Senior Manager, Managed Care & Payor Contracting

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

Job summary

Translucent AI is building an AI-native financial platform designed for healthcare, delivering agents that read, interpret, and optimize managed care contracts. The role centers on applying contracting expertise to shape product workflows and model outputs that align with payor requirements and reimbursement models.

The ideal candidate has extensive experience in managed care contracting, rate modeling, and payor performance monitoring, and can translate complex terms into structured data for AI

Qualifications

• 7+ years in managed care contracting or payor strategy.
• Experience with rate modeling, term negotiation, and payor performance monitoring.
• Ability to translate contracts into data and actionable insights.

Responsibilities

• Develop and deliver subject matter expertise in managed care contracting and payor strategy.
• Collaborate with engineering, product, and design to shape AI contracting systems.
• Build benchmarks and datasets to evaluate models against contracting tasks.
• Monitor upcoming policy changes across the managed care landscape.
• Translate complex contractual requirements into technical solutions with customers.

Skills

Managed care contracting

Payor strategy

Network management

Rate modeling

Term negotiation

Payor performance monitoring

Tools

Epic contracts

nThrive

Strata

Medicare fee schedules

Job description

Translucent AI is building an AI-native financial platform designed for healthcare, delivering agents that read, interpret, and optimize managed care contracts. The role centers on applying contracting expertise to shape product workflows and model outputs that align with payor requirements and reimbursement models.

The ideal candidate has extensive experience in managed care contracting, rate modeling, and payor performance monitoring, and can translate complex terms into structured data for AI