Description
The Contracts Manager will oversee the full lifecycle of healthcare-related contracts, ensuring alignment with regulatory requirements, organizational strategy, and financial objectives. This role combines expertise in contract negotiation and management, healthcare industry compliance, and cross-functional project leadership.
Key Responsibilities
• Participates 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 ensure contracts align 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.
Requirements
1. Contracts Management Experience
• 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.
2. Healthcare Industry Expertise
• 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.
3. Project Management Capabilities
• 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).
4. Technical & Analytical Skills
• 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.
4. Education & Certifications
• Bachelor's degree required; JD, MBA, or Master's in Health Administration (MHA) preferred.
• Certification in Contract Management (e.g., CCCM, CPCM, or PMI-PMP) is a plus.
5. Soft Skills & Communication
• 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.
6. Nice to have
• 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).
This position is fully remote and may be performed from any location within the United States.
In a nutshell
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.
