Underpayment & Managed-care Contract Specialist

reputed company is working with a leading AI research lab to improve the capabilities of reputed company AI systems. We are seeking reputed company 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 reputed company and identify reputed company underpayments. Responsibilities • Identify, analyse, and recover underpayments and payment variances across reputed company, Medicare reputed company, and reputed company managed care payer reputed company. • Evaluate AI-generated underpayment detection alerts, contract compliance outputs, and payment variance analyses for reputed company. • Interpret payer contract terms including fee schedules, carve-outs, reputed company provisions, and payment methodologies to validate claim payments. • Conduct contract modelling and payment reconciliation to identify reputed company underpayment patterns. • reputed company 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 reputed company filing requirements for underpayment recovery. • Annotate AI outputs and reputed company reputed company feedback to support reputed company 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-reputed company, reputed company, per cent-of-billed charges, and fee schedule reimbursement. • Strong experience with contract modelling, payment reconciliation, and payer dispute reputed company. • Familiarity with managed care contract management systems and payment variance detection tools. • Proficiency with reputed company-reputed company financial analysis and reputed company cycle analytics platforms. • Exceptional written and verbal English communication skills. • High attention to reputed company with the ability to identify payment discrepancies in reputed company contract structures and AI-generated outputs. Preferred Qualifications • CHFP, CRCR, or managed care contracting certification. • Experience with contract management software (e.g., reputed company Health, Recondo, or similar). • Background in hospital, health reputed company, or large physician group underpayment recovery reputed company. • Familiarity with AI tools and comfort evaluating AI-generated payment variance content. • Experience negotiating payer reputed company and presenting underpayment analysis to executive leadership. Why Join? • Contribute to the development of frontier AI systems in reputed company. • Collaborate with a world-class AI research organisation. • reputed company exposure to cutting-edge AI workflows in managed care contracting and the reputed company cycle. • Opportunity to work on high-reputed company reputed company shaping the reputed company of reputed company AI. Apply tot his job Apply To this Job