Full-Time Payer Contracting Director

Payer Contracting Director works with market leaders for Privia’s value-based contracts with payers and providers.

Key Responsibilities:

1. Manage cross-functional work-streams (Payer Contracting, Population Health Management, Performance Management, Analytics).
2. Manage strategic relationships with payers.
3. Address strategic issues with Payer Contracting and Population Health Leadership.
4. Make strategic recommendations based on market opportunities.
5. Assess legal and financial implications of contracts (new, amendments, assignments).
6. Represent Privia Medical Group to third-party payors.
7. Collaborate with Legal, Finance, Revenue Cycle, etc. to develop business arrangements.
8. Develop contracting policies and procedures for market demands and Privia needs.
9. Develop financial analytics, impact scenarios, and profitability metrics for contract proposals.
10. Monitor contract performance and develop remediation tactics for underperforming contracts.
11. Manage contract development process for Privia providers.
12. Gain access to key payer decision-makers.
13. Analyze and estimate financial impact of managed care contracts.
14. Travel required, as needed.
15. Additional Duties: As needed.

Qualifications:

• Bachelor's degree preferred, Master’s in Healthcare or MBA highly preferred.
• 6+ years of experience in health plans, health systems, or provider organizations.
• Thorough understanding of managed care products and financial impacts.
• Understanding of contracting processes and operations.
• Strong negotiation skills.
• Ability to grasp both clinical and business concepts.
• Strong analytical, quantitative, and financial skills.
• Project management skills (juggling multiple projects).
• Strategic and flexible thinking.
• Compliance with HIPAA rules and regulations.

Salary: $125,000 - $150,000 base pay (exclusive of bonuses/benefits).

Benefits: Medical, dental, vision, life, pet insurance, 401K, PTO, and wellness programs.

Bonus: Annual bonus targeted at 15%, and restricted stock units.

Remote Work Requirements (if applicable): 5 Mbps download, 3 Mbps upload internet speed.

Equal Opportunity Employer: Privia is committed to fostering a diverse and inclusive environment.

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