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Medical Claim Analyst Jobs

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Implementation Lead, Physician Enterprise Why Translucent Healthcare providers drive $2.5 trillion in medical expenditures annually — and operate on razor-thin 2–5% margins. Despite these stakes, the finance teams behind these organizations are buried in spreadsheets, manual data pulls, and disconnected systems, spending more time finding and cleaning data than actually using it to make decisions. Translucent is changing that. We're building the agentic AI platform designed exclusively for healthcare finance — giving every finance team, department, service line their own arsenal of AI Agents that run 24/7, understand their specific data, business logic, and workflows. Founded in 2024 and backed by GV, NEA, FPV, and Virtue, we've already been deployed by healthcare organizations managing over $5 billion in combined revenue. The product-market fit is real, the problem is massive, and we're just getting started. About the role We're hiring a founding Technical Implementation Lead to own the technical delivery of Physician Enterprise everywhere it's deployed — a system of record for medical group performance, service-line economics, and physician compensation, used directly by Physician Enterprise CFO/FP&A and Compensation teams. This is a new discipline at Translucent: one person holding the full picture of a product across every account running it, rather than that expertise being rebuilt or fragmented account by account. You'll partner with an Account Owner on each account. They own the long-term relationship — client trust, change management, training, and long-term value realization. You own the implementation — requirements, scope, delivery, and quality — and you run the pod day-to-day. You're also a design partner to Product and Product Engineering as they build net-new capability for Physician Enterprise, since no one else holds as complete a picture of what's actually needed in the field. This is hands-on work: you'll be in requirements sessions, reviewing

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ROLE DETAILS Full-Time Office Location — New York City (preferred) WHY TRANSLUCENT Healthcare providers drive $2.5 trillion in medical expenditures annually — and operate on razor-thin 2–5% margins. Despite these stakes, the finance teams behind these organizations are buried in spreadsheets, manual data pulls, and disconnected systems, spending more time finding and cleaning data than actually using it to make decisions. Translucent is changing that. We’re building the AI-native financial platform designed exclusively for healthcare — giving every finance team, department, and service line their own arsenal of AI Agents that run 24/7, understand their specific data, business logic, and workflows. Founded in 2024 and backed by GV, NEA, FPV, and Virtue, we’ve already been deployed by healthcare organizations managing over $5 billion in combined revenue. The product-market fit is real, the problem is massive, and we’re just getting started. If you want to work at the intersection of AI and one of the most complex, consequential industries in the world — this is the place. ROLE OVERVIEW Sourcing variance is one of the most line-item-auditable opportunities in a health system and one of the easiest to misjudge, because a high-cost item is not overspend if it earns more than it costs. As our subject matter expert for this domain, you will bring that judgment into the product itself, shaping how our agents reason about contract pricing, tier compliance, and 340B integrity, while holding model output to the standard a working pharmacy or supply chain leader would apply. This position reports to Adam Albrecht, Head of Domain Intelligence. WHAT YOU'LL DO To facilitate the development of these systems, you will: Develop and deliver subject matter expertise in pharmacy economics and healthcare supply chain to support AI product development and customer margin realization Work closely with our engineering, product, and design teams to define and develop AI systems for pharmacy

