of time. Extensive use of computers and keyboard. Occasional walking and lifting may be required.
Top Skills
What We Do
Aledade is the largest network of independent primary care, enabling clinicians to deliver better patient outcomes and generate more savings revenue through value-based care. Aledade’s data, personal coaching, user-friendly workflows, health care policy expertise, strong payer relationships and integrated care solutions enable primary care organizations to succeed financially by keeping people healthy. Together with more than 1,900 practices and community health centers in 45 states and the District of Columbia, Aledade manages accountable care organizations that share in the risk and reward across more than 200 value-based contracts representing more than 2.5 million patient lives. To learn more, visit www.aledade.com or follow on X (Twitter), Facebook or LinkedIn.
Why Work With Us
At Aledade, we’re all about doing good for patients, practices and society - which is why we’re so passionate about value-based care and the work we do every day. Because we’re working to benefit all of society, we believe the best way to do so is to utilize all of our team members and their unique experiences, interests, backgrounds and beliefs.
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