Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Underpayment and Managed Care Contract Specialists to evaluate ... Mostrar más
Village Crossing at Worman's Mill -.Cook - Village Crossing at Worman's Mill.Love making a difference in the lives of seniors?.At Village Crossing at Worman's Mill, we are guided by our Core Values... Mostrar más
Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of bet... Mostrar más
If you're tired of long commutes or missing moments with family, this work-from-home opportunity offers a real path to a meaningful career — with free, proven training and full support.Independent ... Mostrar más
Product Testers are wanted to work from home in the UK to fulfill upcoming contracts with local and international companies.We guarantee 15-25 hours per week with an hourly pay of between £18/hr.Th... Mostrar más
Founder's Phil and Phil dreamt of a place to bring their families, to enjoy fresh food and fun together.Their idea of mixing bold ideas, rich Peruvian flavors, and fresh ingredients kept them awake... Mostrar más
Legendary food and service begins with legendary people.We believe in earning the loyalty of our Team Members with our strong, diverse culture, well-done benefits and growth opportunities.It takes ... Mostrar más
Product Testers are wanted to work from home in the UK to fulfill upcoming contracts with local and international companies.We guarantee 15-25 hours per week with an hourly pay of between £18/hr.Th... Mostrar más
Product Testers are wanted to work from home in the UK to fulfill upcoming contracts with local and international companies.We guarantee 15-25 hours per week with an hourly pay of between £18/hr.Th... Mostrar más
Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Medication and Pharmacy Prior Authorisation specialists with ex... Mostrar más
Product Testers are wanted to work from home in the UK to fulfill upcoming contracts with local and international companies.We guarantee 15-25 hours per week with an hourly pay of between £18/hr.Th... Mostrar más
We’re looking for enthusiastic, self-driven, individuals to assist existing and prospective clients within our organization.This position will work with multiple clients throughout the day pr... Mostrar más
Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of bet... Mostrar más
Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of bet... Mostrar más
Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of bet... Mostrar más
The Frederick Central Manufacturing Location (CML) is a key production facility located in Frederick County, Maryland, and is responsible for the production and distribution of donuts for 132 Dunki... Mostrar más
Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of bet... Mostrar más
Note : This is an educational program, not a job.Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market.Looking to ... Mostrar más
Macroeconomic Modeling Specialist (EViews).AI data lab for training frontier models and evaluating AI agents.Experts contribute their diverse subject matter knowledge across domains such as finance... Mostrar más
We’re looking for a hardworking.You’ll make sure our facilities are operating efficiently, regularly inspect our building for any damage, and conduct routine maintenance on our equipment to keep it... Mostrar más
Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems. We are seeking experienced Underpayment and Managed Care Contract Specialists to evaluate AI tools designed to detect payment variances and automate contract compliance monitoring. Your expertise in payer contract interpretation, payment variance analysis, and underpayment recovery will help AI systems optimise net revenue and identify systematic underpayments. **Responsibilities** - Identify, analyse, and recover underpayments and payment variances across commercial, Medicare Advantage, and Medicaid managed care payer contracts. - Evaluate AI-generated underpayment detection alerts, contract compliance outputs, and payment variance analyses for accuracy. - Interpret payer contract terms including fee schedules, carve-outs, outlier provisions, and payment methodologies to validate claim payments. - Conduct contract modelling and payment reconciliation to identify systematic underpayment patterns. - Develop and submit underpayment claims and recovery correspondence to payers. - Collaborate with managed care contracting teams to identify contract language gaps and renegotiation opportunities. - Monitor underpayment recovery KPIs including identified underpayment dollars, recovery rates, and payer response rates. - Ensure compliance with payer contract terms, HIPAA, and timely filing requirements for underpayment recovery. - Annotate AI outputs and provide structured feedback to support AI training datasets. **Requirements** - 5+ years of experience in underpayment recovery, payment variance analysis, or managed care contracting, with demonstrated expertise in contract interpretation. - Deep knowledge of payer payment methodologies including DRG-based, per diem, per cent-of-billed charges, and fee schedule reimbursement. - Strong experience with contract modelling, payment reconciliation, and payer dispute resolution. - Familiarity with managed care contract management systems and payment variance detection tools. - Proficiency with Excel-based financial analysis and revenue cycle analytics platforms. - Exceptional written and verbal English communication skills. - High attention to detail with the ability to identify payment discrepancies in complex contract structures and AI-generated outputs. **Preferred Qualifications** - CHFP, CRCR, or managed care contracting certification. - Experience with contract management software (e.g., Experian Health, Recondo, or similar). - Background in hospital, health system, or large physician group underpayment recovery operations. - Familiarity with AI tools and comfort evaluating AI-generated payment variance content. - Experience negotiating payer contracts and presenting underpayment analysis to executive leadership. **Why Join?** - Contribute to the development of frontier AI systems in healthcare. - Collaborate with a world-class AI research organisation. - Gain exposure to cutting-edge AI workflows in managed care contracting and the revenue cycle. - Opportunity to work on high-impact projects shaping the future of healthcare AI.