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ROLE DETAILS Full-Time Office Location — New York City (preferred) WHY TRANSLUCENT Healthcare providers drive $2.5 trillion in medical expenditures annually — and operate on razor-thin 2–5% margins. Despite these stakes, the finance teams behind these organizations are buried in spreadsheets, manual data pulls, and disconnected systems, spending more time finding and cleaning data than actually using it to make decisions. Translucent is changing that. We’re building the AI-native financial platform designed exclusively for healthcare — giving every finance team, department, and service line their own arsenal of AI Agents that run 24/7, understand their specific data, business logic, and workflows. Founded in 2024 and backed by GV, NEA, FPV, and Virtue, we’ve already been deployed by healthcare organizations managing over $5 billion in combined revenue. The product-market fit is real, the problem is massive, and we’re just getting started. If you want to work at the intersection of AI and one of the most complex, consequential industries in the world — this is the place. ROLE OVERVIEW Labor is the largest line on most provider income statements and among the hardest to reason about, because a staffing variance can be a model problem, a demand problem, or a byproduct of the competitive landscape. As our subject matter expert for this domain, you will bring that judgment into the product itself, shaping how our agents reason about premium labor, staffing to census, and productivity standards, while holding model output to the standard a healthcare workforce leader would apply. This position reports to Adam Albrecht, Head of Domain Intelligence. WHAT YOU'LL DO To facilitate the development of these systems, you will: Develop and deliver subject matter expertise in healthcare workforce and productivity management to support AI product development and customer margin realization Work closely with our engineering, product, and design teams to define and develop AI systems

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ROLE DETAILS Full-Time Office Location — New York City (preferred) WHY TRANSLUCENT Healthcare providers drive $2.5 trillion in medical expenditures annually — and operate on razor-thin 2–5% margins. Despite these stakes, the finance teams behind these organizations are buried in spreadsheets, manual data pulls, and disconnected systems, spending more time finding and cleaning data than actually using it to make decisions. Translucent is changing that. We’re building the AI-native financial platform designed exclusively for healthcare — giving every finance team, department, and service line their own arsenal of AI Agents that run 24/7, understand their specific data, business logic, and workflows. Founded in 2024 and backed by GV, NEA, FPV, and Virtue, we’ve already been deployed by healthcare organizations managing over $5 billion in combined revenue. The product-market fit is real, the problem is massive, and we’re just getting started. If you want to work at the intersection of AI and one of the most complex, consequential industries in the world — this is the place. ROLE OVERVIEW Physician economics are shaped as much by compensation design and documentation behavior as by actual productivity, which makes benchmark comparisons easy to misread. As our subject matter expert for this domain, you will bring that judgment into the product itself, shaping how our agents reason about productivity, compensation, and access, while holding model output to the standard a working medical group leader would apply. This position reports to Adam Albrecht, Head of Domain Intelligence. WHAT YOU'LL DO To facilitate the development of these systems, you will: Develop and deliver subject matter expertise in medical group and employed-physician operations to support AI product development and customer margin realization Work closely with our engineering, product, and design teams to define and develop AI systems for physician enterprise workflows Build proprietary benchmarks and dat

pythonsqlai
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ROLE DETAILS Full-Time Office Location — New York City (preferred) WHY TRANSLUCENT Healthcare providers drive $2.5 trillion in medical expenditures annually — and operate on razor-thin 2–5% margins. Despite these stakes, the finance teams behind these organizations are buried in spreadsheets, manual data pulls, and disconnected systems, spending more time finding and cleaning data than actually using it to make decisions. Translucent is changing that. We’re building the AI-native financial platform designed exclusively for healthcare — giving every finance team, department, and service line their own arsenal of AI Agents that run 24/7, understand their specific data, business logic, and workflows. Founded in 2024 and backed by GV, NEA, FPV, and Virtue, we’ve already been deployed by healthcare organizations managing over $5 billion in combined revenue. The product-market fit is real, the problem is massive, and we’re just getting started. If you want to work at the intersection of AI and one of the most complex, consequential industries in the world — this is the place. ROLE OVERVIEW Throughput opportunities are easy to compute but complicated to understand: a modeled length-of-stay reduction only becomes margin under conditions a spreadsheet can’t predict. As our subject matter expert for this domain, you will bring that judgment into the product itself, shaping how our agents reason about flow, capacity, and utilization, and holding model output to the standard a working operations leader would apply. This position reports to Adam Albrecht, Head of Domain Intelligence. WHAT YOU'LL DO To facilitate the development of these systems, you will: Develop and deliver subject matter expertise in clinical operations and patient flow to support AI product development and customer margin realization Work closely with our engineering, product, and design teams to define and develop AI systems for throughput and capacity workflows Build proprietary benchmarks and datasets to e

