Contract Specialist - Medicare

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Contract Specialist - Medicare based in the United States.

This role plays a key part in ensuring the accuracy, compliance, and effectiveness of healthcare provider contracts within a highly regulated Medicare environment. You will be responsible for managing contract performance, monitoring regulatory requirements, and supporting the financial and operational integrity of provider agreements. The position combines analytical oversight, stakeholder collaboration, and contract administration expertise to ensure that agreements align with federal and state healthcare standards. You will work closely with healthcare providers and internal teams to resolve issues, improve processes, and support compliant service delivery. The environment is detail-oriented, collaborative, and mission-driven, requiring strong regulatory awareness and communication skills. This is an impactful role supporting the efficiency and reliability of healthcare and insurance operations at scale.

Accountabilities:

• Develop, manage, and maintain healthcare provider contracts, including negotiation of rates, terms, and conditions while ensuring compliance with organizational and regulatory standards.
• Monitor contract performance using established KPIs and metrics, and communicate results and insights to key internal and external stakeholders.
• Ensure compliance with federal and state regulations, including Medicare policies, through ongoing research, analysis, and application of regulatory requirements.
• Build and maintain strong relationships with healthcare providers and partners to support effective communication and issue resolution.
• Support the development and implementation of contract management policies, procedures, and best practices.
• Identify and address operational issues related to contracts, ensuring timely resolution and continuous improvement.
• Collaborate with cross-functional teams to ensure accurate and timely claims processing and contract execution alignment.

Requirements:

• Bachelor’s degree in Accounting, Finance, Healthcare Administration, or a related field.
• 3–5 years of experience in contract administration, healthcare operations, insurance, or a related regulated industry.
• Strong knowledge of federal and state healthcare regulations, with a focus on Medicare policies and compliance requirements.
• Excellent analytical and problem-solving skills with the ability to manage complex contractual data and performance metrics.
• Strong negotiation, communication, and interpersonal skills with the ability to engage effectively with healthcare providers and stakeholders.
• High attention to detail and ability to manage multiple priorities in a structured, regulated environment.
• Ability to work collaboratively in cross-functional teams and support shared operational goals.
• Strong understanding of contract lifecycle management and provider agreement structures.

Benefits:

• Competitive compensation aligned with healthcare contract and compliance roles in the United States
• Remote work flexibility within the U.S.
• Comprehensive health, dental, and vision insurance coverage
• Opportunity to work within a leading national insurance and healthcare services organization
• Exposure to Medicare contract management and regulated healthcare environments
• Professional development and career growth opportunities in healthcare administration
• Collaborative and mission-driven work culture focused on client and community impact
• Standard benefits package including paid time off and retirement savings options.

How Jobgether works: We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team. We appreciate your interest and wish you the best!  Why Apply Through Jobgether?    Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.     #LI-CL1