Review and configure executed provider contracts and amendments for completeness and accuracy.
Coordinate with cross-functional teams to resolve issues and manage downstream dependencies.
Manage an assigned caseload while maintaining service delivery, productivity, and quality standards.
Oscar is a health insurance company built on a full-stack technology platform, focused on serving its members. The company values collaboration and innovation, with a team dedicated to transforming healthcare.
Own the strategy and roadmap for products that help hospitals and health systems manage payer contracts, ensuring accurate reimbursement and underpayment detection.
Lead discovery and strategy for complex opportunities in contract modeling, fee schedule management, and underpayment detection, setting the standard for rigor and launch excellence.
Guide large engineering teams and strategic customer relationships, using AI to de-risk bets and build business cases for investment.
Experian is a global data and technology company powering opportunities for people and businesses around the world, operating across markets from financial services to healthcare and more. With a team of 25,200 people in 32 countries, Experian fosters a people-first, inclusive, purpose-driven culture that has been recognized as a World's Best Workplace.
Investigate and triage job failures, fallouts, and reprocessing requests raised by L1.
Execute data correction, reprocessing, and reconciliation across healthcare systems and workflows.
Partner with L3, product, and client teams to drive resolution and ensure end-to-end data integrity.
HealthEdge provides AI-powered operational infrastructure for health insurance companies, helping them modernize and compete. The company is experiencing strong market momentum and investing in employees to support growth.
Own the roadmap for Contract Financials, including data and AI features.
Write PRDs, user stories, and acceptance criteria for calculation rules.
Work with engineers, actuaries, and clients to scope, test, and launch features.
Arbital Health is a healthcare technology and actuarial leader that centralizes, measures, and adjudicates value-based care contracts at scale. In its first two years, it has become a trusted partner for over 40 payers and providers, with a fast-paced, collaborative culture.
Configure, administer, and optimize the Facets platform, including security, workflows, NetworX, and product/benefits setup.
Analyze business and technical requirements, troubleshoot configuration issues, and ensure integration with upstream and downstream systems.
Collaborate with technical teams and stakeholders, manage deliverables independently, and provide daily status updates.
The company specializes in the configuration and optimization of enterprise healthcare systems using the Facets platform. They operate at a large scale with a remote-first culture, emphasizing system accuracy, operational efficiency, and collaboration between technical and business teams.
Manage the full lifecycle of network partnerships, from vetting to contracting and amendments.
Build dashboards and maintain structured frameworks for network evaluation and performance monitoring.
Collaborate with clinical, operations, and finance teams to align contract terms with quality standards.
Maven Clinic is the world's largest virtual clinic for women and families, partnering with employers and health plans to provide end-to-end family health programs. Founded in 2014 and backed by over $425 million in funding, Maven has an award-winning culture and is recognized as a top workplace in healthcare.
Lead workstreams in complex, large-scale enterprise implementations of the PerfectServe platform.
Provide workflow consulting, physician training, and go-live support across health systems.
Configure advanced workflows, integrate third-party systems, and test across devices.
PerfectServe is a provider of clinical communication and physician scheduling solutions for health systems. With 400+ employees and 30,000+ customers, the company values collaboration, innovation, and meaningful work.
Review and interpret payor contracts, amendments, and policies to document key terms and escalate ambiguous language before it becomes downstream billing issues.
Build and operationalize a contract repository and AI payor intelligence tooling, organizing documentation and validating search accuracy.
Partner with cross-functional teams to resolve flagged risks, close information gaps, and surface process improvements for a growing contract portfolio.
Grow Therapy is a mental health platform that connects providers, insurers, and patients to make care more accessible. Backed by over $328M in funding, the company fosters a culture of ownership and impact where everyone drives meaningful work.
Manage operational excellence for customer-facing technology delivery and timely SLA reporting.
Drive issue resolution, root cause analysis, and day-to-day production support for healthcare payer systems.
Oversee Edifecs and EDI operations, system maintenance, and customer escalation resolution.
HealthEdge provides AI-powered operational infrastructure for health insurance companies, helping them modernize operations and compete effectively. The company is expanding rapidly and investing in its people to support strong market momentum.
Translate medication contracting and operational needs into reliable systems, workflows, and data requirements.
Partner with business and technical teams to define functional requirements, user stories, acceptance criteria, and data mappings.
Use SQL, Excel, and analytical tools to investigate data issues, validate application behavior, and reconcile system outputs.
Evio is a pharmacy solutions company founded by health plans to transform high-cost medication management. With six owner health plans serving over 20 million members, Evio fosters a culture grounded in empathy, diversity, adventure, relentlessness, transparency, and excellence.
Own the full lifecycle of client implementations, from sales handoff through ongoing quality assurance and process improvement.
