Contracts Manager – Payor, MCO, Medicaid

🔥 0 minutes ago

🗽 New York – Remote

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⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

👻 Ghost score 15%

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Logo of Intuition Robotics

Intuition Robotics

51 - 200 employees

🤖 Artificial Intelligence

🏥 Healthcare

Artificial Intelligence • Healthcare

Intuition Robotics is on a mission to care for our older adult population with an empathetic AI companion, allowing them to live healthier, happier and more independent lives. Their ground-breaking technology synthesizes empathy to create an AI companion, ElliQ®, that establishes a trusted relationship, maintains high engagement, and drives behavior change in older adults. The product serves as a proactive care companion that helps users stay healthy, engaged, and motivated, while alleviating the effects of loneliness and social isolation.

📋 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

🎯 Requirements

• 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)

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