THE OPPORTUNITY:
The Chief Commercial Officer (CCO) will lead MHN’s payor strategy, expanding strategic partnerships, with a particular focus on government-sponsored products, Federally Qualified Health Centers (FQHCs), and enterprise-level payor contracts. As a core member of the executive leadership team, the CCO will be responsible for developing and executing initiatives that expand MHN’s payor partnerships, fuel revenue growth, and strengthen the organization’s role in value-based care. The CCO will play a critical role in aligning MHN’s growth objectives with its mission of transforming healthcare, focusing on near-term partnerships that serve safety-net populations and government-sponsored health plans.
WHAT YOU CAN LOOK FORWARD TO:
- Payor Strategy Development:
Lead the creation and execution of repeatable payor strategies focused on government-sponsored programs, including Medicaid, Medicare Advantage, and dual-eligible populations. Drive alignment between payor agreements and MHN’s capabilities in delivering value-based care, particularly through FQHC partnerships.
Develop, cultivate, and expand strategic partnerships with key stakeholders, including payors, healthcare providers, FQHCs, and other relevant entities in the healthcare ecosystem. Work in collaboration with MHN leadership team to build alliances that enhance MHN’s market presence, create innovative care models, and drive sustainable growth. Ensure alignment between MHN’s near and long-term goals and the objectives of its partners, fostering collaboration and mutual success.
- Revenue Generation through Payor Agreements:
Design and negotiate enterprise-level payor contracts, focusing on Medicaid Managed Care Organizations (MCOs), Medicare Advantage plans, and other government-sponsored programs. Identify innovative business models that align financial incentives with improved health outcomes, positioning MHN as a leader in value-based care.
- Market Expansion & New Opportunities:
Lead efforts to expand MHN’s services into new geographic markets and populations, targeting government-sponsored products. Assess emerging market trends, regulatory shifts, and opportunities in value-based care to proactively capture new growth areas.
- Enterprise Contract Construct Leadership:
Oversee the development of scalable, innovative contract constructs that meet the evolving needs of payors and providers. Create agreements that balance risk-sharing, performance-based incentives, and sustainable revenue streams.
- Strategic Partnership Development & Management:
Identify, build, and manage strategic partnerships with health systems, provider networks, and other key stakeholders to expand market presence and enhance service offerings. Own and lead negotiations with payors, including Medicare, Medicaid, and commercial insurance providers, to secure favorable value-based care contracts. Ensure contracts align with company goals and contribute to long-term sustainability.
- Client Relationship Management:
Serve as the lead relationship manager for key payor and partnership stakeholders, ensuring high levels of satisfaction, retention, and collaboration. Ensure payor and partner needs are met while driving alignment with MHN’s value proposition and mission.
- Collaborative Leadership:
Collaborate with internal teams—including strategy, market operations, clinical care coordination, and technology—to ensure the successful implementation of payor strategies and partnership initiatives. Leverage data and insights to support negotiations, business development efforts, and decision-making processes.
- Thought Leadership & Industry Representation:
Represent MHN as a thought leader in the healthcare space. Speak at industry events and conferences to elevate MHN’s profile and advocate for innovative partnerships in value-based care. Stay informed on healthcare policy and regulatory changes that impact government-sponsored products and FQHCs.
WHAT YOU’LL NEED TO SUCCEED:
- Bachelor’s degree in business, Healthcare Administration, or a related field as well as an advanced degree in related field.
- 15+ years of experience in business development or commercial roles within the healthcare or consulting industry, with a strong focus on managed care and value-based care models, payor negotiations, and strategic partnerships
- Proven track record in driving business growth.
- Deep understanding of healthcare reimbursement models, payer contracting, and the value-based care landscape.
- Strong leadership skills with a background in managing cross-functional teams and driving strategic initiatives.
- Exceptional negotiation skills, with experience securing and managing complex contracts with payors and other partners
- Excellent communication and presentation skills, with the ability to clearly articulate complex concepts to a variety of audiences.
- Experience in developing and executing growth strategies in healthcare, particularly in payer relations and market expansion.
Medical Home Network is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected characteristic. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.