Trabajos remote medical coding en Boston, MassachusettsCrear alertas

Immediate need for a talented Bioinformatics Research Associate II . This is a 12+months contract opportunity with long-term potential and is located in Waltham, MA (Onsite). Please review the job description below and contact me ASAP if you are interested. Job ID:26-08726 Pay Range: $40 - $50/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location). Key Responsibilities: • Manager Notes:, • DIL: bio to support next-gen sequencing group. Some are in the lab, some are writing codes and analytical pipelines, working with Client coding and development systems, collaborating with the lab team, lots of coding, working with quality teams to ensure meeting metrics., • Should have experience with at least one or two of the following. e.g., FastQC, Bowtie2, SAMtools, NCBI BLAST+, Nextflow, etc.). NGS pipeline development., • 9-5 some wiggle room if they need to come in earlier leave earlier, Onsite but if they need a day or two here and there they can request a day to work remote A strong candidate would have Coding experience, papers published on coding, need next gen sequencing analysis, gene therapy group so if they have some exp in that or bio that would be a great advantage., • Relevant experience is more important than a degree for the role., • Does not want to see anyone with zero coding experience. No mention of the tools list would be a hard pass., • Support computational needs for the development and validation of NGS-based assays., • Work closely with a multi-disciplinary team of scientists and engineers to implement genomic analytical solutions for programs spanning precandidate selection through late phase clinical development., • Develop, execute, and maintain NGS analysis pipelines for execution in cloud-based computational environments., • Keep records of development work and testing in a GxP environment utilizing electronic notebook solutions., • Represent the group at internal meetings. Key Requirements and Technology Experience: • Key Skills;Should have experience with at least one or two of the following. e.g., FastQC, Bowtie2, SAMtools, NCBI BLAST+, Nextflow, etc.), • Minimum of 1 year of experience with NGS, spanning knowledge and hands-on dry-lab experience., • Scripting experience in coding languages (e.g., bash, awk, Python, R, etc.)., • A strong candidate would have Coding experience, papers published on coding, need next-gen sequencing analysis, and gene therapy., • Degree in a relevant computer science discipline with a minimum of 3 years of relevant industry experience., • Minimum of 1 year experience with NGS, spanning knowledge and hands-on dry-lab experience., • Expertise in bioinformatics with a working understanding of genomic analysis solutions (e.g., FastQC, Bowtie2, SAMtools, NCBI BLAST+, Nextflow, etc.)., • Scripting experience in coding languages (e.g., bash, awk, Python, R, etc.)., • Understanding of NGS platforms, specifically those utilizing the synthesis by sequencing technique (i.e., Illumina platforms)., • Ability to work independently and adapt under aggressive and/or changing timelines., • Familiarity with the software development lifecycle (e.g., Git)., • Automated unit testing for test-driven design (TDD)., • Familiarity with basic molecular biology techniques (e.g., ligation, PCR, and qPCR) as well as nucleic acid extraction and analysis techniques (e.g., Nanodrop, DNA fragment analyzers, ddPCR, etc.)., • Knowledge of and experience with other sequencing platforms (i.e., SMRT sequencing)., • Prior experience in leading the internalization of custom NGS analysis pipelines is highly preferred., • Wet-lab method development experience to support NGS workflows. Our client is a leading Pharmaceutical Industry, and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration. Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, colour, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy ___.

Job Title: Field Reimbursement Manager (FRM) – Remote with Territory Travel Location: Remote – Must reside in Atlanta, GA Travel: Up to 80% (4 days/week) via automobile or air Position Overview We are seeking a Field Reimbursement Manager (FRM) to support access and reimbursement services for a specialty pharmaceutical product. In this client-facing, remote-based role, you will work directly with physician offices and manufacturer partners to resolve reimbursement challenges and deliver critical education on payer landscapes and available support services. The FRM acts as a trusted advisor and key liaison between healthcare providers, specialty pharmacies, and internal patient support services. This is a high-visibility, fast-paced role that demands a strong understanding of medical reimbursement, Medicare and commercial payers, and buy-and-bill or specialty pharmacy distribution models. Key Responsibilities • Field & Virtual Education (35%) - Deliver on-site or virtual training and education to healthcare providers and staff on reimbursement processes, including lunch-and-learns and scheduled presentations. Log all activity in CRM daily., • Benefit & Access Education (25%) - Educate providers on benefit verification, prior authorization, payer trends, and support center services. Document and report all interactions as required by the client., • Reimbursement Support (20%) - Assist offices with claims, billing and coding, appeals, medical benefit interpretation, and co-pay or patient assistance programs. Coordinate closely with case managers for resolution., • Territory Management (10%) - Manage a schedule of outbound calls, appointment setting, and in-office follow-ups. Collaborate with manufacturer field teams to ensure seamless communication and data sharing., • Program Performance Monitoring (10%) - Track territory metrics in CRM, analyze trends, and contribute to quarterly reporting and customer satisfaction feedback as needed. Qualifications: • Bachelor’s degree or equivalent experience, • 8+ years in healthcare reimbursement (Buy & Bill, Specialty Pharmacy), • Knowledge of Medicare & commercial insurance, • Strong communication, customer service, and organizational skills, • Proficient with PowerPoint, CRM systems, and virtual meeting tools, • Valid driver’s license; must be able to travel up to 80% Preferred Qualifications: • Field reimbursement or specialty pharmacy experience, • Account management or pharmaceutical industry experience Working Conditions: • Remote/Work-from-Home (must reside within the assigned territory), • Travel required up to 80% (valid driver’s license and clean MVR required) Benefit offerings available for our associates include: • Medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits, and a 401K plan, • Flexibility to choose the type of coverage that meets individual needs, • Eligibility for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable Equal Opportunity Employer/Veterans/Disabled To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to ___ The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable: • The California Fair Chance Act, • Los Angeles City Fair Chance Ordinance, • Los Angeles County Fair Chance Ordinance for Employers, • San Francisco Fair Chance Ordinance

The Cyber Security Lead Engineer is a senior technical leader responsible for designing, implementing, and maintaining robust network security solutions across the organization. This role oversees the configuration and management of firewalls, endpoint protection platforms, and VPN technologies to safeguard critical assets and ensure secure connectivity. In addition to deep expertise in network security, the Lead Engineer leverages software development tools to build, maintain, and update custom security controls and automation scripts, enhancing the overall security environment. The position requires advanced analytical skills, a strong understanding of threat landscapes, and the ability to mentor junior team members. The Lead Engineer collaborates with cross-functional teams, drives security initiatives, and ensures compliance with industry standards and organizational policies. This position demonstrates leadership, technical excellence, and a commitment to continuous improvement in cybersecurity practices. Position Compensation Range: $113,000.00 - $194,000.00 Pay Rate Type: Salary Compensation may vary based on the job level and your geographic work location. Relocation support is offered for eligible candidates. This position is able to accept candidates who cantransfer a valid, current H-1B visa. However, wedo not provide sponsorshipforF-1/OPT or STEM OPT(including initial, extension, or future sponsorship), now or at any time in the future. Candidates must have ongoing authorization to work in the U.S. without requiring F-1/OPT/STEM-related sponsorship. Specialized Knowledge and Skills Required: * Advanced understanding of network security principles, architectures, and protocols * Extensive experience with Palo Alto firewall technologies including design, deployment, and management * Experience with VPN technologies and secure remote access solutions * Strong grasp of threat detection, vulnerability assessment, and incident response methodologies * Proficiency in software development tools and scripting languages (e.g., Python, PowerShell, Ansible) for automating security tasks, developing custom controls, and integrating security solutions * Working knowledge of secure coding practices and application security fundamentals.\ * Ability to design, implement, and optimize security solutions for complex environments * Strong troubleshooting and analytical skills for resolving advanced security and network issues * Experience developing automation scripts and tools to streamline security operations * Effective leadership and mentoring skills to guide junior engineers and foster team growth * Excellent communication skills for collaborating with cross-functional teams and presenting technical concepts to non-technical stakeholders * Ability to manage multiple projects and prioritize tasks in a fast-paced environment * Commitment to continuous learning and staying current with emerging threats, technologies, and best practices Certifications (Preferred): * CISSP, CISM or equivalent advanced certifications * Vendor-specific certifications (e.g., Palo Alto Networks) Other Requirements: * Demonstrated experience leading security projects and initiatives * Strong documentation skills for maintaining records, procedures, and incident reports Licenses: *Not Applicable. Travel Requirements *Up to 10%. Physical Requirements *Work that primarily involves sitting/standing. Working Conditions *Not Applicable. * Offer to selected candidate will be made contingent on the results of applicable background checks * Offer to selected candidate is contingent on signing a non-disclosure agreement for proprietary information, trade secrets, and inventions * Sponsorship will not be considered for this position unless specified in the posting We provide benefits that support your physical, emotional, and financial wellbeing. You will have access to comprehensive medical, dental, vision and wellbeing benefits that enable you to take care of your health. We also offer a competitive 401(k) contribution, a pension plan, an annual incentive, 9 paid holidays and a paid time off program (23 days accrued annually for full-time employees). In addition, our student loan repayment program and paid-family leave are available to support our employees and their families. Interns and contingent workers are not eligible for American Family Insurance Group benefits. We are an equal opportunity employer. It is our policy to comply with all applicable federal, state and local laws pertaining to non-discrimination, non-harassment and equal opportunity. We also consider qualified applicants with criminal histories, consistent with applicable federal, state and local law. American Family Insurance is committed to the full inclusion of all qualified individuals. If a reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please email ___ to request a reasonable accommodation. #LI-BC2

