Support day-to-day delivery across multiple provider engagements, managing tasks, timelines, research, and deliverables.
Analyze legislation, regulations, and payment policy to assess business impacts and strategic implications for provider clients.
Conduct rigorous qualitative and quantitative research, including market scans, competitive analysis, and financial modeling.
ATI Advisory is a healthcare research and advisory services firm that helps businesses, communities, and public programs serve complex populations through original research and practical solutions. With a team of nationally recognized experts, we are a collaborative organization focused on transforming health care across Medicare, Medicaid, long-term care, and provider delivery.
Own the program's analytics pipeline including claims records, eligibility files, and MAO-004 reconciliation across all clients.
Lead care-gap identification and closure reconciliation, ensuring accuracy for billing and client audits.
Deliver practice-level performance analysis and build funnel instrumentation to identify value leakage.
Covera Health combines clinical expertise, advanced AI, and radiology quality data to improve diagnostic accuracy. Backed by Insight Partners, the company supports nearly 6 million people across major employers and health plans, with a culture focused on meaningful work and saving lives.
Support the in-house build of cost categorization capability and own ongoing maintenance and governance.
Build and maintain medical economics reporting suite and analyze medical cost trends.
Partner across Clinical, Operations, and Finance to translate business questions into analyses.
Hopscotch Primary Care provides high-quality primary care tailored to rural communities, aiming to make healthcare accessible to all. We are a growing team serving thousands of patients with a value-based care model, fostering a culture of inclusion and teamwork.
Collaborate with clients and internal stakeholders to understand payment integrity requirements and integrate analytical outputs.
Drive AI adoption by prompting LLMs and building automated workflows to accelerate analysis.
Write and maintain complex analytical SQL, including window functions and CTEs, against large-scale healthcare claims datasets.
Machinify is a leading healthcare intelligence company that delivers value and efficiency to health plan clients. Deployed by over 85 health plans representing more than 270 million lives, the company fosters a culture of innovation and disruption.
Own claims and savings projections and retrospective analyses across Maven's employer benefit programs.
Build, maintain, and scale Maven's actuarial and ROI models in Excel.
Support RFP responses and sales calls with actuarial projections and methodology documentation.
Maven is the world's largest virtual clinic for women and families, providing clinical, emotional, and financial support on one platform. Recognized for innovation, Maven has been named to the Time 100 Most Influential Companies and has raised over $425 million, with a culture that has earned numerous workplace awards.
Own the investigation and resolution of data observations and data questions from internal and external stakeholders.
Define and track quality metrics, build dashboards, and identify improvement opportunities for data products.
Collaborate with Product Managers, Engineers, and QA to launch new features that improve data at scale.
Veeva Systems is a mission-driven organization and pioneer in industry cloud, helping life sciences companies bring therapies to patients faster. As one of the fastest-growing SaaS companies in history, we surpassed $3B in revenue in our last fiscal year with extensive growth potential ahead.
Lead peer-reviewed and white-paper publications, turning complex clinical and claims data into evidence of Vida's impact for commercial growth and payer strategy.
Design and execute health-outcomes analyses using biometric, claims, and clinical data, applying advanced methods like multilevel modeling and survival analysis.
Partner with growth, strategy, and clinical teams to generate economic and clinical evidence supporting enterprise sales, client retention, and value-based care contracting.
Vida is a virtual, personalized obesity care provider using evidence-based treatment to help patients manage obesity and related conditions. It is trusted by Fortune 100 companies and aims to break down barriers to healthcare access through advanced technology and top-notch providers.
Serve as the primary operational subject matter expert for payment integrity methodologies, audit programs, and product requirements.
Translate payer pain points, contract language, and audit policy into product capabilities and scalable AI solutions.
Partner with engineering, product, clinical, and customer success teams to define audit logic and improve product accuracy.
Abacus Insights transforms healthcare data for health plans, breaking down silos to create trusted data foundations that improve outcomes and reduce waste. Backed by $100M from top investors, the company has a bold, collaborative culture focused on innovation and using AI to drive efficiency.
Perform advanced healthcare payment audits by analyzing claims data and identifying discrepancies.
Develop and improve audit concepts focused on payment accuracy and reimbursement policies.
Collaborate with audit, engineering, and business teams to ensure accurate findings and process improvements.
Jobgether is an AI-powered job matching platform that uses technology to connect candidates with roles. The company operates remotely and focuses on efficient, objective hiring processes.
Lead one or more client policy initiatives with a team, including policy analysis, client communications, and project tracking.
Drive your development through an annual growth process in partnership with your supervisor and the learning and development team.
Participate in new business development through research, proposal content, and marketing materials.
BerryDunn is a professional services firm that has helped businesses, nonprofits, and government agencies since 1974. The firm is client-centered and people-first, with a focus on learning, development, and well-being, and has been recognized for its diverse and inclusive workplace culture.
