Role Description
We are seeking to hire a Contracts Manager to oversee the full lifecycle of healthcare-related contracts, ensuring alignment with regulatory requirements, organizational strategy, and financial objectives.
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Participates in contract negotiations with payors, MCOs, Medicare Advantage, and government programs in partnership with sales.
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Coordinate internally with legal, finance, compliance, and business development teams to ensure contracts align with organizational strategy.
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Maintain a repository of executed contracts and track key terms, renewal dates, and deliverables.
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Monitor ongoing compliance with contract terms and assist in resolving disputes or audits.
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Partner with product and commercial teams to support market access strategies.
Qualifications
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5β8+ years of progressive experience managing healthcare-related contracts.
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Proven track record negotiating, drafting, and managing payor, MCO, and Medicare Advantage agreements.
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In-depth knowledge of Medicare and Medicaid programs, reimbursement methodologies, and regulatory frameworks.
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Familiarity with value-based care, capitation models, and fee-for-service contracts.
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Direct experience in healthcare contracting, ideally with health plans, provider networks, or healthcare technology companies.
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Knowledge of CMS guidelines, HIPAA compliance, and state Medicaid regulations.
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Understanding of Medicare Advantage, MCOβs, including Stars, CAHPS, and risk adjustment programs.
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Ability to lead cross-functional contract implementation projects from initiation through execution.
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Experience developing timelines, managing stakeholders, and reporting status to leadership.
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Proficiency in project management tools (e.g., Jira, Asana, MS Project, or similar).
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Strong understanding of contract lifecycle management.
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Proficient in Excel and legal/financial modeling related to reimbursement or contract terms.
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Ability to analyze and interpret legal and financial risk in contract terms.
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Bachelor's degree required; JD, MBA, or Masterβs in Health Administration (MHA) preferred.
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Certification in Contract Management (e.g., CCCM, CPCM, or PMI-PMP) is a plus.
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Excellent communication and negotiation skills.
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Strong attention to detail and risk mitigation mindset.
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Ability to work autonomously and collaboratively in a fast-paced, innovative environment.
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Experience working in start-up or high-growth environments is highly valued.
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Understanding of elder care markets, digital health, or assistive robotics is a plus.
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Familiarity with AI-enabled healthcare solutions or remote care delivery models is a plus.
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Experience working with Medicare Advantage, Medicaid, or Dual Eligible Special Needs Plans (D-SNPs) is a plus.
Requirements
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This position is fully remote and may be performed from any location within the United States.