At Zelis, we Get Stuff Done. So, let's get to it! A Little About Us Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. We serve more than 750 payers, including the top five national health plans, regional health plans, TPAs and millions of healthcare providers and consumers across our platform of solutions. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts - driving real, measurable results for clients. A Little About You You bring a unique blend of personality and professional expertise to your work, inspiring others with your passion and dedication. Your career is a testament to your diverse experiences, community involvement, and the valuable lessons you've learned along the way. You are more than just your resume; you are a reflection of your achievements, the knowledge you've gained, and the personal interests that shape who you are. Position Overview The Care Concierge - Member Support Specialist delivers call center-based telephonic support to members (consumers) of Zelis Member Engagement & Transparency and SmartShopper health plan and employer group clients who are actively shopping for cost-effective medical procedures. This role is part of a broader Care Concierge team dedicated to providing an exceptional customer experience, recognizing that each interaction represents an individual seeking guidance, education, and ongoing support to make informed and confident healthcare decisions. The ideal candidate will effectively communicate, educate, document, and report on all member interactions with minimal supervision. This position operates within a distributed team across multiple states where Zelis conducts business. The Care Concierge position is 100% remote and will work an 11:30 am - 8 pm shift. In order to be considered, you must reside 50 miles from a Zelis office location. Zelis offices are located in: * Boston, MA * Morristown, NJ * Atlanta, GA * St Petersburg, FL * St Louis, MO * Salt Lake City, UT What You'll Do: * Responds to inbound calls from health plans, employer groups, employees, and family members within 30 seconds, delivering exceptional, professional support in a timely, courteous, and energetic manner to members planning an elective surgical or medical procedures. * Accurately documents and communicates consumer interactions, including handling inbound calls, emails, and chats, as well as conducting outbound follow-up calls and responding promptly to emails and voicemails. * Promotes SmartShopper products and services, encouraging consumer engagement with Zelis offerings and supporting adoption of new program initiatives. * Researches, analyzes, and escalates member incentive inquiries to the appropriate internal team, clearly communicating resolution steps and updates to consumers. * Leverages internal databases to generate reports on claim history, procedure code matching, accounts on hold, incentive check fulfillment status, claim load schedules, shopping confirmation codes, exception payments, and consumer search history. * Communicates with consumers' health insurance carriers to obtain, validate, and confirm accurate claim status and program eligibility information. * Contacts members' sites of service, as needed, to verify the status of insurance claims. * Monitors, documents, and maintains accurate records for all related inquiry cases, ensuring proper case assignment and timely resolution by the appropriate individual or team. * Supports digital and direct mail engagement campaigns by interacting with consumers to confirm registration and encourage active participation in SmartShopper program offerings. * Partners regularly with the SmartShopper Staff Development and Quality Management (QM) Specialist to fulfill ongoing education and training requirements, including completing refresher courses and knowledge checks within designated timeframes. * Collaborates with the SmartShopper Staff Development and QM Specialist to meet or exceed QM scorecard targets and maintain high consumer satisfaction ratings in alignment with Zelis and Customer Care standards. * Works closely with the Finance team to verify reward check status and ensure proper documentation and voiding when reissuing incentive payments is necessary. * Applies analytical and problem-solving skills to identify, document, and escalate trends related to member inquiries, complaints, unpaid incentives, and other departmental performance improvement opportunities to leadership. * Communicates with members' sites of service to research and document billing discrepancies as they arise. * Collaborates with the Data team to support the processing and distribution of reward incentive checks. What You'll Bring to Zelis * Minimum of 1+ year of customer service experience required, including the ability to quickly build rapport and establish credibility with customers. * Healthcare experience required. * Experience supporting and navigating online consumer shopping tools is highly preferred. * Proficiency with CX1 and customer relationship management (CRM) systems, such as Salesforce, is strongly desired. * Familiar with using healthcare claims look-up and management systems is highly desired. * Associates degree preferred. * Familiar with using Microsoft Office applications e.g. Excel, Word, PowerPoint, Outlook, and Google Docs. * Excellent telephone-based customer service, including strong verbal communication and active listening skills required. * Strong healthcare literacy, with the ability to understand and interpret complex medical and surgical procedure information. * Analytical and independent problem-solving abilities, with strong multitasking skills and the capacity to prioritize and manage time effectively. * Customer-focused mindset with the ability to effectively engage individuals of diverse personalities, backgrounds, ethnicities, and age groups. * Knowledge of medical insurance claims processes and medical coding (e.g., CPT, DRGs) helpful. * Bilingual English/Spanish communication skills are highly preferred Please note at this time we are unable to proceed with candidates who require visa sponsorship now or in the future. Location and Workplace Flexibility We have offices in Atlanta GA, Boston MA, Morristown NJ, Plano TX, St. Louis MO, St. Petersburg FL, and Hyderabad, India. We foster a hybrid and remote friendly culture, and all our employee's work locations are based on the needs of the position and determined by the Leadership team. In-office work and activities, if applicable, vary based on the work and team objectives in accordance with Company policies. Base Salary Range $18.75 At Zelis we are committed to providing fair and equitable compensation packages. The base salary range allows us to make an offer that considers multiple individualized factors, including experience, education, qualifications, as well as job-related and industry-related knowledge and skills, etc. Base pay is just one part of our Total Rewards package, which may also include discretionary bonus plans, commissions, or other incentives depending on the role. Zelis' full-time associates are eligible for a highly competitive benefits package as well, which demonstrates our commitment to our employees' health, well-being, and financial protection. The US-based benefits include a 401k plan with employer match, flexible paid time off, holidays, parental leaves, life and disability insurance, and health benefits including medical, dental, vision, and prescription drug coverage. Equal Employment Opportunity Zelis is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. We welcome applicants from all backgrounds and encourage you to apply even if you don't meet 100% of the qualifications for the role. We believe in the value of diverse perspectives and experiences and are committed to building an inclusive workplace for all. Accessibility Support We are dedicated to ensuring our application process is accessible to all candidates. If you are a qualified individual with a disability or a disabled veteran and require a reasonable accommodation with any part of the application and/or interview process, please email ___. Disclaimer The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities, duties, and skills from time to time.

