The Health Information Management TL (Team Lead) is responsible for ensuring the timely completion of daily operations of the HIM division, as well as training and quality monitoring of staff. Minimum of three years of experience in health information management is required. Experience with electronic health records is also required.
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The Senior Specialist, Payment Policy is responsible for supporting payment policy activities by investigating payment policy issues, leveraging understanding of Oscar's claim infrastructure, processing, and payment integrity to effectively improve and enhance payment policies. You will respond to inquiries, research industry coding rules, translate business requirements and identify opportunities to solve problems.
As a Payment Operations Associate at Maven, you will review and process complex claims related to Mavenβs fertility treatments, procedures and applicable medications, and expenses related to additional paths to parenthood in accordance with company policies and benefits plan designs. You will also review claims to identify instances of denials and under payments.
As a Deal Desk, youβll be a foundational member of the Revenue Operations team, building scalable systems that help Solink structure and close deals more efficiently and with greater accuracy. This role sits at the center of our go-to-market engine, working cross-functionally with Sales, Finance, and Legal to streamline deal execution, enforce pricing governance, and ensure every quote aligns with internal policies and strategic goals.
Leading Billing and Payment Operations, this role ensures a simple payment experience for customers, effective internal tooling and operations, optimizing global payment processing and mitigating risk. This role manages payments in the US, UK, EU and BR markets, responsible for strategy, roadmap execution and operational excellence.
The raw material buyer is responsible for procuring the materials needed for production, which involves sourcing suppliers, negotiating contracts, managing inventory and ensuring a continuous supply of materials while optimizing costs and maintaining quality standards. This role includes identifying and evaluating potential suppliers, negotiating contracts, building long-term partnerships and managing supplier performance.
As a Department of Defense (DoD)/ Department of Navy (DON) Procurement eBusiness and Data SME, you will answer procurement, contract writing system, and acquisition questions. You will possess comprehensive knowledge of the entire P2P lifecycle, from the initiation of a purchase request to contract closeout helping contribute to re-engineering efforts aimed at improving efficiency, data integrity, and internal controls.
You will be responsible for setting customers up for long-term success on Fountain by managing the implementation process for Fountain customers who purchase a range of solutions from Fountainβs growing suite of products. As the technical and operational quarterback post-sale and pre-customer success, you will drive adoption and customer value by managing overall project delivery, including system consulting, configuration, integrations, QA, setup, and customer education.
The Audits & Quality Improvement (QI) Coordinator I of review choice demonstration (RCD) is responsible for the end of episode billing and reimbursement functions, working closely with the audits and QI team and other back office staff to ensure billing submissions are completed timely and accurately.
The Revenue Specialist, Denials acts as the liaison between key client contacts and our denials appeal process to the appropriate payer, responsible for the initial denial audit and activities to resolve outstanding claims while handling patient health information (PHI) and maintaining privacy.