Contracts Manager – Payor, MCO, Medicaid

🕒 il y a 1 mois

🗽 New York – Distant

🗽 New York – Remote

⏰ Temps Plein

🟡 Intermédiaire

🟠 Senior

👔 Manager

👻 Score fantôme 16%

Ce que ça veut dire : la probabilité que cette offre reste ouverte sans recrutement actif.Comment le lire : 60 % ou plus, on pense que c'est une offre fantôme. Un score plus bas est moins inquiétant.Comment on la calcule : ancienneté, republications, postes ouverts vs taille de l'équipe, rapidité de clôture, et si le salaire est indiqué.À noter : une estimation à partir de données publiques, pas un jugement sur l'entreprise. De vraies offres peuvent avoir un score élevé, alors prenez-le comme un indice, pas comme un fait.

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Intuition Robotics

Site WebLinkedInTous les Emplois

51 - 200 employés

🤖 Intelligence artificielle

🏥 Santé

Artificial Intelligence • Healthcare

Intuition Robotics a pour mission de prendre soin des personnes âgées grâce à un compagnon d’IA empathique, afin de les aider à vivre plus longtemps en meilleure santé, plus heureuses et plus autonomes. Sa technologie révolutionnaire s’appuie sur l’empathie pour créer ElliQ®, un compagnon d’IA qui établit une relation de confiance, favorise un engagement durable et encourage l’évolution des comportements chez les personnes âgées. Le produit agit comme un compagnon de soins proactif qui aide les utilisateurs à rester en bonne santé, actifs et motivés, tout en atténuant les effets de la solitude et de l’isolement social.

Description

• Participate in contract negotiations with payors, MCOs, Medicare Advantage, and government programs in partnership with sales • Coordinate internally 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 • Oversee the full lifecycle of healthcare-related contracts, ensuring alignment with regulatory requirements, organizational strategy, and financial objectives • Lead cross-functional contract implementation projects from initiation through execution • Develop timelines, manage stakeholders, and report status to leadership

🎯 Exigences

• 5–8+ years of progressive experience managing healthcare-related contracts • Proven track record negotiating, drafting, and managing payor, MCO, and Medicare Advantage agreements • In-depth knowledge of Medicare and Medicaid programs, reimbursement methodologies, and regulatory frameworks • Familiarity with value-based care, capitation models, and fee-for-service contracts • Direct experience in healthcare contracting, ideally with health plans, provider networks, or healthcare technology companies • Knowledge of CMS guidelines, HIPAA compliance, and state Medicaid regulations • Understanding of Medicare Advantage, MCO’s, including Stars, CAHPS, and risk adjustment programs • Ability to lead cross-functional contract implementation projects from initiation through execution • Experience developing timelines, managing stakeholders, and reporting status to leadership • Proficiency in project management tools (e.g., Jira, Asana, MS Project, or similar) • Strong understanding of contract lifecycle management • Proficient in Excel and legal/financial modeling related to reimbursement or contract terms • Ability to analyze and interpret legal and financial risk in contract terms • Bachelor's degree required • Excellent communication and negotiation skills • Strong attention to detail and risk mitigation mindset • Ability to work autonomously and collaboratively in a fast-paced, innovative environment • Experience working in start-up or high-growth environments is highly valued • Understanding of elder care markets, digital health, or assistive robotics • Familiarity with AI-enabled healthcare solutions or remote care delivery models • Experience working with Medicare Advantage, Medicaid, or Dual Eligible Special Needs Plans (D-SNPs)