HackerOne is a global leader in Continuous Threat Exposure Management (CTEM). The HackerOne Platform unites agentic AI solutions with the ingenuity of the world's largest community of security researchers to continuously discover, validate, prioritize, and remediate exposures across code, cloud, and AI systems. Through solutions like bug bounty, vulnerability disclosure, agentic pentesting, AI red teaming, and code security, HackerOne delivers measurable, continuous reduction of cyber risk for enterprises. Industry leaders, including Anthropic, ___, General Motors, Goldman Sachs, Lufthansa, Uber, UK Ministry of Defence, and the U.S. Department of Defense, trust HackerOne to safeguard their digital ecosystems. HackerOne was recognized in Gartner's Emerging Tech Impact Radar: AI Cybersecurity Ecosystem report for its leadership in AI Security Testing and has been named a Most Loved Workplace for Young Professionals (2024). HackerOne is at a pivotal inflection point in the security industry. Offensive security is no longer optional - it is the standard for forward-thinking companies that want to build trust and resilience in a world where AI-driven innovation and adversaries are moving faster than ever. With the industry shifting, HackerOne stands apart: we combine the ingenuity of the largest security research community with a best-in-class AI-powered platform, trusted by the world's top organizations. HackerOne Values HackerOne is dedicated to fostering a strong and inclusive culture. HackerOne is Customer Obsessed and prioritizes customer outcomes in our decisions and actions. We Default to Disclosure by operating with transparency and integrity, ensuring trust and accountability. Employees, researchers, customers, and partners Win Together by fostering empowerment, inclusion, respect, and accountability. At HackerOne, we're revolutionizing offensive security by combining human intelligence with artificial intelligence to help organizations build a safer internet. As a Senior Software Engineer on our AI Platform team, you will contribute directly to the development of our next-generation AI security capabilities, including our in-platform AI security agent, Hai. You will help develop AI-powered features that enhance vulnerability discovery, improve security analysis workflows, and expand how thousands of customers detect and respond to emerging threats. At HackerOne, we embrace a Flexible Work approach that gives us the freedom to do our best work while also fostering the connections and community that make us stronger. Reflecting this philosophy, this is a role targeted for candidates within ~50 miles of Seattle, WA; Boston, MA; Washington, DC; or Austin, TX. We believe this balance of proximity and flexibility gives Hackeronies the chance to occasionally come together - fostering collaboration, connection, and in-person moments that enrich our culture - while still preserving the benefits of remote work. Must be able and willing to come to the office once per week (typically Thursdays). Success in this role will be accomplished by delivering the responsibilities below in alignment with HackerOne's Talent Principles: AI-First, Change Agility, Data-Driven Decision Making, and First Principles Problem Solving. * * Contribute to the evolution of the cloud-based execution platform for the AI security agent Hai, implementing features that enable natural language-driven security insights, improved reasoning, and secure action workflows. * Design and implement core components for end-to-end execution of security agents, including agent execution frameworks, memory services, RAG services, and observability systems. * Operate with an AI-first mindset, leveraging tools such as Claude Code and ChatGPT Enterprise to significantly improve productivity across coding, design documentation, on-call response, and customer escalation handling. * Collaborate cross-functionally with Product, Security Research, and Customer Success to translate customer needs into clear engineering requirements and deliverables. * Develop and integrate APIs that enable secure interactions between AI models, internal services, and third-party systems, adjusting quickly as requirements evolve with Change Agility. * Use metrics, evaluation data, and telemetry to validate model behavior and improve system performance in alignment with Data-Driven Decision Making. * Break down complex distributed systems and security problems into smaller, fundamental components, applying First Principles Problem Solving to deliver simple, scalable solutions. * 5+ years of experience as a software engineer * Must be able and willing to come to the office once per week (typically Thursdays). * Experience working with cloud services like AWS, GCP or Azure. * Experience implementing distributed system features within production-grade AI or ML systems, including integrating LLMs or generative AI models into applications * Familiarity with model deployment workflows, evaluation techniques, or MLOps concepts * Understanding of responsible AI development and basic AI safety considerations * Experience working with cloud AI/ML services (AWS Bedrock, GCP Vertex AI, Azure ML) * Experience with Agentic AI Ops, ML Ops. * Exposure to agentic frameworks such as ReAct, AutoGen, LangChain, or Semantic Kernel * Familiarity with full-stack technologies such as Ruby on Rails, GraphQL, or React-especially for integrating AI capabilities into existing systems Compensation Bands: $182K - $222K * Offers Equity #LI-Remote #LI-HM1 * Health (medical, vision, dental), life, and disability insurance* * Equity stock options * Retirement plans * Paid public holidays and unlimited PTO * Paid maternity and parental leave * Leaves of absence (including caregiver leave and leave under CO's Healthy Families and Workplaces Act) * Employee Assistance Program *Eligibility may differ by country We're committed to building a global team! For certain roles outside the United States, India, the U.K., and the Netherlands, we partner with ___ as our Employer of Record (EOR). Visa/work permit sponsorship is not available. Employment at HackerOne is contingent on a background check. HackerOne is an Equal Opportunity Employer in the terms and conditions of employment for all employees and job applicants without regard to race, color, religion, sex, sexual orientation, age, gender identity or gender expression, national origin, pregnancy, disability or veteran status, or any other protected characteristic as outlined by international, federal, state, or local laws. This policy applies to all HackerOne employment practices, including hiring, recruiting, promotion, termination, layoff, recall, leave of absence, compensation, benefits, training, and apprenticeship. HackerOne makes hiring decisions based solely on qualifications, merit, and business needs at the time. For US based roles only: Pursuant to the San Francisco Fair Chance Ordinance, all qualified applicants with arrest and conviction records will be considered for the position. Compensation Range: $182K - $222K

Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together. We serve the Commonwealth of Massachusetts in partnering with onsite audits and projects. We have collaborative team scheduling and there is an occasional opportunity for remote work based on business needs. As a Sr Utilization Management Nurse in the Boston MA Regional Area, the role centers on ensuring the accuracy of medical record coding, supporting proper payment to nursing facilities, and promoting quality patient care. Responsibilities include collaborating with peers and providers to discuss care details, reviewing clinical information for appropriateness, and communicating findings and rationale to medical professionals and the broader community. Additionally, the nurse educates stakeholders about audit results and corrective plans, ensures compliance with HIPAA guidelines, and leverages clinical expertise to guide decisions and optimize patient outcomes. Qualified candidates must live in the Boston MA Regional Area to perform the daily travel responsibilities. For this role, there will be no weekends, no holidays, and no on-call work. Primary Responsibilities: • Audit entire medical record for accuracy of the coding on the MDS to support payment to the nursing facility, • Auditing anti-psychotic therapy for quality review, • Discuss Patient Care specifics with peers or providers in overall patient care and benefits, • Communicate clinical findings and present rationale for decisions to medical professionals and members at the appropriate level for understanding, • Review the entire medical record for accuracy, and appropriate clinical treatment, • Communicate findings of audits to client, and community as needed, • Education of findings with community, identifying plans for correction, • Comply with HIPAA guidelines related to Personal Health Information (PHI) when communicating with others, • Leverage experience and understanding of disease pathology to review chart/clinical information, ask appropriate questions, and identify appropriate course of care in a given situation, • Perform medical chart review that includes a review of current and prior patient conditions, documents, and evaluations, and relevant social and economic situations to identify patients' needs, • Research and identify information needed to review assessment for accuracy, respond to questions, or make recommendations, • Apply knowledge of pharmacology and clinical treatment protocol to determine appropriateness of care, • Work collaboratively with peers/team members and other levels or segments within Optum, UHC, or UBH (e.g. Case Managers, Field Care Advocates) to identify appropriate course of action (e.g. Appropriate care, follow up course of action, make referral), • Required to travel within geographic territory (state of Massachusetts) at least 90% of the time (some weeks will require 100% travel as business needs dictate) and assist when needed throughout the state of Massachusetts for audits. (Audits will be conducted onsite) You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: • Must be a Registered Nurse (RN) with a current, active, unrestricted RN License in Massachusetts, • Must currently have OR be able to obtain an RAC/CT MDS certification (must have completed certification prior to start date), • 4+ years of nursing experience, specifically in long-term care and/or medical record review with knowledge of Medicare and Medicaid, • Recent long-term care MMQ, MDS, staff development or management experience (in long-term care), • Experience working within medical insurance and/or healthcare industries, • Experience analyzing inventory, researching, identifying, and resolving issues, • Experience with defining and managing processes within a team, • Experience trouble shooting issues for users within teams, IT, and/or business partners, • Proven knowledge of healthcare insurance industry (Medicaid, Medicare, CMS), • Demonstrated knowledge of process flow of UM, including prior authorization, concurrent authorization, and/or clinical appeal and guidance reviews, • Must live in the Boston MA Regional Area to conduct daily travel requirements, • Ability to travel within geographic territory (state of Massachusetts) at least 90% of the time (some weeks will require 100% travel as business needs dictate) and assist when needed throughout the state of Massachusetts for audits. (Audits will be conducted onsite), • Must have reliable transportation and be able to provide proof of a valid, unrestricted Driver's License and current Auto Insurance Preferred Qualifications: • Proven knowledge of Medicaid and Medicare benefit products including applicable state regulations, • Demonstrated knowledge of applicable area of specialization, • Demonstrated knowledge of Massachusetts DPH guidelines, • Demonstrated knowledge of computer functionality, navigation, and software applications, • Proficiency with Microsoft Office Suite, • Proficient written and verbal skills Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800 to $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. #OptumInsightPJ At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Job Description Job Title: Medical Record Billing Compliance Auditor Physician Educator Employer: Healthforce, Inc., a healthcare administrative services consulting firm, since 2015. Location: Primarily On-Site at Tewksbury Hospital, Tewksbury, Massachusetts (Massachusetts Department of Public Health Facility) with some remote work flexibility and occasional work at a secondary site. Job Description: We are seeking a Nationally Certified Medical Coder with a minimum of three years of experience as a Medical Record Billing Compliance Auditor and Medical Record Billing Compliance Physician Educator. The successful applicant will play a crucial role in ensuring the accuracy and compliance of our professional and facility billing claims. This position will primarily involve on-site work at Tewksbury Hospital in Tewksbury, MA, with some remote work flexibility. Key Responsibilities: • Perform comprehensive audits of professional and facility billing claims to ensure accuracy, compliance with coding guidelines, and regulatory requirements., • Identify potential areas of non-compliance and recommend corrective actions., • Develop and deliver educational sessions to physicians and hospital staff on medical record documentation, coding, and compliance best practices., • Serve as a resource for physicians and staff regarding coding and billing inquiries., • Stay current with changes in coding regulations, healthcare compliance, and industry best practices., • Must have: Nationally Certified Medical Coder (e.g., CPC, CCS, CCS-P)., • Three years of experience as a Medical Record Billing Compliance Auditor preferred., • Proven experience as a Medical Billing Compliance Physician Educator., • Strong understanding of professional billing, auditing, and education principles., • In-depth knowledge of medical coding guidelines (e.g., ICD-10-CM, CPT, HCPCS)., • Familiarity with state and federal healthcare regulations and compliance standards., • Excellent analytical, problem-solving, and communication skills., • Ability to work independently and collaboratively within a healthcare team., • Healthforce, Inc. offers an attractive salary and comprehensive benefits package, commensurate with experience and qualifications.Company DescriptionHealthforce, Inc., is a healthcare administrative consulting firm with a focus on revenue integrity through regulatory compliance, coding and billing guidance. Healthforce’s mission is to provide the appropriate mix of skilled business analysts, auditors and coders, equipped with affordable and flexible software for customized support, to assist client practices and facilities to reach the highest level of revenue integrity: optimal and compliantly collected revenue from accurately reported medical services that is beyond retraction by third-party payers, claim reviewers and recovery audit contractors.Healthforce, Inc., is a healthcare administrative consulting firm with a focus on revenue integrity through regulatory compliance, coding and billing guidance. Healthforce’s mission is to provide the appropriate mix of skilled business analysts, auditors and coders, equipped with affordable and flexible software for customized support, to assist client practices and facilities to reach the highest level of revenue integrity: optimal and compliantly collected revenue from accurately reported medical services that is beyond retraction by third-party payers, claim reviewers and recovery audit contractors.

