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

MercorSan Buenaventura, California, US
$85.00 hourly
Remote
Full-time

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

Data Analyst - Insurance - REMOTE

Work At Home Vintage ExpertsOxnard, CA, US
$30.00 hourly
Remote
Full-time +2
Quick Apply

Put your Insurance Experience to work – FROM HOME!.Our unique platform provides you with.WHAT YOU’LL LOVE ABOUT WAHVE.We created a welcoming place to work with friendly and professional... Show more

Senior Manager of Affinity Partnerships

DOXA InsuranceOxnard, CA, United States
Full-time

Senior Manager Of Affinity Partnerships.We are seeking a Senior Manager of Affinity Partnerships to support UST Workforce Solutions.This position manages and participates in acquisition, retention ... Show more

Dermatologist with Shareholder Track

Platinum Dermatology PartnersCamarillo, US
Full-time

Join a thriving dermatology practice in Camarillo, CA with Coastal Dermatology! We're looking for a.Achieve work-life balance while pursuing your passion.Practice with autonomy using the latest equ... Show more

Board-Certified Dermatologists - Camarillo, CA

SDG MGMT Company, LLCCamarillo, US
Full-time

Find a Career Where You Can Thrive-Not Just Another Job.At Schweiger Dermatology Group, we offer an opportunity to grow and excel in a supportive and dynamic environment.New York, New Jersey, Penns... Show more

Sales Manager

Grieco Automotive GroupOxnard, CA, United States
Full-time

Grieco Automotive Group Sales Manager.The Grieco Difference is the guarantee that guides our actions and unifies us in outstanding service and results for all.It defines our philosophy towards our ... Show more

Manager, Sales Operations

HygienaCamarillo, CA, United States
$110,000.00 yearly
Full-time

Hygiena provides rapid microbiology diagnostic tests and solutions for mission-critical, time-sensitive processes around the world.Hygiena's proprietary diagnostic technologies enable customers to ... Show more

Assistant Community Manager

Asset LivingOxnard, CA, US
Full-time +1

Asset Living is a third-party management firm and a proven partner in fostering thriving communities nationwide.Founded in 1986, Asset Living has decades of experience delivering exceptional value ... Show more

CDL class A driver: UP TO $3,500 NET WEEKLY

Kings Road IncCamarillo, CA, US
Full-time
Quick Apply

CDL-A TEAM DRIVERS WANTED – UP TO $4,500/WEEK PER DRIVER.Kings Road Inc is hiring professional CDL-A Team Drivers.Applying solo? We'll match you quickly.Steady freight & consistent miles.Co... Show more

REMOTE Senior Estate Planning Attorney — Established Regional Fir

JobotVentura, CA, US
$150,000.00 yearly
Remote
Full-time

Senior Estate Planning Attorney — Remote — Up to $300k Total Comp — California This Jobot Job is hosted by: Stanton Sikorski Are you a fit? Easy Apply now by clicking the "Quick Apply" button and s... Show more

Remote Revenue-cycle analytics / decision-support / RCM reporting leader - AI Trainer ($100-$100

MercorCamarillo, California, US
Remote
Full-time

Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Revenue Cycle Analytics and Decision-Support leaders — includin... Show more

Sr. Electrical Engineer

General Dynamics Information TechnologyPort Hueneme, California, United States of America
Full-time

We are searching for a self-motivated electrical engineer experienced in test equipment development and maintenance.The candidate must have a proven record of exceptional technical aptitude, effici... Show more

Sales Representative Senior

Cottage HealthVentura, US
Full-time

Pacific Diagnostics Laboratories seeks a Sales Representative Sr for their Sales department responsible for marketing, selling, and promoting the organization's services exclusively to prospective ... Show more

.NET Backend Developer

Hitachi RailOffice_Madrid J. Camarillo
Full-time

NET Backend Developer to design, develop, and maintain robust and scalable backend systems and APIs, contributing to critical enterprise applications.Design, develop, and implement high-performance... Show more

Remote Advisory & Transaction Services Expert (M&A / Valuation) - AI Trainer ($80-$120 per hour)

MercorOxnard, California, US
$80.00 hourly
Remote
Full-time

Role Overview** Mercor is collaborating with a leading AI lab to engage experienced transaction advisory and valuation professionals.You'll translate real M&A, due diligence, and valuation work int... Show more

Remote Revenue-cycle Executive (VP/Sr. Director Revenue Cycle, or RCM-focused Finance Leader) - AI

MercorSan Buenaventura, California, US
Remote
Full-time

Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Revenue Cycle Executives — including VP of Revenue Cycle, Sr.Di... Show more

Service Manager

LanspeedCamarillo, CA, US
$120,000.00 yearly
Full-time
Quick Apply

Description The Service Manager leads Lanspeed's Managed Services and Strategic Services teams and is accountable for service delivery, client experience, team performance, operational discipline, ... Show more

Store Manager 9460

Circle KOxnard, California, United States of America
Full-time

West Coast BU - Region 05 - Market 01: 2200 N Rose Ave, Oxnard, California 93036.The minimum qualifications for a Store Manager are:.High School diploma or GED preferred.Experience in retail sales ... Show more

Manager, Field Service - Los Angeles County (for future consideration)

RivianVentura, CA, United States
$112,100.00 yearly
Full-time +1

Rivian is on a mission to keep the world adventurous forever.This goes for the emissions-free Electric Adventure Vehicles we build, and the curious, courageous souls we seek to attract.As a company... Show more

Management Training Program

BuckleCamarillo, CA, United States
Full-time

The Management Trainee position's primary responsibility is to fulfill our mission statement, "to create the most enjoyable shopping experience possible for our Guests.Additionally, Management Trai... Show more

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

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

MercorSan Buenaventura, California, 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.