Specialist III, Contract Management & Implementation

Accountabilities

• Contract Review and Interpretation: Review and interpret payer contracts, amendments, provider manuals, and policies ahead of new payer launches, documenting key terms and identifying ambiguous or potentially risky language.

• Risk Identification and Escalation: Flag contractual issues with clear context, explain potential downstream implications, and recommend appropriate next steps to support timely resolution.

• Contract Documentation and Support: Serve as a reliable resource for contract-related questions, maintaining accurate documentation that supports billing, eligibility, payer implementation, and revenue cycle operations.

• Contract Repository Development: Help build and operationalize a centralized, searchable contract repository by organizing, migrating, and standardizing contract documentation and defining key contractual terms.

• AI-Powered Contract Intelligence: Support the development and improvement of AI-enabled payer intelligence tools by validating search accuracy, reviewing outputs, and ensuring relevant contract information can be retrieved reliably.

• Cross-Functional Collaboration: Partner with payer partnerships, payer launch, billing, and revenue cycle teams to resolve flagged risks, close documentation gaps, and obtain clarification from payer partners when needed.

• Reimbursement Analysis: Analyze reimbursement methodologies and contractual provisions to help maintain financial accuracy and reduce downstream billing and collections issues.

• Process Improvement: Identify opportunities to streamline contract management workflows, improve documentation quality, and modernize processes as the contract portfolio expands.

Requirements:

• Hands-on experience with payer contracts, contract amendments, provider manuals, payer policies, or similar healthcare documentation.

• Ability to locate, navigate, review, and interpret complex contractual documents and accurately extract relevant terms, obligations, and operational requirements.

• Exceptional attention to detail and a strong commitment to documentation accuracy, recognizing the financial and operational consequences of misinterpreted contract language.

• Strong analytical judgment and the ability to recognize ambiguity, identify contractual risks, assess downstream implications, and escalate issues with clear explanations and recommended actions.

• Excellent written and verbal communication skills, including the ability to convey complex contract information clearly and effectively to cross-functional stakeholders.

• A proactive, self-directed approach to problem-solving, with the ability to identify process improvements, manage competing priorities, and work effectively in an evolving environment.

• Comfort working with incomplete information and navigating ambiguity while maintaining accuracy and sound professional judgment.

• Familiarity with healthcare revenue cycle operations, including timely filing requirements, reimbursement provisions, claim routing, billing, and collections, is a plus.

• Experience with behavioral health payer contracts or healthcare reimbursement is an advantage.

• Interest in contract repository management, data organization, and AI-enabled tools for document search and information retrieval is beneficial.

• Employment classification: Full-time, hourly, non-exempt position.

• Location: The role is fully remote and advertised for U.S. employees.

Benefits:

• Hourly compensation: The posting lists a range of $25.00–$28.84 per hour in its compensation section and separately states a fully remote rate of $28.85 per hour. The applicable rate should be confirmed during the hiring process.

• Healthcare coverage: Medical, dental, vision, life, and disability insurance.

• Mental health support: No-cost access to therapy through the company’s platform for eligible U.S. employees.

• Retirement and financial wellness: Retirement savings programs and equity opportunities.

• Flexible time off: Flexible paid time off, company-paid holidays, and a company-wide winter break.

• Parental leave: Up to 18 weeks of paid parental leave, along with a stipend for a new child.

• Wellbeing time: Dedicated weekly flexible time for self-care, including therapy, exercise, journaling, family time, or rest.

• Wellness and professional development: An annual stipend to support personal wellbeing, education, fitness, books, and learning resources.

• Home office support: Benefits to support a productive home workspace.

• Meal benefits: Meal-related benefits tailored to remote and hub-based employees.

• Additional perks: Wellness memberships, virtual care, pet insurance discounts where available, and global travel assistance.

• Commuter benefits: Pre-tax commuter benefits for employees working from designated hub locations.

• Inclusive workplace: A commitment to equal employment opportunity and consideration of candidates with diverse backgrounds and transferable skills.