Note: The job is a remote job and is open to candidates in USA. Kodiak Solutions provides technology-driven solutions for healthcare finance, risk management, unclaimed property, and revenue cycle management. The Contract Modeling Product Manager will lead the design and delivery of a healthcare contract modeling platform, translating payer contract terms into business rules and product functionality. The role will manage requirements, backlog prioritization, reimbursement modeling logic, AI-powered contract extraction initiatives, and collaboration with software development teams.
Responsibilities
- Lead the definition and delivery of a healthcare contract modeling platform roadmap, requirements, and product backlog
- Translate complex payer contract language into detailed business rules, user stories, and technical specifications
- Design and validate reimbursement modeling logic, including DRG, APC, per diem, case rate, stop-loss, outlier, and other payment methodologies
- Partner with software engineers, architects, QA teams, and external development partners to deliver scalable product functionality
- Support AI-powered contract extraction and automation initiatives by validating contract interpretation, establishing review processes, and defining governance standards
- Gather customer and market requirements to enhance future capabilities such as underpayment detection, contract compliance, scenario modeling, revenue forecasting, and strategic pricing
Skills
- • 5+ years of experience in healthcare reimbursement, managed care contracting, revenue cycle, or contract management
- • Bachelor's degree required in Healthcare Administration, Business, Finance, Information Systems, or a related field
- • Expertise interpreting commercial payer contracts and reimbursement models, including DRG, APC, per diem, and case-rate methodologies
- • Experience gathering business requirements and partnering with software development teams to deliver technology solutions
- • Strong knowledge of healthcare financial data, claims adjudication, and reimbursement analytics
- • Candidates must be legally authorized to work in the United States. This position is not eligible for employment visa sponsorship now or in the future
- • Preferred experience with product ownership, contract modeling platforms, Agile development, and AI-driven document automation
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