AI-Driven Managed Care Contract Specialist

Obsidian; New York (NY); On-site; USD 80,000 - 110,000; Full time

Benefits offered by this job

Opportunity to work on high-impact projects

Collaborate with a world-class AI research organization

Job summary

Obsidian is seeking experienced Underpayment and Managed Care Contract Specialists to enhance AI tools in healthcare. Your expertise in recovery and analysis will assist in optimizing revenue and detecting underpayments. The role involves collaborating with managed care teams and ensuring compliance with contract terms.

Applicants should have over 5 years in underpayment recovery and familiarity with payment variance methodologies. The position contributes to cutting-edge AI workflows and high-impact projects.

Qualifications

• 5+ years of experience in underpayment recovery, payment variance analysis, or managed care contracting.
• Deep knowledge of payer payment methodologies.
• Strong experience with contract modelling and payment reconciliation.

Responsibilities

• Identify, analyze, and recover underpayments across payer contracts.
• Evaluate AI-generated underpayment detection alerts for accuracy.
• Conduct contract modelling and payment reconciliation.

Skills

Underpayment recovery

Payment variance analysis

Contract interpretation

Excel-based financial analysis

Attention to detail

Education

Managed care contracting certification (CHFP, CRCR)

Tools

Contract management software

Job description

Obsidian is seeking experienced Underpayment and Managed Care Contract Specialists to enhance AI tools in healthcare. Your expertise in recovery and analysis will assist in optimizing revenue and detecting underpayments. The role involves collaborating with managed care teams and ensuring compliance with contract terms.

Applicants should have over 5 years in underpayment recovery and familiarity with payment variance methodologies. The position contributes to cutting-edge AI workflows and high-impact projects.