Job DescriptionBeghou brings over three decades of experience helping life sciences companies optimize their commercialization through strategic insight, advanced analytics, and technology. From developing go-to-market strategies and building foundational data analytics infrastructures to leveraging artificial intelligence to improve customer insights and engagement, Beghou helps life sciences companies maximize performance across their portfolios. Beghou also deploys proprietary and third-party technology solutions to help companies forecast performance, design territories, manage customer data, organize, and report on medical and commercial data, and more. Headquartered in Evanston, Illinois, we have 10 global offices. Our mission is to bring together analytical minds and innovative technology to help life sciences companies navigate the complexity of health care and improve patient outcomes. This role supports the conceptualization, execution, and integration of data-driven projects for commercial efforts in the pharmaceutical and life sciences industries. As a subject matter expert, you will drive innovation and creative solutions within various work streams and provide thought leadership. You will lead project teams and play a pivotal role in guiding internal stakeholders toward project success. We'll trust you to: • Lead cross-functional project teams in the design and development of high-quality deliverables for clients., • Implements innovative data engineering-based solutions independently within project scope; applies data engineering knowledge to projects and shares with team., • Engages in implementation and architecture discussions with senior team members for the purpose of contributing to design ideas and best practices., • Provide strategic advice on project direction, resource management, and timelines, while assuming responsibility for key data analytics tasks to support internal teams and clients., • Collaborate with leadership to define project scope, approach, and development strategies., • Analyze data, synthesize findings, and develop actionable insights, and communicate results to both internal and external teams., • Independently manage projects, handling client communications, meeting facilitation, and timelines, serving as a primary point of contact with minimal oversight., • Develop and optimize data processes, utilizing coding where necessary to facilitate efficient data handling and reporting., • Coordinate with global and diverse teams to ensure seamless project execution., • Engage in business development activities and contribute to internal firm initiatives to drive organizational growth., • Promote and uphold strong coding standards by developing efficient coding practices, conducting regular code reviews, and guiding the team toward high‑quality, maintainable engineering solutions., • Bachelor's degree in Computer Science, Math, Engineering, or other relevant field of study., • Experience with relational database technologies, such as PostgreSQL, Oracle, MySQL, Redshift, or Snowflake. 1, • Hands-on experience using Python, including pandas and/or PySpark., • Experience with Git-based workflows and CI/CD practices., • Proficiency using Microsoft Office products, including Excel, PowerPoint, and Word., • Advanced problem-solving skills., • Self-motivated with excellent attention to detail., • Excellent verbal and written communication skills., • Strong organizational and time management skills., • Effective leadership and project management capabilities., • Ability to work effectively with others and adapt quickly., • Experience building systems in event-driven or streaming architectures, preferred. We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

Job Description We're seeking a Senior Software Developer to help advance our Data Manager and Artemis systems - key systems that power our insights and analytics ecosystem. This role requires proficiency with Java, with experience in Kotlin considered a strong advantage. In addition to contributing technically, you'll provide mentorship, influence architectural decisions, and ensure that scalable, reliable, and innovative solutions are delivered to the organization. Who are we? Buyers Edge Platform stands at the forefront of revolutionizing the foodservice industry through technology, purchasing power and partnerships. We are dedicated to empowering stakeholders across the entire foodservice ecosystem (operators, distributors, manufacturers) with efficiency and unprecedented visibility. With a diverse portfolio of over a dozen brands, our mission is clear: to reduce costs, streamline the foodservice supply chain, and propel the industry from manual to automated. Today, we are one of the largest players in foodservice, with over 200K operator locations across North America and over $60 billion of aggregated spend volume. Our commitment to foodservice excellence is proven in four distinct areas of value: Digital Procurement Network, Fresh Solutions, Supply Chain Management, and Software. Buyers Edge Platform is not just a provider – we are a strategic partner on the journey towards a more efficient, connected, and automated future for the foodservice industry. This is a fully remote role, based around East Coast working hours. We are unable to offer work sponsorship for this role. Your impact: • Collaborate with the development team and stakeholders to enhance existing applications and architect new custom solutions that align with business objectives., • Develop high-quality, maintainable code following best practices in design, testing, and documentation., • Lead code reviews, provide feedback, and champion continuous improvement in coding standards., • Contribute to code releases, including rollout, testing, and validation as needed., • Translate complex stakeholder needs into functional technical solutions, ensuring scalability, long-term maintainability, and user satisfaction., • Mentor junior and mid-level developers, fostering skill development and knowledge sharing., • Research, evaluate, and recommend new technologies to drive innovation and scalability., • BA/BS in a technical discipline, or equivalent professional experience., • 5–7 years of experience developing in an object-oriented programming language., • Proficiency with Java and working experience with Kotlin, preferred, • Experience with modern front-end frameworks (React preferred) is a strong plus., • Strong understanding of the full software development lifecycle (SDLC)., • Expertise with relational databases (MySQL/Aurora preferred). Experience with Redshift and JPA is a plus., • Ability to work across multiple, diverse projects and provide technical leadership., • Strong working knowledge of Git., • Advanced troubleshooting, debugging, and problem-solving skills., • Ability to manage competing priorities, balance workloads across multiple projects, and drive successful outcomes., • Salesforce development or APEX experience is a strong plus., • Excellent verbal and written communication skills for cross-team collaboration., • Familiarity with project management and documentation tools (e.g., JIRA, Confluence)., • Experience with UNIX/Linux environments is a plus. What's in this for you: • Great benefits from day one. We offer medical, dental, vision, FSA, company-paid life insurance, and more—plus a 401(k) with company match., • Grow with us. Enjoy strong training, development, and competitive pay. We are committed to creating a diverse environment and are proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to actual or perceived race, color, creed, religion, national origin, ancestry, citizenship status, age, sex or gender (including pregnancy, childbirth and pregnancy-related conditions), gender identity or expression (including transgender status), sexual orientation, marital status, military service and veteran status, physical or mental disability, genetic information, or any other characteristic protected by applicable federal, state or local laws and ordinances.