Support quality assurance and audit planning for the WTC Health Program
Analyze claims data to identify trends and recommend improvements
Maintain health plan codebook and ensure accurate medical coding standards
Advanced Technologies & Laboratories International, Inc. (ATL) provides expertise in quality assurance, claims processing, medical coding, and audit activities for the WTC Health Program. The company offers a competitive total compensation package and invests in professional growth through tuition reimbursement and certification programs.
Conduct cost-effectiveness analyses and budget impact analyses to support HTA submissions and payer decisions.
Collaborate with a specialized team of health economists, statisticians, and researchers on methodologically innovative projects.
Perform targeted literature reviews, program economic models in Excel, and communicate results to stakeholders.
Precision Medicine Group is a global organization specializing in health economics and outcomes research (HEOR). The company has a dynamic, start-up-like culture within a well-funded, established global organization.
Build and maintain member-level actuarial models for risk adjustment, HCC capture, and medical economics across MA, MAPD, ACA, and Medicaid populations.
Design actuarial logic for customer-facing dashboards, partnering with data engineering and product teams to deliver accurate, timely visualizations.
Support RADV readiness by modeling audit exposure and prioritizing chart review efforts based on financial impact.
Reveleer delivers a unified platform spanning risk adjustment, quality improvement, clinical intelligence, and member management for health plans and provider organizations navigating value-based care. Trusted by over 80 customer organizations nationwide, the platform integrates data, analytics, and intelligent workflow automation into one governed system.
Own HIPAA-compliant source-of-truth artifacts governing Medicare claims business rules.
Validate changes internally and communicate updates to external CMS stakeholders.
Bridge product and engineering by translating policy needs into clear requirements.
Nava is a consultancy and public benefit corporation working to make government services simple and effective. Since 2015, they have helped federal, state, and local agencies solve technology modernization challenges, and they are a remote-first team with a collaborative culture.
Combine strategic thinking, financial expertise, and data-driven insights to assess emerging concepts and build compelling business cases.
Develop robust financial models, ROI analyses, and five-year forecasts to support product investment decisions.
Conduct market research and competitive analysis to identify healthcare trends and growth opportunities.
CareCentrix is a healthcare services company that partners with health plans and providers to deliver innovative solutions. They foster a values-driven culture focused on care, integrity, excellence, and collaboration.
Apply clinical expertise to assess mortality and morbidity risk, influence underwriting decisions, and shape risk management strategies.
Provide advanced medical knowledge, training, and case discussions for underwriters and claims examiners.
Stay current with medical literature, develop special interest subjects, and complete AAIM Diplomate Board of Insurance Medicine certification.
Securian Financial redefines the intersection of medicine and financial risk by integrating clinical expertise with insurance principles. As a Great Place to Work-Certified™ company for eight consecutive years, they foster a collaborative, inclusive culture where every voice matters.
Analyze existing federal, agency, and program-level policies to support health IT solutions.
Conduct gap analyses and develop frameworks for program evaluation and implementation.
Collaborate with program leadership and government clients to refine policy positions.
Ibilty is a Service-Disabled Veteran-Owned Small Business and a Woman-Owned Small Business that helps government leaders achieve their mission through human-centered design. Their small but mighty team is fun, passionate, bold, and creative.
Apply statistical, epidemiological, and econometric expertise to research and client deliverables, analyzing large US healthcare datasets to uncover insights.
Collaborate with cross-functional teams to deliver high-quality outcomes, manage project workstreams, and communicate with stakeholders.
Support business development through proposals and mentor junior team members to foster their development.
Avalere Health is a healthcare advisory firm dedicated to ensuring every patient is identified, treated, supported, and cared for. They have a global team with offices in major cities and an inclusive culture with six Employee Network Groups.
Manage, negotiate, and optimize payer agreements to execute the company's payer contracting process strategy.
Sit at the intersection of revenue cycle management, payer relations, and organizational growth with technical expertise in managed care contracting.
Collaborate with internal teams across business development, clinical operations, legal, and finance to manage payer relationships with precision.
Connections Health Solutions is a leading provider of immediate-access behavioral health crisis care, combining medical and recovery-oriented treatment to stabilize individuals in crisis and connect them to community resources. Founded by emergency room psychiatrists, our physician-led, data-driven model has served hundreds of thousands of individuals and is recognized as a national best practice by SAMHSA and the National Council for Mental Wellbeing.
Develop and maintain audit concepts by researching regulatory, coding, or payer policy changes and updating rule documents and code lists.
Perform QA reviews to ensure audit concepts comply with coding standards, payment methodologies, and payer policies prior to deployment.
Collaborate with cross-functional teams including operations, clinical, and client services to support policy execution and drive concept quality.
Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering value and efficiency to health plan clients. Deployed by over 85 health plans representing more than 270 million lives, we are a digital-first, AI-powered platform that reimagines what's possible in healthcare.