Specialist III, Contract Management & Implementation

Overview

This role is on the Contract Management & Implementation (CM&I) team. The team oversees the operational aspects of payor contracts, ensuring contract terms are accurately interpreted, documented, and implemented throughout the revenue cycle.

As a Specialist III, you will review contract language in support of new payor launches—documenting key terms and flagging ambiguous or risky language early to prevent downstream billing issues. You will also help build the team’s contract repository into an organized, searchable resource for teams that rely on it.

Responsibilities

• Review and interpret payor contracts, amendments, and policies ahead of new payor launches
  • Document key terms
  • Escalate ambiguous or risky language with clear context and recommended next steps
• Serve as a go-to resource for contract-related questions
  • Provide accurate documentation used by billing, eligibility, and payor launch teams
• Help build and operationalize a contract repository and AI payor intelligence tooling
  • Organize and migrate contract documentation
  • Define key terms
  • Validate AI search accuracy
• Partner with cross-functional teams to resolve flagged risks and close information gaps with payor partners
• Analyze reimbursement methodologies and support financial accuracy through precise upstream contract review
• Surface process improvement ideas as the organization modernizes how it manages a growing contract portfolio

Requirements

• Detail-oriented with strong documentation and quality focus
• Ability to recognize ambiguous or risky contract language and understand downstream implications
  • Escalate with clear context rather than taking terms at face value
• Hands-on familiarity with payor contracts, amendments, provider manuals, or payor policies
  • Ability to source and navigate these documents to extract what matters
• Strong written and verbal communication
  • Convey complex contract information precisely to cross-functional partners
• Proactive self-starter comfortable working in ambiguity
  • Identify problems and process opportunities

Preferred Qualifications

• Behavioral health payor experience
• Revenue cycle knowledge, including familiarity with terms such as timely filing windows, reimbursement language, and claim routing

Compensation & Benefits

• Employment Type: Hourly, Non-Exempt
• Fully Remote Commitment
• Base Compensation:
  • The hourly compensation rate for this position is $28.85
  • Compensation Range: $25.00 - $28.84

Full-time employee benefits include:

• Comprehensive medical, dental, vision, life, and disability coverage
• No cost access to therapy through the Grow platform (available to US employees)
• Retirement savings programs and equity opportunities
• Flexible time off, paid holidays, and a full company wide Winter Break
• Up to 18 weeks of paid parental leave, plus a new child stipend
• Dedicated weekly flexible time for self-care (therapy, exercise, journaling, time with family, or taking a break)
• Annual wellness & development stipend
• Pre-tax commuter benefits (for teammates working from one of the hub locations)
• Home office & meal support tailored to remote and hub-based employees
• Additional wellbeing benefits, including wellness memberships, virtual care, pet insurance discounts (where available), and global travel assistance

Location

• Fully remote

Application Notes

• Upload your resume in PDF format.
• If you’re interested but don’t meet every requirement, the organization encourages you to apply.

Equal Opportunity

An equal opportunity workplace and an affirmative action employer. Employment decisions are made without regard to race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity, or Veteran status, consistent with legal requirements. Qualified applicants with criminal histories are considered in accordance with legal requirements.

AI-Related Recruitment Information

• AI and automated tools may be used to support recruitment, including reviewing applications, organizing interviews, detecting potential application integrity issues, and maintaining interview records; these tools do not make final hiring decisions.
• AI-Assisted Application Review may flag potential fraud or integrity issues for recruiter review; advancement decisions are made by the human recruiting team after independent review.
• Interviews may be recorded using an interview recording tool. You may request to stop recording anytime or opt out in advance; choosing not to be recorded will not, by itself, affect your candidacy.
• For select roles, AI features may structure initial recruiter screens and organize interview notes; responses are reviewed by the recruiting team and no hiring decisions are made by AI alone.

State-specific notices may apply depending on location (Illinois, New York City, and Maryland are referenced).