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

Similar jobs

AI Architect: AI Solutions & Pre-Sales Leader (Remote)

GenesysBridgeport, CT, United States
Remote
Full-time

A leading provider of AI-powered customer solutions seeks an AI Architect in Bridgeport, CT.The role involves connecting product management and customer-facing teams while driving growth through st... Show more

 • Promoted

Health Director - Camp Felix

The New York FoundlingKent, CT, United States
Full-time

OverviewAt The New York Foundling, we trust in the power and potential of people, and we deliberately invest in proven practices.From bold beginnings in 1869, our New York-based nonprofit has suppo... Show more

 • Promoted

PRN RN Behavioral Health Home Visits

LHC GroupNew Milford, CT, United States
Full-time

Job Opportunity:Registered NurseWe are hiring full time, part time, and PRN RN's (Registered Nurse) to provide behavioral health and other personal care healthcare services in the New Milford and s... Show more

 • Promoted

Assistant Director - Camp Felix

The New York FoundlingKent, CT, United States
Full-time

OverviewAt The New York Foundling, we trust in the power and potential of people, and we deliberately invest in proven practices.From bold beginnings in 1869, our New York-based nonprofit has suppo... Show more

 • Promoted

Paid Online Survey Participant - No Experience

Clubshop | USBridgewater, Connecticut
Full-time

Discover The System Surveoo That’s Helping Newbies Earn Daily.Turn your free time into daily earnings by answering simple surveys.No product or tech skills needed.Join For Free And Start Earn... Show more

Recurring - Remote Producer

The Walt Disney Company (France)Goshen, CT, United States
Remote
Full-time

OverviewThe Recurring Remote Producer position is responsible for the creative direction of assigned remote sports telecasts, as well as on-site management and administration of those telecasts / p... Show more

 • Promoted

Remote - Test Products - $25-$45 per hour

OCPAElwood, New York, US
$25.00–$45.00 hourly
Remote
Part-time +1

Product Testers are wanted to work from home in the UK to fulfill upcoming contracts with local and international companies.We guarantee 15-25 hours per week with an hourly pay of between £18/hr.Th... Show more

 • Promoted

Specialist RES - US Remote

Anywhere Real EstateDanbury, CT, United States
Remote
Full-time

Real Estate Contract SpecialistManage the 3rd Party Sale process from receipt of contract to sale closing.Review Contract/Offer; assess terms, interpret legal obligation and financial risk of enter... Show more

 • Promoted

Recruiter (Remote)

Gersh AutismHuntington, NY, United States
Remote
Full-time

For over 30 years, Gersh Autism has empowered students on the autism spectrum to reach their full potential.Serving individuals aged 5-21 across the U.Puerto Rico, our network of K-12 schools provi... Show more

 • Promoted

Admissions Coordinator (Nursing Home)

Career StrategiesBantam, CT, United States
Full-time

Job Summary:Seeking a highly organized and detail-oriented individual to join our team as an Admissions Coordinator (Director).Responsible for managing the admissions process.Will work closely with... Show more

 • Promoted

PRN RN Behavioral Health Home Visits

OptumNew Milford, CT, United States
Full-time

Explore opportunities with Patient Care, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide.As members of the Optum family of businesses, we ar... Show more

 • Promoted

Bethlehem - Home Health Aide - Weekends

ABI ResourcesBethlehem, CT, United States
Full-time

Direct Support Professionals needed for all shifts.Positions will provide support to individuals with developmental and intellectual disabilities in a variety of programs.Position requires hands-on... Show more

 • Promoted

Physical Therapist - Travel Contract

Jackson TherapyNew Milford, CT, United States
Full-time +1

Looking for a change of scenery and a chance to help others? Join Jackson Therapy Partners as a traveling Physical Therapist where you'll help patients recover from injuries and manage chronic cond... Show more

 • Promoted

Tech Recruiter

Onward SearchFairfield, CT, United States
Full-time

We are seeking a proactive, highly competitive Technical Recruiter to drive delivery and growth across our Technology Staffing business.This role is focused on high-volume candidate sourcing, aggre... Show more

 • Promoted

Training Specialist (Bilingual in Spanish)

NAFI CTLitchfield, CT, United States
Full-time

Training Specialist (Bilingual in Spanish)NAFI Connecticut provides programs, consultation, and support services in a variety of settings across Connecticut, New York, and Rhode Island.We work with... Show more

 • Promoted

Headache Specialist

St. Luke's HospitalBethlehem, CT, United States
Full-time

Join a 100 top hospital with a newly established neurology residency program! St.Luke's University Health Network, the region's largest, most established health system, and major teaching hospital ... Show more

 • Promoted

Remote Commercial Insurance Underwriter

Borg Insurance Agency & AssociatesHuntington, NY, United States
Remote
Full-time

Borg Insurance Agency & Associates is a family-owned organization with a legacy that spans more than three generations.Since 1971, we have built a reputation grounded in professionalism and a g... Show more

 • Promoted

Remote Product Tester - Flexible Studies

BuzzTestersMorris, CT
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