pythonsqlai
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ROLE DETAILS Full-Time Office Location — New York City (preferred) WHY TRANSLUCENT Healthcare providers drive $2.5 trillion in medical expenditures annually — and operate on razor-thin 2–5% margins. Despite these stakes, the finance teams behind these organizations are buried in spreadsheets, manual data pulls, and disconnected systems, spending more time finding and cleaning data than actually using it to make decisions. Translucent is changing that. We’re building the AI-native financial platform designed exclusively for healthcare — giving every finance team, department, and service line their own arsenal of AI Agents that run 24/7, understand their specific data, business logic, and workflows. Founded in 2024 and backed by GV, NEA, FPV, and Virtue, we’ve already been deployed by healthcare organizations managing over $5 billion in combined revenue. The product-market fit is real, the problem is massive, and we’re just getting started. If you want to work at the intersection of AI and one of the most complex, consequential industries in the world — this is the place. ROLE OVERVIEW Revenue cycle is where healthcare’s most auditable margin leakage lives, and where the distance between a flagged variance and a recovered dollar is operator judgment. As our subject matter expert for this domain, you will bring that judgment into the product itself, shaping how our agents reason about denials, underpayments, and charge capture, defining what a correct answer looks like, while holding model output to the standard a working revenue cycle leader would apply. This position reports to Adam Albrecht, Head of Domain Intelligence. WHAT YOU'LL DO To facilitate the development of these systems, you will: Develop and deliver subject matter expertise in healthcare revenue cycle to support AI product development and customer margin realization Work closely with our engineering, product, and design teams to define and develop AI systems for revenue cycle workflows Build proprietary

pythonsqlai
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ROLE DETAILS Full-Time Office Location — New York City (preferred) WHY TRANSLUCENT Healthcare providers drive $2.5 trillion in medical expenditures annually — and operate on razor-thin 2–5% margins. Despite these stakes, the finance teams behind these organizations are buried in spreadsheets, manual data pulls, and disconnected systems, spending more time finding and cleaning data than actually using it to make decisions. Translucent is changing that. We’re building the AI-native financial platform designed exclusively for healthcare — giving every finance team, department, and service line their own arsenal of AI Agents that run 24/7, understand their specific data, business logic, and workflows. Founded in 2024 and backed by GV, NEA, FPV, and Virtue, we’ve already been deployed by healthcare organizations managing over $5 billion in combined revenue. The product-market fit is real, the problem is massive, and we’re just getting started. If you want to work at the intersection of AI and one of the most complex, consequential industries in the world — this is the place. ROLE OVERVIEW Contract terms determine what a health system is owed, but that language lives in amendments, appendices, and institutional memory rather than anywhere a system can easily query. As our subject matter expert for this domain, you will bring that judgment into the product itself, shaping how our agents read contract language, model expected reimbursement, and monitor payor behavior, while holding model output to the standard a working contracting leader would apply. This position reports to Adam Albrecht, Head of Domain Intelligence. WHAT YOU'LL DO To facilitate the development of these systems, you will: Develop and deliver subject matter expertise in managed care contracting and payor strategy to support AI product development and customer margin realization Work closely with our engineering, product, and design teams to define and develop AI systems for contracting and payor performanc

