Contracts Manager - Payor, MCO, and Medicaid Focus
New
I
Intuition RoboticsHealthcare contracting
This position is fully remote and may be performed from any location within the United States.Full-TimeManager
Salary not disclosed
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Job Details
- Experience
- 5–8+ years of progressive experience managing healthcare-related contracts.
- Required Skills
- Microsoft Excel
Requirements
- Have 5–8+ years of progressive experience managing healthcare-related contracts.
- Demonstrate experience negotiating, drafting, and managing payor, MCO, and Medicare Advantage agreements.
- Bring in-depth knowledge of Medicare and Medicaid programs, reimbursement methodologies, and regulatory frameworks.
- Be familiar with value-based care, capitation models, and fee-for-service contracts.
- Have direct healthcare contracting experience, ideally with health plans, provider networks, or healthcare technology companies.
- Know CMS guidelines, HIPAA compliance, and state Medicaid regulations.
- Understand Medicare Advantage, MCOs, Stars, CAHPS, and risk adjustment programs.
- Be able to lead cross-functional contract implementation projects and manage timelines, stakeholders, and leadership status reporting.
- Be proficient in project management tools such as Jira, Asana, or MS Project, and in Excel and legal or financial modeling related to reimbursement or contract terms.
- Be able to analyze and interpret legal and financial risk in contract terms.
- Hold a bachelor's degree; a JD, MBA, or master's in Health Administration is preferred.
Responsibilities
- Participate in contract negotiations with payors, MCOs, Medicare Advantage, and government programs in partnership with sales.
- Coordinate with legal, finance, compliance, and business development teams to align contracts with organizational strategy.
- Maintain a repository of executed contracts and track key terms, renewal dates, and deliverables.
- Monitor ongoing compliance with contract terms and assist in resolving disputes or audits.
- Partner with product and commercial teams to support market access strategies.
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