Manage the flow of healthcare expenses through the CrowdHealth platform, from reviewing submitted bills to coordinating crowdfunding.
Assess bills for completeness, eligibility, and fair market pricing, and work with Care Advocates to resolve issues.
Troubleshoot crowdfunding issues, handle failed payments, refunds, and cancellations.
CrowdHealth is a community-powered alternative to health insurance, enabling individuals to access and fund healthcare with transparency, simplicity, and control. The company has a mission-driven team and offers high ownership and visibility across the organization.
Manage negotiation, implementation, and maintenance of commercial and government payor agreements.
Analyze reimbursement terms and financial impacts to support organizational financial goals.
Collaborate with payors, leadership, revenue cycle, legal, and clinical operations to optimize contracts.
Together Women's Health is a rapidly growing network of OBGYN clinics on a mission to improve the lives of healthcare partners and patients. The company invests in its teams, lives its core values daily, and offers a supportive culture with smart, friendly coworkers.
Build and grow provider networks through strategic account planning and contract negotiation.
Negotiate reimbursement terms and evaluate costs with Pricing and Analytics.
Partner with internal teams to ensure network adequacy and implementation quality.
Nomi Health builds employer-sponsored provider networks by establishing relationships with physician organizations, ambulatory surgery centers, and ancillary providers. The company operates remotely and encourages collaboration across its Provider Engagement, Pricing and Analytics, Legal, and Network Operations teams.
Accountable for accuracy, compliance, and timeliness of government pricing, Medicare, and VA/federal program deliverables.
Personally perform complex calculations, historical corrections, and approve client-ready output.
Manage, coach, and develop Government Pricing Analysts and Team Leads, building capability across the team.
Medispend provides managed government pricing services to pharmaceutical manufacturers, predominantly small and mid-size companies. The company is growing and offers a merit-based compensation culture with comprehensive benefits.
Assist in analyzing pricing estimates for prospective and current clients while monitoring network performance for contract compliance.
Collaborate cross-functionally with sales, client services, and development to ensure timely pricing offers and automate pricing processes.
Prepare financial reports, utilization analyses, and ad hoc studies to support strategic decisions and contract negotiations.
PDMI provides pharmacy data processing and flexible, scalable solutions for private label PBMs, health plans, and hospital systems. Voted Best Employer in Ohio for six consecutive years, the company fosters a collaborative, flexible work environment.
Manage accounts receivable, including analysis of aged AR and identification of root cause issues.
Investigate, resolve, and appeal insurance claim denials, contacting payer representatives as needed.
Collaborate with internal teams and care center staff to drive optimal revenue cycle performance.
Privia Health is a technology-driven physician enablement company that partners with medical groups and health systems to optimize practices and improve patient experiences. It is led by top industry talent and physician leadership with a focus on scalable operations and cloud-based technology.
Maintain workflow balance and accurately complete re-pricing requests within established timeframes.
Apply medical terminology and coding principles to re-price Medicare and Medicaid claims and meet quality assurance goals.
Manage pre-pay edit requests, adjudicate DME claims, scan records, and follow confidentiality guidelines for PHI and HIPAA.
CoventBridge Integrity Systems is a national leader in the fight against healthcare fraud, waste, and abuse, providing investigative services, technology, and expertise to government and commercial healthcare payers. They are an equal opportunity employer committed to inclusion, diversity, and supporting employees with benefits and accommodations.
Strategic leadership in medical cost management and total cost of care strategy across Commercial lines of business.
Design and evaluate complex provider contract reimbursement models and ensure accurate system configuration and adjudication.
Deliver actionable intelligence to executive leadership through analysis of medical expense trends and financial performance.
Devoted Health is a healthcare company dedicated to improving the health and well-being of older Americans through an integrated care platform. The company fosters a culture of collaboration, diversity, and innovation, and is an equal opportunity employer.
Structure and approve non-standard deals (discounts, usage commits, per-minute pricing, payment terms) in hours, not days
Build the discount approval matrix and pricing guardrails, and model deal margin before every approval
Run quote-to-cash across CRM, CPQ, Legal handoff, and billing; report weekly on cycle time, discount levels, and win rate
Retell AI is reimagining the call center with cutting-edge voice AI, used by thousands of companies for sales, support, and logistics calls. Backed by Y Combinator and other leading investors, we've scaled to $80M ARR with a team of 50 and are valued at over $1.5B.
Lead payer appeals and denial resolution operations, investigating denials and developing evidence-based appeals.