Configure platform settings, map client data to internal schemas, and run test loads with QA to ensure high data quality.
Collaborate with engineering, product, and client success teams to align on requirements and drive launch readiness.
Vida is a virtual, personalized obesity care provider that uses evidence-based treatment to help patients manage obesity and related conditions. Trusted by Fortune 100 companies, major national payers, and large providers, Vida is breaking down barriers to better care.
Create the blueprint for configuration of medical and dental plans from plan documents and standards.
Build, validate and test plan benefits and code mapping logic for accurate claims processing.
Troubleshoot system issues and coordinate with teams to improve efficiency and resolution.
Centivo is an innovative health plan for self-funded employers on a mission to bring affordable, high-quality healthcare to the millions who struggle to pay their healthcare bills. Backed by leading healthcare and technology investors, the company is headquartered in Buffalo, NY and values resilience, uncommon thinking, and positivity.
Consult PaaS clients on designing optimal decision automation programs and translating complex requirements into technical blueprints.
Collaborate with Product, Design, and Engineering to scope new functionality and ensure client KPIs are met.
Analyze authorization data using SQL and BI tools to build reports that inform stakeholders and drive value.
Cohere Health's clinical intelligence platform delivers AI-powered solutions that streamline access to quality care by improving payer-provider collaboration, cost containment, and healthcare economics. The company works with over 660,000 providers, handles over 12 million prior authorization requests annually, and fosters a supportive, growth-oriented culture known as the Coherenauts.
Lead business process due diligence, design, and documentation for pharma and medical device customers.
Own a mix of project management, analysis, and technical configuration on global CRM projects.
Mentor team members and drive best practices, accelerators, and client success.
Veeva Systems is a mission-driven pioneer in industry cloud, helping life sciences companies bring therapies to patients faster. With over $3B in revenue, it is a public benefit corporation and Work Anywhere company focused on customer, employee, and community success.
Support managed care contracting and operational strategies through financial analysis, contract modeling, and advisory support.
Analyze complex commercial and government payer arrangements including ACOs, Medicare Advantage, and Medi-Cal using SQL, Snowflake, and Epic.
Develop and maintain reporting templates to measure health plan performance and support monthly financial close.
MemorialCare is a nonprofit integrated health system that includes four leading hospitals, award-winning medical groups, and more than 2,000 physicians throughout Orange and Los Angeles Counties. The organization supports over 200 sites of care and fosters an environment of respect, innovation, and teamwork, encouraging employees to reach their full potential.
Lead quality program management activities to ensure compliance with state, federal, and NCQA requirements.
Oversee complex quality deliverables including audits, accreditation surveys, and performance reports.
Collaborate with quality leadership and cross-functional teams to monitor performance and drive continuous improvement.
This organization partners with health plans to implement quality improvement programs and ensure compliance with regulatory standards such as NCQA and HEDIS. The culture emphasizes collaboration, regulatory excellence, and continuous improvement, with a remote work environment for professionals based in Michigan.
Drive product direction and priorities for an assigned product area, connecting clinical, operations, and engineering teams.
Elicit and document requirements, map workflows, and analyze healthcare data to define clear user stories and acceptance criteria.
Own the product roadmap and backlog, lead agile delivery, and define success metrics tied to company OKRs.
Salud Healthcare is a tech-forward services organization that helps private practices and provider groups succeed in value-based and alternative payment models. The company is rapidly growing and focuses on innovation in healthcare technology.
Prepare, review, and maintain commercial contracts, amendments, and transaction confirmations in line with policies.
Collaborate with Commercial, Legal, Credit, Risk, and Accounting teams to resolve contract discrepancies.
Maintain contract data in Salesforce and ETRM systems, ensuring accuracy and supporting audits.
EQT Corporation is an energy company focused on natural gas production and related operations. It emphasizes transparent leadership, collaboration, and employee growth, fostering a culture where every voice is heard.
Consult with clients to understand their employee health needs and design tailored deployment strategies.
Configure the employee health software and direct analysts to ensure accurate implementation and validation.
Deliver training and build strong client relationships while identifying process improvements and upsell opportunities.
MIE is a healthcare IT company providing web-based health information technology platforms to hospitals, physician practices, employers, and government agencies. Founded in 1995, they help physicians, nurses, and administrators improve healthcare delivery worldwide.
Leads cross-collaboration on problem definition, acute error remediation, and root cause solution development
Utilizes data to drive business decisions and impact cross-functional strategy
Develops trusting relationships with internal and external stakeholders through effective communication and collaboration
Oscar is a health insurance company built around a full-stack technology platform, focused on serving its members. We started in 2012 to create a better health insurance experience, and we value authenticity, belonging, and support.