Payment Accuracy and Concept Lead, AI-Driven
Employment Information
Report this job
Job expired or something wrong with this job?
Job Description
Payment Accuracy and Concept Lead at Bluespine focused on detecting medical billing errors and fraudulent patterns. Collaborating with various teams to drive impactful results and create new audit concepts.
Responsibilities:
- Leverages the Bluespine platform to develop and refine new audit concepts in healthcare
- Leads concept creation across multiple audit verticals
- Works closely with Medical Coders, Data Sciences, and Engineering teams to ensure alignment and drive impactful results
- Lead in-depth research of new ideas and concepts
Requirements:
- Extensive knowledge of medical terminology
- Previous auditing or consulting experience in a provider or payer environment is preferred
- Registered Nurse required; Bachelor's or Graduate degree
Similar Jobs
AI Technologist
AI Technologist developing proprietary tech stack for automating data flows and improving client insights at hospitality growth agency. Collaborating across marketing and client services teams.
Executive Director – Technology & AI Products, Healthcare
Executive Director for Technology & AI Products at City of Hope. Leading AI product strategy to deliver innovations for healthcare at national scale.
Senior Associate, Artificial Intelligence
Senior Associate in Artificial Intelligence developing and maintaining AI solutions for L3Harris Technologies. Collaborating with cross-functional teams and ensuring adherence to security standards.
Advisory AI Strategist
Advisory AI Strategist guiding clients in their AI journey from pilots to production at Dell Technologies. Collaborating with stakeholders to design effective AI operating models.
AI Evaluation, Annotation Specialist – Entry-Mid Level, German
AI Evaluation & Annotation Specialist reviewing and annotating AI-generated responses while adhering to project guidelines and maintaining quality standards.
AI Evaluation & Annotation Specialist, German
AI Evaluation Specialist improving Large Language Models by reviewing and annotating AI-generated responses. Collaborating with QA leads and following project-specific guidelines.
AI Evaluation & Annotation Specialist – Entry-Mid Level, German
AI Evaluation Specialist focused on improving AI responses through evaluation and annotation. Working independently to maintain quality standards and follow guidelines for AI model training.
Support Team Lead – Enterprise AI
Support Team Lead overseeing the transition of JLL's Enterprise AI support from conventional to AI-native operations. Leading a global team to enhance AI support delivery.
AI Research Intern
AI Research Intern supporting the 711th Human Performance Wing by developing an AI-powered Science Advisor tool and optimizing its performance.
AI Automation Specialist
AI Automation Specialist designing and implementing AI-driven systems for USPS. Collaborating across teams to automate workflows and ensure data integrity with Postal tools and technologies.
AI Tutor – Audio Editing
AI Tutor specializing in audio editing to enhance AI's auditory capabilities for xAI. Engaging in audio projects, collaborating with technical staff, and using advanced audio software.
Advisory AI Strategist – FDE Unit
Advisory AI Strategist collaborating with clients on AI engagements and strategies for Dell Technologies. Designing sustainable AI models and leading multi-stakeholder initiatives for successful transformation.
Advisory AI Data Specialist – FDE Unit
Advisory AI Data Specialist working in the Forward Deployment Engineering Unit at Dell Technologies. Focusing on data readiness and integration for AI and GenAI workloads.
Senior Consultant – Data & AI, Microsoft Fabric
Senior Consultant working on data and AI solutions in Microsoft Fabric. Leading client engagements and ensuring high-quality deliverables.
Senior Consultant – Data & AI, Microsoft Fabric
Senior Consultant focusing on Microsoft Fabric data and AI solutions. Independently leading client engagements from discovery to deployment with minimal oversight.
AI Evaluation, Annotation Specialist – Entry-Mid Level
AI Evaluation & Annotation Specialist reviewing AI-generated responses for clarity and accuracy. Collaborating to improve AI model training with a focus on detail and adherence to guidelines.
AI Evaluation and Annotation Specialist – Japanese
AI Evaluation & Annotation Specialist reviewing and rating AI-generated responses for clarity and relevance. Engaging in annotation tasks and collaborating with QA teams for quality improvement.
Solution Marketing Manager – AI Data Center, Cloud
Solution Marketing Manager for AI Data Center and Cloud at HPE, focusing on product messaging and marketing strategies to drive growth across customer segments.
Director of Growth Marketing – Paid Acquisition, AI-Native Growth Builder
Director of Growth Marketing at Docplanner, leading AI-driven patient acquisition strategy across multiple channels and markets. Building automated systems for performance and growth in healthtech.
Director of Growth Marketing – Paid Acquisition, AI-Native Growth Builder
Director of Growth Marketing at Docplanner building AI-first patient acquisition engines across multiple countries. Leading strategy, innovation, performance, and team creation for growth marketing.