What are the responsibilities and job description for the Contract Specialist position at Certintell Telehealth?
Reporting
This position reports to Vice President of Operations.
Our Mission
Closing the care gap through virtual care delivery and bringing health equity to underserved communities.
Who is Certintell
Founded in 2014, Certintell is a Care Management company that offers programs to Medicare, Medicaid, and Dual-eligible patients in partnership with medical clinics, pharmacies and insurance providers. Certintell acts as a virtual care clinic by providing programs that improve access to care, reduce the cost burden of chronically ill patients, increases revenues to the Health Center and can improve overall Value-based Payments (VBP) and other relevant outcome-driven ratings (e.g. HEDIS).
CORE VALUES
- INNOVATION: Excel Innovation and Stay Forward Thinking
- COMPASSION: Live and Breath Compassion
- INTEGRITY: Integrity at the Root of Everything
- EXCELLENCE: Bring Excellence Everyday
Job Description
The Contract Specialist will play a key role in supporting the Director of Contracts in the negotiation, drafting, and management of legal agreements, with a particular emphasis on Medicaid State Plans and Medicaid Managed Care Plans. This role ensures compliance with regulatory requirements, organizational policies, and Medicaid guidelines while minimizing risk and fostering strong partnerships. The Contract Specialist will collaborate with internal stakeholders, legal counsel, state agencies, and Managed Care Organizations (MCOs) to ensure effective contract management and alignment with the organization’s strategic objectives.
- Represents the core values of the Company.
- Assist the Director of Contracts in drafting, reviewing, and negotiating agreements, including Medicaid State Plans, Managed Care Plan contracts, and other vendor or partner agreements.
- Monitor contract performance to ensure compliance with Medicaid guidelines, regulatory requirements, and organizational policies.
- Conduct detailed contract analyses to identify potential risks and recommend mitigative actions.
- Maintain a comprehensive database of executed contracts, amendments, and related documentation, ensuring accurate record-keeping and version control.
- Prepare reports and summaries for the Director of Contracts and other stakeholders regarding contract statuses, compliance issues, and performance metrics.
- Serve as a liaison between the organization, state agencies, MCOs, and other external partners to resolve contract-related inquiries and issues.
- Conduct research to stay current on Medicaid reimbursement structures, value-based contracting models, and regulatory changes impacting contract management.
- Support internal stakeholders by providing guidance on contractual obligations and processes.
- Participate in training sessions and workshops to improve contract management processes and enhance organizational compliance.
- Contribute to the development of scalable and robust contract templates and frameworks tailored to Medicaid program complexities.
Qualifications
- Bachelor’s degree in business administration, legal studies, public administration, or a related field; a master’s degree or JD is a plus.
- Minimum of 3-5 years of experience in contract management, legal, or compliance roles, preferably in the healthcare or Medicaid sector.
- Strong understanding of Medicaid State Plans, Medicaid Managed Care Plans, and related reimbursement structures.
- Proven ability to interpret complex legal and regulatory documents and provide actionable recommendations.
- Exceptional organizational and project management skills with attention to detail and accuracy.
- Strong negotiation and communication skills, both written and verbal.
- Proficiency in contract management software and Microsoft Office Suite.
- Familiarity with value-based contracting models and healthcare compliance requirements.
- Demonstrated ability to work collaboratively with diverse stakeholders, including legal teams, state agencies, and MCOs.
- Strong analytical skills and the ability to handle multiple projects in a fast-paced environment.
This position offers an opportunity to play a vital role in supporting the organization’s Medicaid programs and strategic initiatives through effective contract management and compliance.
Diversity
Certintell EEO/Affirmative Action Employer and does not discriminate on the basis of age, race, color, religion, gender, sexual orientation, gender identity, gender expression, national origin, protected veteran status, disability or any other legally protected status. Thorough background checks are required as a condition of employment.
Job Type: Full-time
Pay: $45,000.00 per year
Benefits:
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
Schedule:
- Monday to Friday
Work Location: Hybrid remote in Windsor Heights, IA 50324
Salary : $45,000
