Lead the design and execution of implementation and evaluation tasks for CMS/CMMI alternative payment models. Partner with data science and technology teams to translate policy goals into actionable methodologies and technical reports.
The Senior Quantitative Researcher will design and execute implementation and evaluation tasks for CMS/CMMI alternative payment models to generate actionable insights. They will collaborate with data science teams to develop methodologies, write technical proposals, and mentor junior staff.
Lead the design and execution of monitoring frameworks for CMS/CMMI alternative payment models to ensure program compliance and performance. Collaborate with data science teams to develop dashboards and actionable insights while managing project deliverables and mentoring junior staff.
The Senior Quantitative Researcher designs and executes monitoring frameworks for CMS/CMMI alternative payment models to ensure program compliance and performance. They collaborate with data science teams to build analytical dashboards and provide actionable insights through technical reporting.
The Arbiter is responsible for arbitrating and deciding payment disputes by analyzing case documentation and jurisdictional issues. They must collaborate with legal and technical professionals to ensure determinations are accurate, well-supported, and compliant with federal and state regulations.
The arbitrator is responsible for deciding payment disputes by analyzing documentation and managing case files. They must collaborate with legal and technical professionals to ensure determinations are accurate and defensible under federal and state regulations.
The Senior Program Analyst will serve as a subject matter expert, translating customer needs into technical deliverables for VA and DHA programs. They will work closely with program leadership to manage planning, tracking, and risk identification while ensuring high-quality program performance.
The Senior Recruiter will own the full-cycle recruiting process for the Public Sector Growth Team, focusing on federal health IT talent. They are responsible for proactively building talent pipelines and qualifying candidates against contract and proposal requirements.
The Senior Solution Architect is responsible for designing, building, and troubleshooting end-to-end technical solutions for federal health programs. They will work directly with customers to translate technical vision into actionable delivery requirements while leading technical implementations.
The Director of Technical Delivery leads the function responsible for delivering technology programs to federal and commercial healthcare customers. They oversee the entire implementation lifecycle, manage cross-functional teams, and ensure portfolio health through consistent delivery practices and metrics.
The consultant will serve as a domain expert to support sales, product, and customer success teams by bridging operational payment integrity knowledge with technology. They will lead discovery conversations, conduct product demonstrations, and ensure the platform aligns with commercial payer workflows.
The Director of PMO will establish and lead a shared service PMO to standardize delivery methodologies, artifacts, and reporting across federal and commercial programs. They are responsible for managing the project management team, ensuring data integrity for program health, and coordinating with executive leadership to support organizational growth.
The Senior Data Analyst will analyze complex healthcare datasets to generate actionable insights for internal products and strategic initiatives. They will collaborate with cross-functional teams to develop scalable analytics, maintain data models, and ensure high data quality standards.
Perform coding-focused medical reviews on Medicare Part A/B and DMEPOS claims to ensure accuracy and medical necessity. Research and apply CMS coding guidelines while identifying potential improper payments or documentation patterns indicative of fraud.
The Director of Business Development is responsible for owning growth across the Department of Veterans Affairs by building trusted relationships and aligning company capabilities with mission needs. They will lead the full lifecycle of business capture, including market research, proposal support, and pipeline management to meet annual award targets.
The Senior Nurse Reviewer conducts complex medical record reviews for Medicare claims to assess validity and potential fraud. They also serve as a technical mentor to staff and contribute to quality assurance and process improvement initiatives.
The Nurse Reviewer performs complex medical record reviews for Medicare claims to determine medical necessity and coverage validity. They also document defensible rationales for payment decisions and identify potential fraud, waste, or abuse.
The Senior Salesforce Developer will lead the design, architecture, and development of the company's Salesforce ecosystem to ensure scalability and performance. They will also manage complex multi-system integrations, particularly with AWS, and provide technical mentorship to junior team members.
The Director of Marketing will own the company brand and lead the full marketing function, aligning demand generation and market intelligence with revenue growth. This role involves building and scaling the marketing organization while positioning the company as a leader in AI-enabled health services across federal and commercial markets.
The Systems Security Officer manages the Medicare information security program and ensures the implementation of necessary safeguards. They operate independently of IT operations to maintain compliance with CMS security requirements and respond to security incidents.
The IT Security Governance Officer oversees the program's compliance with CMS information security requirements and serves as the primary point of accountability for the security program. They are responsible for implementing federal security policies, managing the SA&A process, and acting as the primary liaison to CMS for security and privacy matters.
Lead the technical implementation and migration of case management functionality from a legacy Pega system to the Salesforce platform. Collaborate with data teams to design integrations and enforce development standards across the project lifecycle.
The Senior Site Reliability Engineer will own the reliability, scalability, and operational health of the mission-critical healthcare data platform. Responsibilities include designing observability infrastructure, leading incident response, and automating manual processes to reduce operational toil.
The Senior Full-Stack Engineer will design, develop, and maintain robust, scalable web applications across the full technology stack. They will collaborate with cross-functional teams to integrate APIs, deploy serverless cloud solutions, and optimize performance for large data sets.
You will design, develop, and maintain scalable front-end and back-end components for healthcare-focused web applications. The role involves collaborating with cross-functional teams to build secure, high-performance systems while providing technical mentorship to other engineers.
The Coder Reviewer performs clinical documentation reviews and audits to support independent dispute resolutions at federal and state levels. They are responsible for generating accurate audit findings, interpreting payment policies, and communicating rationales to hospital and client personnel.
