Talent.com
Mercor
Remote Underpayment & Managed-care Contract Specialist - AI Trainer ($85-$85 per hour)Mercor • Council Bluffs, Iowa, US
Remote Underpayment & Managed-care Contract Specialist - AI Trainer ($85-$85 per hour)

Remote Underpayment & Managed-care Contract Specialist - AI Trainer ($85-$85 per hour)

Mercor • Council Bluffs, Iowa, US
30+ days ago
Salary
$85.00 hourly
Job type
  • Full-time
  • Remote
Job description
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.
Create a job alert for this search

Remote Underpayment & Managed-care Contract Specialist - AI Trainer ($85-$85 per hour) • Council Bluffs, Iowa, US

Similar jobs

Online Survey Taker. Earn up to $25 per survey. - Remote

Earn HausBellevue, NE, US
Remote
Full-time +1

We are urgently looking for people interested in taking online surveys for Fortune 500 brands.If you are a self-starter, looking for flexible hours throughout the week, this may be for you! Earn up... Show more

 • Promoted

Extra Income Online – Remote Survey Taker Job Up to $25 Per Survey

Earn HausBellevue, NE, US
Remote
Full-time +1

We are urgently looking for people interested in taking online surveys for Fortune 500 brands.If you are a self-starter, looking for flexible hours throughout the week, this may be for you! Earn up... Show more

 • Promoted

A Calling Like No Other

U.S. Marine CorpsMissouri Valley, IA, US
Full-time

Those who put others before themselves.Who can rise up in the face of danger.This country we call home has been our haven of safety for 250 years.And it's up to us to keep it that way.There's a goo... Show more

 • Promoted

Information Technology Professional

US NavyBlair, NE, US
Full-time

Information Technology Professional (IT/CTN/IS).Information Systems Technicians, Cryptologic Technician Networks, and Intelligence Specialists keep the Fleet connected, informed, and secure by oper... Show more

 • Promoted

Realty Project Coach

IntelliSourceOmaha, NE, United States
Full-time

Location: Omaha, NE, 68108, United States.Job Category: Utility / Warehouse.Industry: eCommerce / Retailer. Show more

 • Promoted

Tired of Your Income Being Capped? Work from Home Opportunity

Global EliteBellevue, NE, United States
Remote
Full-time

Client Service Leadership Opportunity.Are you a passionate individual seeking a fulfilling career that offers flexibility and growth opportunities? Look no further! With the option to work from hom... Show more

 • Promoted

Earn Side Money at Home Testing Products

Product Review JobsMISSOURI VALLEY, IA, United States
Full-time

Compensation: Varies per assignment.Location: Remote (USA) Company: ProductReviewJobs Thank you for your interest in becoming a Paid Product Tester.This opportunity is for completing market res... Show more

 • Promoted

Housing Specialist- Remote

Omaha StaffingMissouri Valley, IA, United States
Remote
Full-time

Housing Specialist- RemoteBy joining Sedgwick, you'll be part of something truly meaningful.It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected.We... Show more

 • Promoted

Remote Customer Service - Benefits Specialist (50k-90k per year)

Professional CareersBlair, Nebraska
$50,000.00 yearly
Remote
Full-time +1

We're looking for candidates with great customer service skills to fill our Remote Customer Service role!.This role is entirely remote and offers full-time/Part time hours with flexibility.We are r... Show more

 • Promoted

Client Solutions Manager

Slice Merchant ServicesBlair, NE, US
Full-time

Excellent opportunity to join a leading, national credit card processing company that has over a decade of industry experience.Slice Merchant Services offers innovative payment processing solutions... Show more

 • Promoted

Flexible remote AI work. Your schedule. Paid weekly, straight to your bank account.

Meridian.aiPapillion, NE, US
Remote
Full-time

Review and label digital content including text, images, and documents.Every task you complete helps improve how technology interprets information and performs in practical settings.Detail-oriented... Show more

 • Promoted

Remote Benefits Advisor (50k-90k per year)

Professional CareersBlair, Nebraska
$50,000.00 yearly
Remote
Full-time +1

We're looking for candidates with great customer service skills to fill our Remote Customer Service role!.This role is entirely remote and offers full-time/Part time hours with flexibility.We are r... Show more

 • Promoted

Contracting Specialist

Department of the Air ForceOffutt Afb, NE, United States
Full-time

Duties and responsibilities vary and may increase according to grade level****.Review requisition package for adequacy, consistency, and compliance with administrative, regulatory, and procedural r... Show more

 • Promoted

Earn $25 in 30 Minutes – Men 55+ Needed for Remote Voice Recording Study

TransperfectBellevue, NE, US
Remote
Full-time

Earn $25 in 30 Minutes – Men 55+ Needed for Remote Voice Recording.DataForce by TransPerfect is looking for native English-speaking men aged 55 and.United States to participate in a paid voice reco... Show more

 • Promoted

Dedicated CDL A Truck Driver Running CO and NM- Weekend Home Time for Costco. Earn $.57 to $.60 cpm

Crete CarrierBlair, NE, US
Full-time

Crete Carrier offers CDL A Drivers a Dedicated Route in CO and NM.One-year verifiable tractor trailer experience with a class A CDL. Show more

 • Promoted

Outside Sales Representative – Remote Insurance

Platinum Supplemental Insurance, Inc.Blair, NE, US
Remote
Full-time

Ready to jump-start your career and take charge of your earning potential?.At Platinum Supplemental Insurance, we’re looking for motivated individuals ready to learn, grow, and thrive in a fast-pac... Show more

 • Promoted

Contract Execution Specialist Lv3

Omni InclusiveBlair, NE, United States
Full-time

The North America Senior Buyer Engineering, Procurement & Construction Management will handle cross regional sourcing activities and will actively contribute to the build and execution plans of the... Show more

 • Promoted

Remote Product Tester - Flexible Studies

BuzzTestersMissouri Valley, IA
Remote
Full-time

Earn up to $400/week, depending on the number and type of studies you complete.Share honest feedback on products and services from independent brands.Assignments include short online surveys (10–20... Show more

 • Promoted

Learning & Development Specialist - Remote

Falling Water DreamsLittle Sioux, IA, United States
Remote
Full-time

Do you have a passion for Personal and Leadership Development? Have experience or a keen interest in Marketing / social media? This role could be for you! Falling Water Dreams is a growing company ... Show more

 • Promoted

Selective Surrogacy Opportunity — Premium Support & Compensation

Roots SurrogacyMissouri Valley, IA, US
Full-time

Roots Surrogacy is seeking exceptional women for a highly supported, premium surrogacy experience.We work with intended parents who are deeply invested in creating a respectful, connected, and well... Show more