Job DescriptionDescription: About Brook Inc Brook Health delivers care beyond the walls of the doctor’s office. Brook provides people living with chronic conditions a highly personalized experience enhanced by AI and powered by mobile apps, connected devices, and a team of health coaches and clinicians. We help people achieve their long-term health goals by supporting smart, daily decisions and partnering with their primary care physicians. Our product suite includes continuous remote monitoring, population health management tools, and a CDC-approved diabetes prevention program. Brook has an intentional, user-centric culture with high expectations for delivering better health outcomes for patients, providers, and health systems. Position Summary The Director, Revenue Cycle & Enablement leads Brook’s partner-facing revenue performance engine, ensuring partner billing offices are positioned to capture, submit, and optimize reimbursement for Brook-supported services through disciplined operational execution and measurable outcomes. Success in this role requires the ability to influence outcomes across partner organizations without direct authority, aligning teams around shared revenue goals through trust, clarity, and operational leadership. Internally, this leader builds and scales a high-performing revenue enablement function, strengthening Brook’s operational foundation as the company grows. Operational leadership brings structure to complexity, translates insights into action, and aligns cross-functional teams around predictable revenue outcomes. This leader serves as a trusted advisor to partner billing teams, maintaining deep expertise in CMS regulations, payer policy changes, and reimbursement trends. Partners rely on this role to proactively interpret changes, guide operational adjustments, and keep reimbursement performance ahead of evolving requirements. A high-visibility leadership scope creates meaningful growth runway, shaping how Brook scales partner success and revenue performance over time. Brook is scaling through operational excellence, and this role is central to building the systems and execution discipline that make growth sustainable. Requirements: Key Responsibilities Revenue Cycle Operations Leadership • Own operational oversight across the full revenue lifecycle including eligibility, authorization, coding, claims submission, denial management, payment posting, and collections., • Build scalable revenue enablement systems that drive measurable reimbursement performance., • Establish KPIs including reimbursement rates, denial trends, documentation accuracy, and time-to-payment., • Develop dashboards and reporting structures that create performance visibility., • Drive structured operational reviews focused on measurable outcomes and continuous improvement., • Maintain deep expertise in CMS regulations and payer policy updates., • Serve as Brook’s internal and external subject matter expert on reimbursement changes., • Translate policy updates into operational guidance for partner billing offices., • Act as a consultative advisor helping partners optimize reimbursement workflows., • Serve as Brook’s operational liaison to partner billing offices., • Lead recurring business reviews aligned to shared outcomes and SLAs., • Identify revenue leakage and operational risks through data analysis., • Build and scale a high-performing revenue enablement team., • Establish governance rhythms, accountability frameworks, and execution standards., • Embed compliance and audit readiness into workflows., • Lead structured resolution plans for compliance or reimbursement risks., • Align Revenue, Care Operations, Implementation Design, Product, and Finance around measurable revenue outcomes., • Demonstrated ability to build revenue systems in evolving or ambiguous environments., • Deep expertise in CMS and payer reimbursement mechanics., • Experience defining KPIs that drive measurable financial improvement., • Proven success improving reimbursement through operational redesign., • Strong governance mindset and execution discipline., • Ability to influence external stakeholders without direct authority., • Strong analytical rigor and root-cause problem solving., • Minimum 7 years of progressive revenue cycle or revenue operations leadership., • Experience leading through growth-stage scaling., • Direct experience partnering with health system billing offices., • Track record improving reimbursement yield or reducing denials., • Experience advising partners on CMS or payer changes., • Fast-paced environment – Brook operates in two of the fastest changing industries in America – Healthcare and Technology. We move quickly to design tools and protocols based on customer and industry feedback. Thriving in an environment of change and continuous improvement is a core competency for all members of our team., • Dynamic roles - We are a small and tight-knit team enthusiastically tackling difficult problems in an entrenched industry. All team members are expected to contribute to company protocols, provide product feedback and to generally think critically about our processes and care model. Brook is as focused on our employees’ health as we are on that of our patients. Our Benefits program reflects that. We recognize that health does not just mean physical health, but mental and financial health as well. We make every effort to cover all those areas in our plan offerings. Benefits at Brook Health In addition to meaningful work in a mission-driven company, Brook offers a comprehensive benefits package designed to support the medical, financial and mental health wellbeing of our employees and their families. Healthcare Coverage • Employee & Child(ren): Brook pays 100% of premiums for full-time employees and their child or children for Medical, Dental, and Vision coverage. This means there are no paycheck deductions for you or your child(ren)., • Spouse/Domestic Partner: Brook contributes 50% of premiums for coverage of a spouse or domestic partner., • HSA Contribution: Employees who enroll in our HSA-eligible medical plan receive a Brook-funded contribution to help cover medical expenses such as deductibles, prescriptions, and office visits., • Mental Health Support: Brook supplements the mental health coverage included in our medical plan with additional resources. Employees have access to free therapy sessions through Spring Health, providing confidential, professional support when it’s needed most., • Income Protection: Brook provides Short-Term and Long-Term Disability insurance to all full-time employees, helping replace income during an illness or injury. Short-Term Disability works alongside any state or insurance benefits and Brook coverage to provide added financial support while you’re away from work., • Life Insurance: Brook provides company-paid life insurance equal to one times salary, up to a set maximum., • 401(k) Retirement Savings: All employees (full-time and part-time) are automatically enrolled in our 401(k) plan. Brook provides a company match to help employees grow their retirement savings.

Job DescriptionBeghou brings over three decades of experience helping life sciences companies optimize their commercialization through strategic insight, advanced analytics, and technology. From developing go-to-market strategies and building foundational data analytics infrastructures to leveraging artificial intelligence to improve customer insights and engagement, Beghou helps life sciences companies maximize performance across their portfolios. Beghou also deploys proprietary and third-party technology solutions to help companies forecast performance, design territories, manage customer data, organize, and report on medical and commercial data, and more. Headquartered in Evanston, Illinois, we have 10 global offices. Our mission is to bring together analytical minds and innovative technology to help life sciences companies navigate the complexity of health care and improve patient outcomes. This position leads client projects in the conception, execution, and delivery of Master Data Management (MDM) systems for the commercial efforts of pharmaceutical and life science firms. Additionally, this position leads client interactions regarding existing and future MDM projects and identifies areas for future growth. We'll Trust You To: • Oversees and develops MDM projects to ensure methodological soundness; consistently delivers quality client services and drives high-quality work products within expected timeframes and on budget., • Leads project teams in the design and development of MDM projects, including the design and configuration of internal MDM platform and creation of MDM specific deliverables., • Advises on strategy, team resources, and deadlines, and assumes data investigation and platform configuration tasks as necessary to support internal team and clients., • Works with project leadership to define project scope and development approach for each project, including conducting issue analysis and hypothesis development., • Synthesizes findings, develops recommendations, and communicates results to clients and internal teams., • Assumes project management responsibilities for MDM implementation on each project with minimal supervision, including managing client communication, leading meetings, drafting agendas, managing timelines and serving as a regular point of contact for clients., • Works independently or with a team to build out data processes., • Coordinates with diverse teams, including those globally., • Frequently utilizes coding to facilitate data processing and reporting., • Provides project leadership for team members regarding process improvements, planned approaches for client requests, or transition of new deliverables., • Monitors progress, manages risk and ensures key stakeholders are kept informed about progress and expected outcomes; manages project finances by maintaining financial summaries, drafts SOWs for new work, and manages client invoices., • Assists in supporting management, including promoting employee engagement, recruiting, training, and providing ongoing education, employee mentorship and coaching; contributes to internal initiatives as needed., • Fosters an innovative and inclusive team-oriented work environment., • Coaches and mentors junior team members on their professional development and serves as their Professional Development Manager., • Bachelor’s or advanced degree with at least 8 years of relevant professional experience., • Experience implementing or supporting HCP, HCO, and payer MDM or other centralized data management solutions in the US pharmaceuticals market, • MDM experience in Oncology therapeutic area preferred, • CDW experience in US Pharmaceuticals market preferred, • Proficiency using Microsoft Office products, such as PowerPoint and Word; advanced Excel skills required., • Coding skills in Python, R or SAS required, • Advanced analytical and problem-solving skills., • Excellent verbal and written communication skills., • Strong organizational and time management skills., • Effective project management and people management skills., • Ability to work effectively with others and adapt quickly. We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

Job Description Hi, we're Oscar. We're hiring a Senior Software Engineer, Cloud Infrastructure / SRE to join our Engineering team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family. About the role: Our Core Technology teams build and maintain the foundational platform upon which all Oscar engineering is built. We are responsible for architecting a world-class, resilient ecosystem using a modern stack centered on AWS/GCP, Terraform, and Kubernetes with developer focused tooling and CI/CD. Our mission is to provide an automated, self-service infrastructure that empowers our engineering organization to move fast without sacrificing security or stability. You will report into a Staff/Senior Staff Engineer. Work Location: This is a remote position, open to candidates who reside in: Boston, MA. You will be fully remote; however, our approach to work may adapt over time. Future models could potentially involve a hybrid presence at the hub office associated with your metro area. #LI-Remote Pay Transparency: The base pay for this role is: $180,504 - $236,911 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, company equity grants, and annual performance bonuses. Responsibilities: • Become the expert on your team's business and technical domains such as DevOps, site reliability, and cloud best practices, • Lead the planning, execution and release of complex technical projects across multiple teams outside of Core Technology, • Work with partners, product managers, and designers to solve challenging problems, • Lead and mentor engineers on the team to improve technology and apply best practices, • Independently responsible for large or complex technology capabilities (set of components or services) within their team's domain or spanning multiple domains, • Facilitates, encourages, and enhances cross-team execution and collaboration; knows when cross-team projects are at risk and actively mitigates risk to deliver on time, • Prolific contributor to the objectives of their functional group, as well as organization-wide projects, • Drives prioritization of technical roadmap and influences prioritization of product roadmap and process enhancements within their team, • Actively identifies and reduces failure domains, designs and builds resilient systems, and strives to reduce adverse effects of an outage., • Builds software to minimize effort and business impact during maintenance and failures, • Guides the development of Service-Level Objectives (SLOs) for systems they are responsible for, • Own medium to large features or infrastructure projects from technical design through completion, • Compliance with all applicable laws and regulations, • 6+ years of professional software engineering experience, working with a variety of technologies, and have increasingly impactful accomplishments, • Experience as a major contributor cross-pod or cross-company deliverables, • Experience leading technical contributions, improving the quality of what your teams create, and are excited to build fault-tolerant, and scalable software systems., • Demonstrates expertise of the practical application of CS concepts within their team., • Sets and enforces the standard for writing stable, correct, and maintainable code, • Cloud Proficiency: Deep expertise in managing production environments within AWS or GCP at scale., • Infrastructure as Code: Advanced experience with Terraform or similar IaC tools to manage complex, multi-account structures., • Orchestration & Delivery: Proven track record with Kubernetes and workflows using ArgoCD., • SRE Discipline: Strong background in Site Reliability Engineering, including Service Level Objectives (SLOs), error budgets, and incident management., • CI/CD & Automation: Experience building robust deployment pipelines via GitHub Actions., • Observability: Proficiency with monitoring using tools like Prometheus, Grafana, or similar., • Security & Networking: Knowledge of cloud-native security (IAM, VPC peering) and service mesh technologies like Istio., • Programming: Understanding of at least one coding language that you are able to use to develop scripts and software At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives. Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements. Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts. Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team () to make the need for an accommodation known. California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.

