Insurance Contract Specialist (Telemedicine)
Core
Secure commercial and government payor contracts to enable billing for a telemedicine platform, then scale coverage nationwide.
Role type
Insurance Contract Specialist (Telemedicine)
Builds
Commercial and government payor contracts for a US-based telemedicine platform
Domain
Healthcare / Telemedicine / Insurance Reimbursement
Deliverable
production ML models | product features | dashboards & analysis | client delivery | infrastructure
Required skills
Payor strategy & outreach, Contract negotiation, Credentialing & CAQH management, Knowledge of Medicare/Medicaid reimbursement models, Compliance with STARK/Anti-Kickback/HIPAA, Data-driven reporting
Preferred skills
Multi-state experience, Telehealth contracting experience, Process playbook development
Technologies
CAQH, STARK, HIPAA
Responsibilities
Research and prioritize states/payors based on market opportunity, Negotiate reimbursement rates and terms, Coordinate provider enrollment and licensing, Track contract pipeline and coverage metrics, Document best practices for scalable contracting
Seniority
Mid-level, hands-on IC