Design scalable workflows and use AI-enabled technology to improve efficiency while maintaining human oversight.
Track performance metrics and provide regular reporting to Market Access leadership.
Big Health provides fully digital, non-drug options for common mental health conditions through FDA-cleared digital therapeutics. They are a remote-first company with a diverse team committed to equity and innovation in mental health care.
Serves as the primary source of knowledge for revenue cycle functions and drives performance improvement.
Analyzes trends, identifies opportunities, and ensures appropriate system configurations.
Manages denial trend research and translates policies into action plans.
Natera is a global leader in cell-free DNA testing dedicated to oncology, women's health, and organ health. The team consists of highly dedicated professionals from world-class institutions who care deeply for their work and each other.
Sell Qualtrics' XM platform to healthcare payer accounts and develop relationships at all levels.
Manage complex contract negotiations and maintain competitive knowledge for win-based proposals.
Collaborate with internal teams to secure large enterprise engagements.
Qualtrics builds experience management software for leading brands to improve frontline experiences. With 18,000+ clients and 5,000+ employees, it values close-knit teams and collaborative problem-solving.
Review purchase requests and move them through the established intake workflow.
Lead negotiations and renewals for software, cloud services, contractors, and other vendors.
Review contract terms, licensing, and pricing against the market.
ShiftKey is a platform disrupting healthcare staffing by connecting facilities with licensed professionals. It fosters an inclusive and collaborative culture.
Manage end-to-end case activities for insurance verification, authorization, and reimbursement.
Serve as the single point of contact among patients, providers, payors, and internal teams.
Prioritize competing demands to ensure timely patient access to therapy.
PRO-Spectus supports patient services programs by navigating patient access from benefit verification through claims and reimbursement resolution. The company fosters a supportive, teamwork-driven culture focused on improving patients' lives.
Perform line-by-line review of high-dollar facility itemized bills and claim forms to identify billing errors.
Apply coding and reimbursement expertise to validate accuracy and ensure claims are paid correctly.
Serve as a subject matter expert for complex billing issues and drive payment integrity improvements.
Oscar is a health insurance company built on a full-stack technology platform with a focus on serving members. Founded in 2012, it fosters a culture of transparency and collaboration, working to change health care.
Prepare and submit state-level reimbursement disputes through state portals, agencies, and arbitration entities.
Track deadlines, fees, and payments while keeping accurate case records from filing through resolution.
Monitor state requirements, flag rule changes, and collaborate with analytics teams to keep case data clean.
Pivotal Health is the leading technology platform that helps healthcare providers get paid fairly in a complex reimbursement landscape. We are a collaborative, low-ego team building AI-driven solutions to simplify reimbursement workflows.
Analyze and evaluate worker's compensation claim payments using proprietary software and tools.
Research and acquire medical records and submit claims with supporting documentation to insurance companies.
Conduct telephone follow-up with payers to ensure claims are received and facilitate prompt reimbursement.
EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations, leveraging a unified platform to improve financial sustainability. The company is a multi-year Top Workplaces award recipient and has been among the fastest-growing private companies in the US for eleven years.
Analyze pricing and profitability data to improve deal-level margin performance.
Provide commercial recommendations and deal guidance to sellers.
Partner cross-functionally to enhance pricing tools and processes.
Trace3 is a leading Transformative IT Authority providing unique technology solutions and consulting services. With over 1,200 employees across the US, the culture embodies a startup spirit with the advantage of a scalable business.
Manage recovery files from initial review through resolution, identifying third-party reimbursement opportunities.
Investigate claims, coordinate with attorneys, adjusters, and carriers, and negotiate recovery matters.
Review plan documents, ensure HIPAA compliance, and maintain a high-volume caseload with strict deadlines.
The company focuses on recovering healthcare costs for benefit plans, ensuring affordable health benefits for employees and their families. It is recognized for an inclusive, collaborative, and respectful workplace culture, and has received regional and national workplace awards.
Oversee contracted patient support agents and develop SOPs for reimbursement programs.
Liaise with cross-functional teams to resolve complex reimbursement issues and ensure training.
Manage patient and provider program issues, audits, and data analytics for continuous improvement.
Iovance Biotherapeutics is the global leader in innovating, developing, and delivering tumor infiltrating lymphocyte (TIL) cell therapies for patients with solid tumors. The company operates as an end-to-end cell therapy company with U.S.-based manufacturing scaled to serve thousands of cancer patients worldwide each year.