Job Description PRODUCT MANAGER (Temporary-to-Hire, Remote)About the position HealthBegins is seeking a Product Manager to advance digital innovation at the intersection of healthcare transformation and health equity. This temporary-to-hire role will shape and strengthen our digital platforms and learning products that help leaders dismantle systemic barriers to health and integrate health and social care. As Product Manager, you will lead the strategy, roadmap, and execution for key initiatives, including the Social Needs Investment Lab, the Health Equity Policy Hub, the HealthBegins Academy, and other human-centered design projects. Reporting to the VP of Learning & Innovation, you will develop clear product priorities and business recommendations, then drive delivery in close partnership with internal teams and external vendors. This role is central to HealthBegins’ Learning & Innovation portfolio and requires product strategy, user-centered design, business acumen, and strong execution skills. The ideal candidate is an emerging product leader who thrives at the intersection of public health and business and is comfortable moving from big-picture strategy to detailed product delivery. HealthBegins works to drive transformative change in health equity by integrating health and social care, addressing health-related social needs, and dismantling structural inequities. In this role, you will help build the tools and learning platforms that make that work possible. You will join a collaborative, mission-driven culture that values impact, continuous learning, inclusion, and balance. Who will love this job: * A detail-oriented emerging leader: You thrive on turning strategy into results and have a proven track record of delivering complex projects on time and with impact. * An analytical thinker: You use data and user insights to drive product decisions, balancing near-term needs with long-term strategy. * A collaborator across systems: You build strong relationships with stakeholders, holding multiple perspectives at once and translating them into product priorities. * A health equity innovator: You bring experience in Medicaid, public health, and/or equity-focused systems change, and you know how to apply human-centered design and lean startup approaches in mission-driven contexts. * A doer who loves execution: You excel in agile methods, rapid prototyping, and managing vendor relationships to get things done. What you’ll do: Product Strategy & Roadmap Execution (50%) * Drive the product roadmap for the Social Needs Investment Lab, preparing prioritization recommendations and rationale for executive decision-making. * Work closely with Health Equity Policy Hub leadership to translate vision into product requirements and delivery. * Identify opportunities to grow HealthBegins Academy, developing cases and go-to-market strategies for specific courses as well as overall business model. * Develop clear use cases, user stories, and product requirements that translate strategy into actionable development tasks. * Partner with developers to communicate requirements, clarify scope, and ensure technical feasibility. * Scope, manage, and deliver features and improvements on time and within budget. * Lead and coordinate feature testing and quality assurance, ensuring new releases meet user needs and organizational standards. * Collaborate with internal stakeholders to ensure product alignment across HealthBegins initiatives. * Leverage data to guide decisions and continuously improve the user experience. Human-Centered Design & Innovation (25%) * Use human-centered design, participatory design, and lean startup methods to design market and product strategies. * Use best practices for inclusive product design and development, ensuring people most harmed by societal practices are represented and included in research and design. * Lead design research and prototyping for HealthBegins products, ensuring new features and offerings reflect the needs of diverse users. * Partner with consultants on design research within client-facing projects, applying insights to product development. * Apply lean startup and business modeling methods to test and refine approaches to sustainability and growth. * Leverage vibe coding apps for rapid prototyping and MVP builds. Collaboration & Stakeholder Engagement (15%) * Work with internal teams, external vendors, and partners to ensure product development processes are inclusive, effective, and user-driven. * Collaborate with Program Managers to coordinate product development timelines, resources, and deliverables across HealthBegins initiatives. * Serve as a product and digital innovation subject matter expert on consulting engagements, partnering with Consulting Directors and project consultants to bring product thinking to client work. * Occasionally lead client engagements focused on product development, digital strategy, or innovation, bridging internal product work with external consulting services. * Manage vendor relationships and contracts to ensure high-quality delivery. * Communicate progress, risks, and decisions effectively across stakeholders. Operations & Process Management (10%) * Use agile methods and product management tools to track progress, risks, and resources. * Ensure alignment with HealthBegins’ systems and processes for project and portfolio management. * Support continuous improvement of product development practices across the organization. You should have: * Required: Experience in Medicaid, public health, and/or health equity-focused systems change. * Required: Human-centered design and lean startup/business modeling expertise. * At least 2 years of progressive experience in product management (whether or not you held the title). * Proven track record of delivering digital products, with strong project and vendor management skills. * Proficiency in analytics, agile methods, and product management tools. * Strong communication skills and the ability to manage multiple stakeholders and competing priorities. Technical skills include: * Proficiency with Microsoft 365 and Google Suite. * Proficiency with agile project management tools (e.g., Rocketlane, Jira, Trello, Asana, Monday, Linear). * Comfort with CRM systems, data dashboards, and/or analytics platforms (e.g.,Hubspot, Posthog, Google Analytics, Pendo). * Demonstrated experience with design and prototyping tools, and no-code building tools (e.g., Lovable, v0, Replit, Cursor, Claude Code, Figma). Physical requirements: * Ability to regularly work and meet on Pacific Time. * Willingness and ability to travel occasionally (up to 15%), inclusive of company retreats or team conferences. * HealthBegins will provide reasonable accommodations to support candidates working remotely and to ensure accessibility. Don’t meet every requirement? Even if you don’t meet all requirements, we still want to hear from you! Research shows that women, non-binary applicants, and people of color often hesitate to apply unless they check off every box. HealthBegins strives to maintain a diverse and inclusive workforce through recruitment, retention, and promotion policies. We strongly encourage applications from individuals with diverse backgrounds, experiences, and identities as well as those who have been directly impacted by the social needs and systemic barriers we seek to address. HealthBegins believes that all persons are entitled to equal employment opportunities and does not discriminate against its employees or applicants because of race, color, religion, sex, pregnancy, national origin, ancestry, age, marital status, sexual orientation, disability, or medical condition. Why work at HealthBegins HealthBegins is a mission-driven consultancy firm that drives radical transformation in health by helping Medicaid-managed care plans, health systems, and social sector clients advance health equity and improve the social and structural drivers that put patients and communities in harm’s way. Better health for all begins with equity. Learn more here. This is a temporary-to-hire position with a salary range of $90,000–$120,000, depending on experience. If the role transitions to a regular, full-time position, the compensation package would also include eligibility for an annual bonus based on both individual and team performance. Full-time employees are also eligible for HealthBegins’ comprehensive benefits package, designed to help them balance their professional and family commitments. A note on health equity commitment This role requires a genuine, deep commitment to health equity — not a passing interest. We're looking for someone who has lived, studied, or worked in this space and understands that addressing social and structural drivers of health is not a trend but an ongoing practice. If health equity is new to you, this likely isn't the right fit, but we encourage you to explore HealthBegins' resources to learn more. How to apply In order to apply, you must be authorized to work in the United States. Submit the following to : * Resume * Cover letter — tell us why this role and mission resonate with you * 1-page Writing sample — anything that demonstrates your thinking (blog post, PRD, strategy doc, etc. Please do not include AI-generated content) * Link to a project — a product or prototype you've built or managed, including using AI-assisted coding tools (doesn't need to be in production or health equity related) Incomplete applications will not be reviewed. This is a primarily remote position with some requirements for in-person meetings and travel, and preference will be given to qualified candidates based in California, Arizona, Colorado, and Massachusetts.