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C
2mo ago

ClinChoice is a global full-service CRO dedicated to professional development and providing an excellent work-life balance, with a quality-focused, collaborative “one-team” culture. We are looking for a dynamic person to join our in-house team as a Senior Associate, Regulatory Affairs (ONSITE) on a permanent basis at Cincinnati, OH . Join our team: you can be part of making a difference in peoples’ lives and experience a fulfilling and rewarding career! J ob Title: Senior Associate, Regulatory Affairs Employment Type: Full Time Location: Hybrid (Cincinnati, Ohio) - Location Address: 4545 Creek Rd Blue Ash, OH 45242 Responsible for managing, planning, preparation, and delivery of documents both electronic- and paper-based in support of assigned. global regulatory product registrations, renewals, tenders/customs, etc. Coordinate the preparation and submission of medical device applications by providing regulatory information and documents and following up closely on queries from inspection through approval. Prepare and/or review letters of authorization, cover letters for registration certificates, declarations, power of attorney, and other regulatory documentation to ensure accuracy, appropriateness, and consistency of documents intended for various global regulatory submissions. Submit and manage applications for the US FDA Certificates to Foreign Government (CFGs). Maintain various tracking tools to ensure up-to-date information and traceability of all regulatory data/documentation. Perform and/or coordinate legalization, notarization, and apostille of regulatory documents Ensure compliance with current good documentation practices, including but not limited to proofreading, formatting, indexing and recordkeeping. Assist all regions in answering inquiries and providing required documents and information utilizing various search tools and systems. Perform document filing and retrieval functions as directed and per company’s policies and pro

CH
2mo ago

Opportunity Overview: Cohere achieves its vision by selling its platform and related solutions to health plans and risk-bearing medical groups. These are among the most complicated organizations to sell into and manage, and the technology and tools we provide involve numerous teams with direct impact on client financials and brand in the market, in the most complicated sector of the US economy. As we grow our business, Cohere is looking for an experienced Strategic Accounts VP to support continued growth with new health plan clients and strategically manage key Cohere accounts. This is among the most visible roles at the company, and this person will play a critical role in setting overall account strategy, retaining clients, and identifying and partnering with sales to close growth opportunities with existing clients. Collaboration with other parts of the Cohere organization will be essential in this role and this person will partner with sales, implementation, client success, and many other parts of the organization to ensure that Cohere is set up for continued growth with our clients. What you’ll do: Build, own, and deliver the strategic account plan for large health plan clients, with the ability to manage multiple accounts Build relationships with key senior executives at health plan clients to support continued growth and development of overall account strategy Engage with senior decision makers to discover and drive growth opportunities and partner with internal and external executives/influencers who can support our relationship expansion goals Act as internal champion for dedicated accounts and work with internal teams to prioritize and address key client needs Lead negotiations and partner with sales team to close deals with current clients in relation to new business opportunities Partner with the Client Success team to ensure Cohere is delivering and exceeding expectations on current business Partner with cross-functional teams across C

T
Translucent
📍 New York City Near Union Square
2mo ago

Role Details Full-Time Office Location - New York City (preferred) Why Translucent Healthcare providers drive $2.5 trillion in medical expenditures annually — and operate on razor-thin 2–5% margins. Despite these stakes, the finance teams behind these organizations are buried in spreadsheets, manual data pulls, and disconnected systems, spending more time finding and cleaning data than actually using it to make decisions. Translucent is changing that. We're building the agentic AI platform designed exclusively for healthcare finance— giving every finance team, department, service line their own arsenal of AI Agents that run 24/7, understand their specific data, business logic, and workflows. Founded in 2024 and backed by GV, NEA, FPV, and Virtue, we've already been deployed by healthcare organizations managing over $5 billion in combined revenue. The product-market fit is real, the problem is massive, and we're just getting started. If you want to work at the intersection of AI and one of the most complex, consequential industries in the world, this is the place. Role Overview We're looking for a Product Designer to help shape the everyday experience of Translucent: the AI financial platform transforming how healthcare organizations make business decisions. You'll work shoulder-to-shoulder with our Founding Designer and Product Engineering to take ideas from rough concept to polished, shipped product. This role is hands-on and craft-focused: less about setting design strategy from scratch, more about turning complex financial and operational workflows into clear, usable, intuitive experiences, and making sure design intent survives all the way to production. If you are energized by fast-paced environments, love sweating the details, partnering closely with engineers, and seeing your work in customers' hands quickly, you'll feel at home here. What You’ll Do Partner with Product Engineering and our Founding Designer to take projects from concept to shipped without han

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