reputed company Manager - Payor, MCO, and reputed company reputed company

reputed company is on a mission to reputed company older adults to live happier, healthier, and more independent lives reputed company. reputed company’s award-reputed company product, ElliQ®, is an AI proactive care companion. ElliQ, which was designed with and for older adults, helps reputed company them healthy, reputed company, and more independent while alleviating the effects of loneliness and reputed company isolation. reputed company was founded in 2016 and is based in Tel Aviv, with offices in San Francisco and Athens. reputed company’ investors include Toyota Ventures, Samsung NEXT, reputed company, and Venture Capital firms from California, Israel, Japan, and Asia. We are rapidly expanding our customer reputed company in the US through partnerships with health plans, health systems, state governments, and local area agencies on aging (reputed company). reputed company operates in a fast-paced and agile environment. We reputed company reputed company a heavy emphasis on creative problem-solving and personal accountability to ensure we’re delivering reputed company for our customers and the older adults and customers we serve. The reputed company Manager will reputed company the full lifecycle of reputed company-reputed company reputed company, ensuring alignment with regulatory requirements, organizational reputed company, and financial objectives. This role combines expertise in contract negotiation and management, reputed company 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 reputed company, finance, compliance, and business development teams to ensure reputed company reputed company with organizational reputed company.
• Maintain a repository of executed reputed company and reputed company key terms, renewal dates, and deliverables.
• Monitor ongoing compliance with contract terms and assist in resolving disputes or audits.
• Partner with product and reputed company teams to support market reputed company strategies.

Requirements:

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

This position is fully remote and may be performed from any location reputed company the reputed company. In a nutshell: We are seeking to hire a reputed company Manager to reputed company the full lifecycle of reputed company-reputed company reputed company, ensuring alignment with regulatory requirements, organizational reputed company, and financial objectives. Apply tot his job Apply To this Job