Job DescriptionWe're hiring for a Senior Controller+ / Director of Finance who has the talent, experience, and desire to lead CHARLESGATE to scale nationally across multiple operating subsidiaries. If you’re a whip-smart accounting/finance leader who wants real responsibility, real challenges to solve, and a real fast-track path to CFO… keep reading. Why work at CHARLESGATE? CHARLESGATE is a multi-entity real estate platform (HoldCo + operating subsidiaries + investment/SPV entities). We’re scaling quickly (5x Inc 5000 Winner!) and we expect finance to be an operating weapon - not a stogy back-office function. We need a leader to own the finance engine behind it. We’re growing into more entities, more revenue types, and more complexity. The business will not slow down so finance can “catch up.” The mission for this role is to build and run a lean Finance Operating System across the companies for clean close, cash predictability, intercompany discipline, and decision-grade reporting at speed. What you'll own: A) Accounting + Close Management (multi-entity) • Own close calendar, task checklist, and signoffs, • Maintain balance sheet integrity and reconciliations, • Standardize accounting policies and coding rules across entitiesB) Cash + Treasury + Working Capital, • Own weekly 13-week cash forecast and cash decision cadence, • Lead AR aging, collections accountability, and billing discipline, • Maintain AP runway and payment approval thresholdsC) Revenue Operations for Finance (Contract → Invoice → Collect → Recognize), • Ensure invoicing matches contract terms (retainers, projects, reimbursables, commissions), • Define and enforce revenue reporting and recognition practices by revenue type, • Install process to reduce write-offs, billing lag, and margin leakageD) Intercompany, Consolidation, and Allocations, • Build intercompany agreements, billing, and eliminations, • Improve shared services cost allocation model (simple, transparent drivers), • Produce consolidated financials with clear OpCo performance visibility, • Administer STIP and LTI incentive comp plansE) Management Reporting + Forecasting Cadence, • Publish monthly KPI pack with margin bridges and key drivers, • Lead monthly forecast roll-forward and variance analysis, • Partner with OpCo leaders to build revenue and business models and make decisions from numbers (not just report)F) Asset Management Reporting + LP/Fund Finance, • Own capital accounts, calls, and distributions; maintain waterfall accuracy, • Standardize quarterly lender + LP reporting packages and cadenceG) Controls + Governance + ERP, • Implement Delegation of Authority (DoA), vendor onboarding, and spend controls, • Build audit-ready documentation (without creating bureaucracy), • Maintain policy library and process SOPs, • Close performance: Sustained T+10 close across entities with documented reconciliations/amortizations/signoffs, • Balance sheet reliability: Reconciliations current; limited post-close adjustments, • Cash forecast discipline: Weekly 13-week forecast delivered on time; meeting accuracy requirements, • Working capital improvement: AR aging improves vs baseline with 50% reduced >60/90 day balances, • Intercompany + consolidation governance system: Monthly intercompany billing/eliminations run cleanly; consolidated numbers trusted; allocation model is updated and implemented cleanly, • Allocation model in production: Allocation Model v2 implemented, • Decision-grade reporting: Strong, trusted KPI pack used in business reviews, • Forecast cadence and driver models installed: Monthly rolling forecast with defined owners; forecast error improvements, • Investor Relations: Institutional-grade asset reporting packages and on-time distribution workflows, • STIP + LTIP Implementation: Upgraded compensation plans implemented and managed Required qualifications (must-haves) • 7 - 12+ years in accounting/finance; 3+ years leading teams, • Proven multi-entity ownership: intercompany, eliminations, consolidation, • Built/owned operating cadence: close + cash + forecast + KPI pack, • Strong cash leadership experience: AR discipline + collections accountability, • Ability to translate contribution margin + drivers into clear operator recommendations/actions, • Systems and automations fluency: multi-entity accounting software + advanced spreadsheets/BI + AI-enabled workflows, • Understanding of business operations + drivers: a model builder, not just a numbers jockey, • Comfortable in ambiguity; know how to create structure without slowing the businessPreferred qualifications (nice-to-haves), • Industry adjacency: multifamily ownership/management, brokerage, agency/pro services, fund management, private equity, • Allocation model design + implementation experience, • Incentive comp administration (STIPs/LTIPs), • Fund/SPV/partnership accounting (capital calls, distributions, capital accounts), • CPA/audit background; M&A diligence/integration; forecast/BI modelsThis role is NOT for you if…, • You want a role that’s mostly monthly close + compliance, • You avoid cash forecasting, AR, or collections accountability, • You need perfect clarity before acting, • Your default move is adding approvals/process that slows operators, • You don't have a growth mindset or are scared of change (growth = change, the messy middle is real), • You can’t translate margin + driver math into simple recommendations, • You avoid intercompany/allocations because they’re “political”, • You’re uncomfortable with high standards and direct accountability, • You haven't built robust forecast models, • You’re not fluent in multi-entity systems We hire on proof, not stories or promises. Be ready to share detailed work history and work samples in the interview process (non-confidential/redacted as necessary). Compensation + BenefitsBase salary range: $180,000-$240,000 (based on qualifications & experience) Plus short and long-term performance bonus opportunities and industry-leading benefits package. Location Boston-based candidates are preferred; highly qualified remote candidates will be considered, with an expectation of regular on-site presence to support leadership cadence and cross-functional collaboration. About CHARLESGATE CHARLESGATE is a vertically integrated real estate platform based in Boston. We operate at the intersection of property management, brokerage, new development leasing & sales, and modern marketing, to help owners, residents, and partners drive winning results through disciplined execution, hospitality-led experiences, and systems that scale. We’re building a high-performance team that moves fast and owns outcomes as we expand nationwide. If you’re a strategic executor who wants real responsibility, clear standards, and the chance to challenge conventions in a legacy industry, you’ll fit in here. Our Mission: To inspire and empower our clients, our communities, and our team to live better and invest better through comprehensive real estate solutions. Our Core Values: MOVE MARKETS & WIN TOGETHER | We're not order takers. We're partners who drive transformative wins through critical thinking and aligned action. SPEAK HARD TRUTHS | Seek first to understand the perspectives of others. CHALLENGE CONVENTIONS | Status quo is the enemy of value. We mine the gap between what is and what could be to unlock more value. OWN IT | Results matter more than effort. Accountability means rising above your circumstances. We commit fully to getting it done right. PEOPLE > EVERYTHING | Creating better outcomes for the people we serve is our highest calling. Everything we do is delivered with genuine hospitality. Equal Opportunity Statement CHARLESGATE is committed to providing equal employment opportunities and complying with all applicable federal, state, and local laws. We strive to maintain a work environment free from harassment, discrimination, or retaliation based on age, race, color, national origin, ancestry, religion, sex, sexual orientation (including transgender status, gender identity or expression), pregnancy (including childbirth, lactation, and related medical conditions), physical or mental disability, genetic information, veteran status, uniformed service member status, or any other protected status. Powered by JazzHR 3OALmd2W4g

Job Description Shift is the leading AI platform for insurance. Shift combines generative, agentic, and predictive AI to transform underwriting, claims, and fraud and risk - driving operational efficiency, exceptional customer experiences and measurable business impact. Trusted by the world's leading insurers, Shift delivers AI when and where it matters most, at scale and with proven results. Our culture is built on innovation, trust, and a drive to transform the insurance industry through our SaaS platform. We come from more than 50 different countries and cultures and together we are creating the future of insurance. About the Team • This role is part of our Data Science team which is the largest team in our organization consisting of over 200+ Data Scientists throughout the world., • Our Data Scientists work in a full lifecycle role and on a broad range of subjects acquiring extensive technical and professional experience in data science, data engineering, coding, business understanding and client engagement., • Our company is small enough that each person's achievements have an impact on our overall performance, yet big enough to be a world leader and innovator in our domain., • Your role will be to actively contribute to the US Health roadmap and clients, and working on various data types such as structured claims data, free text, documents and images., • Build and productionize data pipelines (structured, text, documents, images) optimized for LLMs and multi-modal models., • Design, develop and deploy LLM-based solutions (RAG, embeddings, instruction tuning) for claims handling, document understanding, and related use cases., • Experiment with the latest in Agentic AI technologies (Langchain/Langgraph, OpenAI Agent SDK, MCP, A2A) and develop MVP for the next generation of payment integrity solutions., • Create custom "tools" for the agent, allowing it to query internal databases, call external weather APIs, or calculate impact force based on telemetry data., • Establish rigorous evaluation frameworks (LLM-as-a-judge) to ensure the agent's decisions are unbiased, legally sound, and explainable., • Ensure responsible-AI practices: privacy, hallucination mitigation, explainability and compliance. We are looking for candidates with diverse skills to help us build excellent technology solutions for our clients and be proficient in the following skills: • Expert proficiency in production-level object-oriented programming (OOP) for building scalable and reliable systems., • Proven hands-on experience with Large Language Models (LLMs) and generative AI techniques (including RAG, embeddings, prompt engineering, and model tuning), leveraging frameworks such as OpenAI/Anthropic or open-source variants., • Solid foundation in ML fundamentals with practical experience in the full machine learning lifecycle, including model evaluation, monitoring, versioning, and deployment in production environments., • Experience designing and implementing robust data pipelines for document, OCR, and multi-modal data workflows., • Agentic Frameworks: Experience with integrating frameworks like LangChain/LangGraph, OpenAI Agent SDK, CrewAI, A2A/MCP with Databricks or Azure-hosted models (e.g., DBRX, OpenAI GPT-5.3, Anthropic Claude, Google Gemini)., • Databricks Ecosystem: Deep expertise in Mosaic AI (formerly MosaicML), Unity Catalog, and Delta Lake. Good understanding of Spark data architecture is a plus., • Experience using MLflow for the full lifecycle: from experiment tracking and prompt engineering in the AI Playground to model evaluation. #LI-MG1 #LI-HYBRID The range listed is for base compensation. Your actual base salary will vary based on factors including location and individual qualifications objectively assessed during the interview process. In addition to base salary, your total rewards package will include additional components such as incentive pay, equity, and benefits. If you're interviewing for this role, speak with your Talent Acquisition Partner to learn more about the specific details for this position. US Base Salary Pay Range$90,000—$115,000 USD To support our permanent, full time employees at every stage of their careers and lives, we provide a competitive total rewards and benefits package. Here are the global benefits we'd like to highlight: • Flexible remote and hybrid working options, • Competitive Salary and a variable component tied to personal and company performance, • Multiple Learning and Development opportunities, including Focus Fridays, a half-day each month to focus on learning and personal growth, • Generous PTO and paid holidays, • Mental health benefits At Shift we strive to be a diverse and inclusive workforce. We welcome applications from and hire people who will contribute to the diversity of our company, without regard to race, color, religion, marital status, age, national or ethnic origin, physical or mental disability, medical condition, pregnancy, genetic information, gender identity or expression, sexual orientation, or other non-merit criteria. Shift Technology is committed to providing reasonable accommodations for qualified individuals with disabilities in our application and employment process. Should you require accommodation, please email and we will work with you to meet your accessibility needs. Please be aware of scammers and only trust correspondence that comes from emails ending in "shift-technology.com". We will never do initial outreach to you via Whatsapp/Text/SMS, never ask for banking information or personal identification numbers (ex. Social Security Number) as part of our recruitment process. Shift Technology does not accept unsolicited CVs from recruiters or employment agencies in response to the Shift Technology Careers page or a Shift Technology social media post. Any unsolicited CVs, including those submitted directly to hiring managers, are deemed to be the property of Shift Technology.

