Head of Managed Care Contracting
Amazon
Job Overview
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Job Description
About One Medical and Amazon Health
One Medical, part of Amazon's mission to be Earth's most customer-centric company, is revolutionizing healthcare delivery. For over fifteen years, One Medical has provided innovative primary care solutions, combining seamless in-office and 24/7 virtual care services, on-site labs, and comprehensive programs for preventive care, chronic care management, common illnesses, and mental health support.
The Opportunity: Head of Managed Care Contracting
One Medical is seeking an exceptional Sr. Manager of Business Development to serve as the Head of Managed Care Contracting & Operations. This pivotal leadership role will be responsible for building and driving the national strategy for payer partnerships, contracting, credentialing, and value-based performance management. This position is central to accelerating One Medical’s growth through innovative value-based care models and scaled full-risk arrangements.
Key Job Responsibilities
- Develop, refine, and execute One Medical’s national payer contracting strategy, with emphasis on value-based and full-risk arrangements across Medicare, Medicare Advantage, commercial, and duals populations.
- Lead national payer relationships, including network strategy, deal structuring, negotiation, and ongoing performance oversight with major national and regional health plans.
- Oversee credentialing operations, ensuring timely onboarding, compliance, and alignment with operating and clinical workflows.
- Drive payer performance management, including attribution optimization, contract performance analytics, revenue integrity, and issue escalation/resolution.
- Partner closely with Clinical, Operations, Market Leadership, Data/Analytics, and Finance to operationalize contracts, ensure accountability, and drive outcomes in cost, quality, experience, and growth.
- Serve as a strategic voice and advisor to the President and executive team on payer trends, risk models, regulatory shifts, and growth opportunities.
- Build and develop a high-performing team capable of scaling contracting and payer operations nationally.
- Represent One Medical and Amazon Health externally with payer executives, industry partners, government entities, and professional associations.
Basic Qualifications
- 10+ years of experience building and leading large teams and working in matrixed operating structures.
- Knowledge of distribution networks and channel P&Ls.
- Bachelor's degree or equivalent.
- Experience working and communicating with multiple stakeholders, C-level executives, and cross-functional teams.
- Experience in strategic thinking about business, enterprise software products, and new technology platforms and architectures.
- Experience negotiating VP-level contracts with channel partners and agencies.
- Experience collaborating with cross-functional teams including Marketing, Product Management, Customer Service, Operations, Legal, Finance, and Senior Leadership.
Preferred Qualifications
- Experience in health care vendor management.
Key skills/competency
- Payer Contracting
- Value-Based Care
- Network Strategy
- Healthcare Business Development
- Team Leadership
- Negotiation
- Credentialing Operations
- Performance Management
- Executive Advisory
- Regulatory Compliance
How to Get Hired at Amazon
- Research Amazon and One Medical's culture: Study their mission, values, recent healthcare news, and employee testimonials on LinkedIn and Glassdoor.
- Tailor your resume: Customize your resume to highlight 10+ years of managed care contracting, business development, and team leadership experience, aligning with the Head of Managed Care Contracting role.
- Showcase strategic impact: Prepare examples demonstrating your ability to develop national strategies, negotiate complex deals, and drive value-based outcomes.
- Practice Amazon's leadership principles: Familiarize yourself with Amazon's 16 Leadership Principles and be ready to share specific examples of how you embody them.
- Network effectively: Connect with current or former Amazon and One Medical employees on LinkedIn for insights into the company and the interview process.
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