Startups · AI

Subject Matter Expert, Managed Care & Payor Contracting

Translucent AI · New York City, New York · On-site

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About Translucent AI

Agentic AI platform delivering real-time visibility and root cause identification for healthcare finance. Give your lean team leverage to move the margin. Backed by GV.

About the role

Contract terms determine what a health system is owed, but that language lives in amendments, appendices, and institutional memory rather than anywhere a system can easily query. As our subject matter expert for this domain, you will bring that judgment into the product itself, shaping how our agents read contract language, model expected reimbursement, and monitor payor behavior, while holding model output to the standard a working contracting leader would apply.

What they're looking for

  • 7+ years in managed care contracting, payor strategy, network management, or an equivalent function, ideally with exposure to rate modeling, term negotiation, and payor performance monitoring
  • Strong proficiency with contract modeling and management tools (Epic contracts, nThrive, Strata, or similar) and Medicare fee-schedule mechanics (PFS, OPPS, IPPS) as the reference most commercial terms are built against
  • Demonstrated ability to deliver high-quality analyses on demanding deadlines
  • Ability to effectively communicate with a variety of internal and external stakeholders and translate complex problems between contracting, legal, product, and engineering teams
  • Ability to define positive outcomes in situations with underspecified success criteria
  • Deep intellectual curiosity and eagerness to learn across domains, particularly at the intersection of payor contracting and AI
More about this role
  • Full-Time
  • Office Location — New York City (preferred)

Healthcare providers drive $2.5 trillion in medical expenditures annually — and operate on razor-thin 2–5% margins. Despite these stakes, the finance teams behind these organizations are buried in spreadsheets, manual data pulls, and disconnected systems, spending more time finding and cleaning data than actually using it to make decisions.

Translucent is changing that. We’re building the AI-native financial platform designed exclusively for healthcare — giving every finance team, department, and service line their own arsenal of AI Agents that run 24/7, understand their specific data, business logic, and workflows.

Founded in 2024 and backed by GV, NEA, FPV, and Virtue, we’ve already been deployed by healthcare organizations managing over $5 billion in combined revenue. The product-market fit is real, the problem is massive, and we’re just getting started. If you want to work at the intersection of AI and one of the most complex, consequential industries in the world — this is the place.

Contract terms determine what a health system is owed, but that language lives in amendments, appendices, and institutional memory rather...

Read the full posting on Translucent AI's site ↗

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