Contract Manager

Contract Manager
Location: Remote (Candidates in TN or KY preferred)
Employment Type: Contract
Salary: $85,000-$135,000+ annually depending on experience 

The Contract Manager will serve as the primary liaison between the Department of Medical Services (DMS) and the External Quality Review Organization (EQRO). This role is responsible for overseeing day-to-day coordination, ensuring contractual compliance, and supporting quality review activities related to Medicaid and managed care programs. The ideal candidate will have strong experience within Medicaid or Medicare environments, along with a background in healthcare policy, compliance, or quality improvement.
Key Responsibilities

• Serve as the main point of contact between DMS and the EQRO organization.
• Manage day-to-day communication and coordination related to contract deliverables and operational activities.
• Support quality review and quality improvement initiatives related to Medicaid managed care programs.
• Monitor program performance and compliance with Medicaid, Medicare, and regulatory requirements.
• Facilitate meetings, coordinate project timelines, and provide updates to key stakeholders.
• Analyze healthcare policy, program data, and compliance findings to support operational improvements.
• Prepare reports, presentations, and documentation for internal and external leadership.
• Collaborate with cross-functional teams to resolve operational issues and maintain program effectiveness.

• Bachelor’s or Master’s degree in Health Administration, Public Health, Healthcare Management, or a related field.
• Minimum of 7 years of experience working with Medicaid programs.
• At least 3 years of experience in healthcare research, health policy analysis, or a related field.
• Experience working within Medicare, Medicaid, managed care organizations (MCOs), or health insurance environments.
• Strong leadership, facilitation, and problem-solving skills.
• Excellent communication, organizational, and presentation abilities.

• Previous experience with quality improvement or healthcare quality review programs.
• Experience working with state Medicaid agencies or healthcare regulatory organizations.
• Background in health plan compliance, audits, or healthcare program oversight.