Description

You will manage Akido's payer and provider contracting activities, including drafting, negotiating, and administering managed care agreements. Act as a key liaison between Akido and health plan representatives, ensuring effective communication and timely resolution of contract-related issues. This role involves independent work on complex contracting matters and collaboration with internal stakeholders to operationalize contract terms.

Requirements

• Bachelor's degree required (healthcare administration, business, or related field preferred).
• 5+ years of managed care contracting experience, preferably with a health plan, IPA, MSO, or provider group in California.
• Strong understanding of delegated model arrangements, capitation, and prepaid reimbursement structures.
• Familiarity with California regulatory requirements (DMHC, Knox-Keene Act).
• Ability to analyze, interpret, and summarize medical contracts and health maintenance agreements.
• Excellent written and verbal communication skills, including ability to write reports, correspondence, and memos.
• Strong organizational skills with ability to manage multiple contracts and deadlines.
• Proficient in contract management systems and Microsoft Office.

Responsibilities

• Analyze and review payer contracts to assist legal counsel with contract negotiations.
• Draft, redline, and negotiate managed care agreements with payers and provider groups under delegated and non-delegated arrangements.
• Manage the full contract lifecycle including execution, amendments, renewals, and terminations.
• Act as liaison between payers and internal departments within Akido to ensure effective communication.
• Facilitate problem resolution for issues that arise between Akido and payers, and coordinate with revenue cycle teams to address payment variance, denials, and other payment issues.
• Represent Akido in JOC meetings with payers.
• Provide written communication to Akido management to ensure applicable staff is properly notified of specific parameters as defined in contracts.
• Coordinate with Finance and Legal departments to ensure timely and accurate data analysis on prepaid contracts.
• Ensure contracts comply with regulatory requirements and applicable state and federal regulations.
• Maintain contract database and ensure accurate documentation of all agreement terms, rates, and key dates.
• Support special projects as requested by leadership.
• Other duties as assigned.