Telemedicine platform for chronic conditions like obesity. Backed by Y Combinator.
About the role
Research and prioritize states/payors based on market opportunity, regulatory landscape, and patient demand. Negotiate favorable reimbursement rates, terms, and service‑line coverage for telemedicine.
What they're looking for
- Strong negotiation skills with payor reps and legal teams
- Credentialing & CAQH proficiency, familiar with STARK, Anti‑Kickback, HIPAA
- Data‑driven, comfortable building simple coverage models and dashboards
More about this role
As our first Insurance Contract Specialist , you will secure commercial and government payor contracts that allow Measured to bill insurance in priority states, then expand coverage nationwide. You’ll coordinate credentialing, negotiate reimbursement terms, and create the roadmap that turns insurance contracting into a repeatable, scalable process.
Payor Strategy & Outreach
Research and prioritize states/payors based on market opportunity, regulatory landscape, and patient demand.
- Build relationships with payor network managers and initiate contract discussions.
Contract Negotiation & Execution
Negotiate favorable reimbursement rates, terms, and service‑line coverage for telemedicine.
- Drive agreements to signature while safeguarding company economics and compliance.
Credentialing & Compliance
Coordinate provider enrollment, CAQH updates, and state‑specific licensing requirements.
- Ensure telehealth operations meet STARK, Anti‑Kickback, HIPAA, and payor policy standards.
Performance Tracking & Reporting
Maintain a live pipeline of payor engagements; track time‑to‑contract and coverage percentage.
- Deliver concise weekly updates to leadership on progress, roadblocks, and next...
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