Overview

Vice President of Health Plan Partnerships Jobs in United States at ConcertoCare

Title: Vice President of Health Plan Partnerships

Company: ConcertoCare

Location: United States

ConcertoCare is the leading tech-enabled, value-based provider of at-home, comprehensive care for seniors and other adults with unmet health and social needs. ConcertoCare’s human-first approach deploys physician-led interdisciplinary teams— supported by its proprietary population health platform, Patient3D®, and clinical decision support tools — to manage the country’s most medically and socially complex and costly patients in ways that keep them in their homes and out of the hospital. The results are better health outcomes, reduced costs, and a more personalized and integrated experience for patients and their families.

ConcertoCare’s distinctive approach was pioneered by the nation’s leading experts in home-based geriatric medicine and value-based complex and palliative care delivery. Our model leverages virtual health, remote monitoring, and data and analytics to extend and enable care delivery in a truly patient-centered, personalized, convenient, and scalable fashion. Our work is underpinned by a deep commitment to health equity, leveraging care teams who exhibit the cultural competencies and empathy needed to meet patients where they are. ConcertoCare currently serves patients across the country and is rapidly expanding its national footprint.

Job Summary

TheVice President, Health Plan Partnershipswill join ConcertoCare at an exciting time of rapid growth for the company, with a large and expanding market, increasing national footprint and proven model for meaningfully improving patient outcomes and reducing healthcare spend through in-home care for adults with complex health and social care needs. This role will report to the Chief Growth Officer (CGO) and work hand-in-hand with cross-functional and market-level leadership to drive ConcertoCare’s growth objectives.

The Vice President, Health Plan Partnerships will be a seasoned healthcare growth leader, responsible for driving strategic health plan partnerships across all existing and new markets for ConcertoCare’s wrap-around care and in-home primary care service lines. S/he will actively drive and executive efforts to source, develop, and close new value-based payor partnerships and provider contracts, collaborating closely with operational, clinical, finance, and legal leaders to structure competitive partnership arrangements. This role will be responsible for building a robust and diversified pipeline of health plan prospects, and successfully advancing them through the deal cycle to drive new payor partnership growth at scale.

Essential Duties & Responsibilities

Drive new risk-based health plan partnerships

Grow and manage a high-yielding pipeline of health plan partner prospects for ConcertoCare’s wrap-around care service line (CarePartners)

Directly source, develop, negotiate, and close new value-based provider contracts with payors for our CarePartners business line

Source and execute risk-based provider contracts with MA and special needs plans for ConcertoCare’s in-home primary care service offering (GPC)

In coordination with cross-functional team members and growth leadership, drive new risk-based health plan contracting processes from beginning-to-end, including development of initial letter of intent, formalization of key contract terms, negotiations and closure

Serve as an integral leader and thought partner within the broader growth organization, bringing a data-driven perspective to new growth opportunities in the health plan and broader B2B space

Manage…

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About ConcertoCare