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 ... Show more
Overview** We are hiring **Retail / Clienteling** professionals with experience in retail, luxury goods, or client-facing sales environments.In this role, you will review, assess, and provide struc... Show more
Our dedicated associates help the company achieve its mission to put the world on vacation.Innovation and growth keep our work interesting and fun.Every day is a chance to learn something new and t... Show more
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 business job market.Looking to st... Show more
Help us succeed as our next Kelly Services Customer Service Rep to perform daily responsibilities with dedication.Work with your team to maintain efficiency and service quality.Provide excellent in... Show more
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... Show more
Learning & Development Coordinator.Crusoe is on a mission to accelerate the abundance of energy and intelligence.As the only vertically integrated AI infrastructure company built from the ground up... Show more
Join Mission Clean Energy's Talent Community.Mission Clean Energy ("Mission") is a utility-scale renewable energy and storage developer focused on accelerating America's clean energy future.Mission... Show more
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... Show more
PPC Specialist Job Duties: Meet client goals through end-to-end paid media initiatives Pla... Show more
Known for their innovative and comprehensive approach to pest control, they have a long history of delivering results that far exceed the expectations of clients.With a team of experienced and know... Show more
Looking for a baby sitter for my Airbnb guest's 1 year old for this Saturday night and for future guests requiring the same. Show more
Stripe is a financial infrastructure platform for businesses.Millions of companiesfrom the world's largest enterprises to the most ambitious startupsuse Stripe to accept payments, grow their revenu... Show more
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... Show more
The Program Coordinator is a dual-role position that combines classroom teaching with instructional leadership and coaching.This role leads a classroom while also supporting and mentoring teachers ... Show more
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... Show more
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... Show more
Manejar con la app de Uber es una alternativa a un trabajo de medio tiempo o tiempo completo y te permite generar ganancias en efectivo de forma rápida, independiente y a tu propio ritmo.Podés hace... Show more
You can't buy product if it's not on the floor, right?! As a part-time stock brand Ambassador, you're an expert at keeping product moving from the Stockroom to the Salesfloor through shipment proce... Show more
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... Show more
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.
