Overview
Remote
On Site
Depends on Experience
Accepts corp to corp applications
Contract - Independent
Contract - W2
Contract - 1 Month(s)
Skills
Business Process
Change Management
HIPAA
Health Care
Proposal Writing
Process Modeling
Regulatory Compliance
Request For Proposal
Contract Lifecycle Management
CLM
Job Details
Job Title: Subject Matter Expert (SME) CLM Solutions (Healthcare Payer Sector)
Role Overview
A highly experienced Subject Matter Expert (SME) with deep expertise in Contract Lifecycle Management (CLM) solutions and a strong background in the healthcare payer sector. The SME will play a key role in advising, designing, and guiding CLM implementation strategies, ensuring alignment with payer business processes, compliance requirements, and operational efficiency.
Key Responsibilities
- Act as the primary subject matter expert on CLM platforms and solutions within healthcare payer engagements.
- Analyze payer-specific contracting processes (e.g., provider, network, vendor, and member agreements) and translate them into effective CLM workflows.
- Partner with product, technology, and implementation teams to define solution requirements, workflows, and integration touchpoints.
- Provide strategic guidance on best practices, compliance (HIPAA, CMS, state regulations), and risk mitigation in CLM.
- Drive workshops with client stakeholders to capture requirements and define future-state contracting processes.
- Assist in solution design, vendor/product evaluation, and implementation roadmaps.
- Support change management by advising on training, adoption, and communication strategies.
- Benchmark industry practices and recommend process improvements to enhance contract governance and efficiency.
- Collaborate with sales/pre-sales teams in RFP responses, solution demos, and proposal development as needed.
Required Qualifications
- 8 12 years of overall experience, with at least 5+ years in the healthcare payer sector.
- Proven expertise in CLM solutions (e.g., Icertis, Conga, DocuSign CLM, Sirion, or similar).
- Strong knowledge of healthcare payer contracting processes, including provider and vendor contracts, reimbursement models, and compliance frameworks.
- Experience in business process design, workflow automation, and integration with enterprise systems (ERP, CRM, Policy Admin).
- Familiarity with U.S. healthcare regulations (HIPAA, CMS guidelines, state compliance).
- Excellent communication, stakeholder management, and facilitation skills.
- Strong problem-solving skills with the ability to simplify complex processes.
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