
51 - 200 employees
Founded 1995
🏥 Healthcare
🏛️ Government
Healthcare • Government
Acumen Fiscal Agent is a long-established fiscal intermediary and fiscal employer agent that supports self-directed home care and Medicaid-funded programs across the United States. Since 1995 it has partnered with participants, families, state and federal programs, managed care organizations, counties, and Veteran programs to manage care funding, process payroll and taxes, prepare W-2s/1099s, handle Electronic Visit Verification (EVV), enroll participants and employees, track spending plans/budgets, and bill funding sources. Acumen specializes in enabling people who choose self-directed care to employ and manage their direct care workers while ensuring compliance with IRS, state and local tax, and Department of Labor requirements.
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51 - 200 employees
Founded 1995
🏥 Healthcare
🏛️ Government
Healthcare • Government
Acumen Fiscal Agent is a long-established fiscal intermediary and fiscal employer agent that supports self-directed home care and Medicaid-funded programs across the United States. Since 1995 it has partnered with participants, families, state and federal programs, managed care organizations, counties, and Veteran programs to manage care funding, process payroll and taxes, prepare W-2s/1099s, handle Electronic Visit Verification (EVV), enroll participants and employees, track spending plans/budgets, and bill funding sources. Acumen specializes in enabling people who choose self-directed care to employ and manage their direct care workers while ensuring compliance with IRS, state and local tax, and Department of Labor requirements.
• Own Acumen's contract portfolio and serve as the organizational quarterback for contract lifecycle activities from award through closeout • Manage contract renewals, amendments, notices, obligations, and closeout activities • Maintain centralized contract repositories and governance processes • Ensure contract activities follow established approval and governance standards • Maintain contract templates, playbooks, workflows, and operating procedures • Lead contract renewals, amendments, redlines, and negotiations • Coordinate stakeholder review and approval processes • Manage outside counsel engagement and legal review coordination • Support executive leadership in major negotiations and strategic contract initiatives • Maintain contract portfolio reporting, dashboards, and key performance metrics • Track notice periods, obligations, pricing structures, key dates, and risk indicators • Support leadership, Finance, and Board reporting with contract portfolio insights • Identify opportunities for improved economics, governance, and portfolio performance • Lead Contract Lifecycle Management (CLM) implementation and ongoing administration • Improve contract processes, workflows, and performance measurement • Build scalable contract standards and governance practices • Develop reporting and visibility tools for leadership and stakeholders • Supervise and develop Contract Management team members • Establish clear ownership, role definitions, and capacity planning • Build documentation, training materials, and departmental standards • Recommend future staffing, process, and technology enhancements • Report directly to the Chief Growth Officer
• Bachelor's degree in business, Finance, Procurement, Supply Chain, Legal Studies, Public Administration, or related field, or equivalent professional experience • 5–10 years of contract management, procurement, sourcing, legal operations, or related experience • Experience negotiating and managing commercial agreements • Experience coordinating reviews among multiple stakeholders • Strong Excel, reporting, organizational, and analytical skills • Strong written, verbal, and executive communication capabilities • Ability to work independently and drive outcomes with minimal supervision • Preferred: Experience implementing or administering CLM platforms • Preferred: Experience in healthcare, government, Medicaid, managed care, or regulated contracting environments • Preferred: Experience leading contract-process improvement initiatives • Preferred: Experience supervising employees or leading small teams • Preferred: Experience working with outside counsel and contract redlines • Preferred: Experience supporting executive leadership and board-level reporting
• 10% bonus • Fully remote work arrangement
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