Senior Managed Care & Payor Contracting Expert

Doist; New York (NY); On-site; USD 175,000 - 250,000; Full time

Job summary

Translucent in New York City is seeking a subject matter expert in managed care contracting to shape AI-driven contracting capabilities for health systems. The role focuses on how our AI models read contract language, estimate reimbursements, and monitor payor behavior while aligning with product and legal standards.

The full-time position sits in New York City (preferred) and partners with engineering, product, and customer delivery to translate complex contractual and financial requirements

Qualifications

• 7+ years in managed care contracting or payor strategy.
• Experience with rate modeling, term negotiation, and payer performance monitoring.
• Ability to convert contracts into structured data and rules for AI systems.

Responsibilities

• Develop expert knowledge of managed care contracting to support AI product development.
• Collaborate with engineering, product, and design teams to build contracting workflows for AI.
• Create benchmarks and datasets for evaluating model performance on contract tasks.
• Monitor upcoming policy changes across the managed care landscape.
• Translate complex contractual requirements into technical solutions for customers.

Skills

Managed care contracting

Payor strategy

Contract modeling

Data workflow design

Stakeholder communication

Tools

Epic contracts

nThrive

Strata

Job description

Translucent in New York City is seeking a subject matter expert in managed care contracting to shape AI-driven contracting capabilities for health systems. The role focuses on how our AI models read contract language, estimate reimbursements, and monitor payor behavior while aligning with product and legal standards.

The full-time position sits in New York City (preferred) and partners with engineering, product, and customer delivery to translate complex contractual and financial requirements