Strategic Revenue Integrity Lead (Managed Care)

Clear Health; United States; On-site; USD 80,000 - 100,000; Full time

Job summary

A healthcare technology startup is seeking a Managed Care & Revenue Integrity Lead to enhance payer contract intelligence and reimbursement accuracy. The role involves analyzing contracts, reviewing underpayment data, and working with cross-functional teams to solve complex billing issues. Ideal candidates will have over 5 years of managed care or healthcare billing experience. This is an entry-level position in a dynamic environment, suitable for those looking to impact both strategy and product development.

Qualifications

• 5+ years of experience in managed care contracting, revenue integrity, or healthcare billing.
• Strong understanding of payer adjudication and reimbursement methodologies.
• Experience working with hospitals, ASCs, or large provider groups.

Responsibilities

• Analyze payer contracts to extract reimbursement methodologies.
• Review 835 remittance data to identify underpayments.
• Oversee outputs from AI-driven reimbursement discrepancy detection.

Skills

Managed care expertise

Analytical skills

Detail-oriented

Communication skills

Job description

A healthcare technology startup is seeking a Managed Care & Revenue Integrity Lead to enhance payer contract intelligence and reimbursement accuracy. The role involves analyzing contracts, reviewing underpayment data, and working with cross-functional teams to solve complex billing issues. Ideal candidates will have over 5 years of managed care or healthcare billing experience. This is an entry-level position in a dynamic environment, suitable for those looking to impact both strategy and product development.