AI-Driven Underpayment Recovery Specialist

Obsidian; New York (NY); Remote; USD 80,000 - 100,000; Full time

Job summary

Obsidian is looking for experienced Underpayment and Managed Care Contract Specialists in New York. You will evaluate AI tools for detecting payment variances and automate contract compliance monitoring.

The ideal candidate should have strong expertise in payer contract interpretation and should be able to help in optimizing net revenue by identifying systematic underpayments. This role also involves collaboration with managed care contracting teams to identify renegotiation opportunities.

Qualifications

• 5+ years of experience in underpayment recovery or managed care contracting.
• Deep knowledge of payer payment methodologies like DRG-based, per diem, and fee schedule reimbursement.
• Strong experience with contract modelling and payment reconciliation.

Responsibilities

• Identify and recover payment variances across payer contracts.
• Evaluate underpayment detection alerts and contract compliance outputs.
• Ensure compliance with payer contract terms and timely filing requirements.

Skills

Underpayment recovery

Payment variance analysis

Managed care contracting

Payer contract interpretation

Excel-based financial analysis

Attention to detail

Tools

Managed care contract management systems

Revenue cycle analytics platforms

Job description

Obsidian is looking for experienced Underpayment and Managed Care Contract Specialists in New York. You will evaluate AI tools for detecting payment variances and automate contract compliance monitoring.

The ideal candidate should have strong expertise in payer contract interpretation and should be able to help in optimizing net revenue by identifying systematic underpayments. This role also involves collaboration with managed care contracting teams to identify renegotiation opportunities.