The Senior Data Engineer will lead the design and optimization of complex data systems while overseeing data projects and mentoring junior staff. They are responsible for ensuring data quality, managing workflows, and aligning technical solutions with business goals.
The VP Client Partner will serve as a strategic advisor to senior executives at top fintech companies to drive account growth and identify new business opportunities. They will orchestrate cross-functional teams to deliver high-impact, tech-enabled solutions across AI, data, and operations.
The role involves hunting for new business by building relationships with CFOs and Controllers to sell multi-year finance and accounting outsourcing and analytics engagements. You will own the full sales cycle from prospecting and building a pipeline to leading contract negotiations and closing deals.
The RN Case Manager conducts comprehensive clinical assessments and develops individualized care plans to support beneficiary health and self-care management. They coordinate care across transitions, monitor progress, and serve as an advocate to ensure effective integration of healthcare services and community resources.
The role involves independently leading financial research, valuation modeling, and the creation of client-ready presentations and reports. You will be responsible for validating complex data, ensuring methodological rigor, and providing actionable insights to support strategic deliverables.
The Senior Azure Cloud Engineer will design, deploy, and manage enterprise Azure IaaS and PaaS environments while providing L3 technical support. They will also implement infrastructure automation, security controls, and governance practices to ensure reliable cloud operations.
The IRF Quality Analyst performs random and targeted quality reviews to ensure audit determinations are supported by medical records and program requirements. They also provide feedback to auditors, identify quality trends, and recommend process improvements to enhance audit accuracy and documentation quality.
The auditor will review outpatient claims for accuracy in CPT coding, APC groupings, and regulatory compliance across various clinical specialties. They are responsible for identifying overpayments, coding discrepancies, and ensuring adherence to industry standards and Medicare regulations.
The Provider Relations Coordinator handles inbound and outbound provider communications to resolve inquiries and ensure efficient workflow. They are responsible for maintaining documentation, adhering to service levels, and upholding HIPAA confidentiality standards.
The Onboarding and Operations Coordinator manages the end-to-end onboarding process for new hires, including equipment readiness, system access, and training support. They also maintain operational trackers, prepare productivity reports, and collaborate with internal teams to resolve barriers to new hire readiness.
The CVA Trainer delivers engaging training to clinical auditors and translates audit outcomes into effective learning experiences to improve coding accuracy. They also mentor staff, analyze audit trends to identify learning gaps, and develop professional training materials based on clinical rationale.
The Quality Analyst oversees clinical validation auditors to ensure accuracy in inpatient DRG coding and audit findings. They are responsible for mentoring staff, recommending process improvements, and conducting quality reviews of audits.
The Post Audit Coordinator I verifies the accuracy of audit invoices, itemized bills, and fees while managing provider communications. They are responsible for advancing audits through the workflow system and generating finding files for clients.
Lead exploratory claims analysis to identify utilization patterns, anomalies, inappropriate claims, and potential overpayments, using operational expertise to investigate payment outcomes and root causes. Translate findings into actionable analytics concepts and collaborate with analytics, product, and strategy teams to validate and improve claims monitoring and overpayment detection capabilities.
The role involves driving new business sales and revenue growth by acquiring new clients within the North American Fintech sector. The individual will manage the full sales cycle, from deal origination to closure, while building strategic relationships and delivering tailored BPO and data engineering solutions.
Handle provider inquiries through inbound and outbound calls, emails, and voicemails, resolving issues and supporting providers with portal navigation and request follow-up. Manage and report on mailbox activity, escalate unresolved matters, communicate workflow or system issues, and meet quality, productivity, HIPAA, and confidentiality standards.
Audit hospital outpatient facility claims to verify CPT/HCPCS coding, APC assignment, payment indicators, revenue codes, packaging, and compliance with CMS OPPS rules. Identify reimbursement errors and opportunities, analyze payment impacts, and document clear audit findings across infusion services, outpatient surgery, imaging, and interventional radiology.
Conduct MS-DRG and APR-DRG coding audits to verify coding accuracy and reimbursement, identify overpayments, and document findings supported by coding guidelines and regulations. Maintain audit quality and productivity, stay current with coding and compliance updates, and protect data in accordance with HIPAA and company policies.
Review outpatient coding audits and medical records to verify coding accuracy, documentation support, audit rationales, and compliance with client and payer guidelines. Mentor auditors, manage quality review inventory and appeals, identify error trends and payment findings, and recommend process improvements.
The VP leads the Insurance Finance & Accounting solutioning strategy, overseeing large-scale pursuits, deal governance, and the development of go-to-market propositions. They act as a senior advisor to C-suite clients while managing cross-functional teams to drive pipeline conversion and business growth.
Conduct comprehensive MS-DRG and APR-DRG coding reviews to ensure accurate reimbursement and identify overpayments. Maintain compliance with industry regulations and coding guidelines while meeting quality and productivity standards.
Conduct pharmacy desk and assigned onsite or virtual audits by reviewing claims, pharmacy records, and supporting evidence to assess compliance and identify discrepancies or potential overpayments. Document and validate findings, maintain audit records and status updates, communicate issues and escalations, and protect patient information while meeting quality and productivity expectations.
The role involves designing vinyl pools and steel panel designs while meeting business targets and delivery timelines. You will work within a high-volume production environment, incorporating feedback to improve design efficiency and accuracy.
The representative will handle inbound and outbound calls while maintaining accurate system records and policy information. They are expected to provide exceptional customer service by actively listening to needs and collaborating with the team to meet goals.
The Data Mining Specialist is responsible for identifying, developing, and implementing data mining queries to detect payment anomalies and recovery opportunities. They will also validate claim reimbursement terms, perform audits, and serve as a subject matter expert for internal and external stakeholders.
The auditor reviews query outputs to identify and validate potential medical claim overpayments according to internal policies and contractual agreements. They are responsible for documenting findings in production systems and maintaining quality and production standards.
The Clinical Validation Auditor reviews inpatient medical records to verify DRG coding accuracy and identify potential overpayments. They are responsible for documenting findings clearly and maintaining compliance with clinical guidelines and industry trends.
Conduct clinical reviews to verify the accuracy of skilled nursing facility billing and ensure compliance with CMS guidelines and contract terms. Document audit findings, identify trends, and utilize proprietary tools to manage claims through the workflow process.
Accurately post cash in accordance with applicable policies, maintain cash controls and suspense accounts, and ensure transactions are authorized. Report exceptions and collaborate with the team on ad hoc work as needed.
Conduct detailed financial research, benchmarking, and company profiling to support valuation deliverables. Synthesize complex data into clear reports and financial models while maintaining high standards of accuracy and consistency.