Job Description Shift is the leading AI platform for insurance. Shift combines generative, agentic, and predictive AI to transform underwriting, claims, and fraud and risk - driving operational efficiency, exceptional customer experiences and measurable business impact. Trusted by the world's leading insurers, Shift delivers AI when and where it matters most, at scale and with proven results. Our culture is built on innovation, trust, and a drive to transform the insurance industry through our SaaS platform. We come from more than 50 different countries and cultures and together we are creating the future of insurance. About the Team • This role is part of our Data Science team which is the largest team in our organization consisting of over 200+ Data Scientists throughout the world., • Our Data Scientists work in a full lifecycle role and on a broad range of subjects acquiring extensive technical and professional experience in data science, data engineering, coding, business understanding and client engagement., • Our company is small enough that each person's achievements has an impact on our overall performance, yet big enough to be a world leader and innovator in our domain., • Your role will be to actively contribute to the US- Insurance roadmap and clients, and working on various data types such as structured data, free text, documents and images., • Build and productionize data pipelines (structured, text, documents, images) optimized for LLMs and multi-modal models., • Design, develop and deploy LLM-based solutions (RAG, embeddings, instruction tuning) for subrogation, claims handling, document understanding, and related use cases., • Experiment with the latest in Agentic AI technologies (Langchain/Langgraph, OpenAI Agent SDK, MCP, A2A) and develop MVP for the next generation of autonomous subrogation solutions., • Develop "Chain-of-Thought" and "ReAct" prompting strategies to ensure the agent can justify its liability percentages based on the Comparative Negligence laws of different jurisdictions., • Create custom "tools" for the agent, allowing it to query internal databases, call external weather APIs, or calculate impact force based on telemetry data., • Establish rigorous evaluation frameworks (LLM-as-a-judge) to ensure the agent's decisions are unbiased, legally sound, and explainable., • Ensure responsible-AI practices: privacy, hallucination mitigation, explainability and compliance. We are looking for candidates with diverse skills to help us build excellent technology solutions for our clients and be proficient in the following skills: • Expert proficiency in production-level object-oriented programming (OOP) for building scalable and reliable systems., • Proven hands-on experience with Large Language Models (LLMs) and generative AI techniques (including RAG, embeddings, prompt engineering, and model tuning), leveraging frameworks such as OpenAI/Anthropic or open-source variants., • Solid foundation in ML fundamentals with practical experience in the full machine learning lifecycle, including model evaluation, monitoring, versioning, and deployment in production environments., • Experience designing and implementing robust data pipelines for document, OCR, and multi-modal data workflows., • Agentic Frameworks: Experience with integrating frameworks like LangChain/LangGraph, OpenAI Agent SDK, CrewAI, A2A/MCP with Databricks or Azure-hosted models (e.g., DBRX, OpenAI GPT-5.3, Anthropic Claude, Google Gemini)., • Databricks Ecosystem: Deep expertise in Mosaic AI (formerly MosaicML), Unity Catalog, and Delta Lake. Good understanding of Spark data architecture is a plus., • Experience using MLflow for the full lifecycle: from experiment tracking and prompt engineering in the AI Playground to model evaluation. #LI-MG1 #LI-HYBRID The range listed is for base compensation. Your actual base salary will vary based on factors including location and individual qualifications objectively assessed during the interview process. In addition to base salary, your total rewards package will include additional components such as incentive pay, equity, and benefits. If you're interviewing for this role, speak with your Talent Acquisition Partner to learn more about the specific details for this position. US Base Salary Pay Range$80,000—$110,000 USD To support our permanent, full time employees at every stage of their careers and lives, we provide a competitive total rewards and benefits package. Here are the global benefits we'd like to highlight: • Flexible remote and hybrid working options, • Competitive Salary and a variable component tied to personal and company performance, • Multiple Learning and Development opportunities, including Focus Fridays, a half-day each month to focus on learning and personal growth, • Generous PTO and paid holidays, • Mental health benefits At Shift we strive to be a diverse and inclusive workforce. We welcome applications from and hire people who will contribute to the diversity of our company, without regard to race, color, religion, marital status, age, national or ethnic origin, physical or mental disability, medical condition, pregnancy, genetic information, gender identity or expression, sexual orientation, or other non-merit criteria. Shift Technology is committed to providing reasonable accommodations for qualified individuals with disabilities in our application and employment process. Should you require accommodation, please email and we will work with you to meet your accessibility needs. Please be aware of scammers and only trust correspondence that comes from emails ending in "shift-technology.com". We will never do initial outreach to you via Whatsapp/Text/SMS, never ask for banking information or personal identification numbers (ex. Social Security Number) as part of our recruitment process. Shift Technology does not accept unsolicited CVs from recruiters or employment agencies in response to the Shift Technology Careers page or a Shift Technology social media post. Any unsolicited CVs, including those submitted directly to hiring managers, are deemed to be the property of Shift Technology.

Job Description Apiphani is a technology-enabled managed services company dedicated to redefining what it means to support mission-critical enterprise workloads. We're a small but rapidly growing company, which means there's lots of room for growth and learning opportunities abound! Apiphani is dedicated to creating a diverse and inclusive work environment for all as a fundamental component of our business. Diversity and inclusion are the bedrock of creativity and innovation. Without diversity of experience and thought, we would fail to progress as a company and as a team. Apiphani strives to foster an environment of belonging, where every employee feels respected, valued, and empowered. We embrace the unique experiences, perspective, and cultural background, which only you can bring to the table. Technical Product Manager — Agentic AI Platform Location: Remote | Full-time | Competitive Compensation At Apiphani, we're building the future of infrastructure automation through agentic AI. Our platform spans multiple product experiences — a web application, a terminal client, a lightweight server agent, and AI-powered workflows — all designed to make IT teams faster, safer, and more effective. We're looking for a Technical Product Manager to help shape and drive these experiences forward. This role is about connecting the dots: understanding customer needs, translating them into product direction, and working side by side with engineering and design to deliver. As an early-stage hire, you'll play a key role in defining how our product works, feels, and evolves. What You'll Do * Talk directly to customers and translate insights into product requirements and roadmap priorities * Define and own features across the platform — from web dashboards to terminal interfaces to AI-driven automation * Write clear specifications, user stories, and acceptance criteria for engineering * Work closely with engineering and design to ensure solutions are usable, reliable, and scalable * Balance speed-to-market with enterprise-grade requirements (security, reliability, compliance) * Help shape product strategy in partnership with leadership, bringing a user-centric lens to technical decisions What We're Looking For * 4+ years of experience in product management or technical program management * Strong technical background; able to engage deeply with engineers on APIs, data flows, and system design * Proven ability to run customer discovery — talking to users, surfacing pain points, and translating them into actionable priorities * Experience with developer tools, enterprise SaaS, or infrastructure products * Comfort working in ambiguous, fast-paced, zero-to-one environments * Excellent written and verbal communication skills Bonus * Experience with AI/LLM-powered products or agentic workflows * Familiarity with observability, IT automation, or enterprise IT systems * Hands-on coding or scripting experience (Go, Bash, PowerShell, or similar) Why Join Apiphani? You'll be part of the founding product team defining not just what we build, but how we build. You'll get to work across surfaces (web, terminal, agent, AI) and directly with customers shaping the future of IT automation. There's no bureaucracy here — just the opportunity to create something meaningful from the ground up. Base Salary$120,000—$160,000 USDCompany Benefits* • Medical/dental/vision - 100% paid for employees, 50% paid for dependents, • Life and disability - 100% paid for employees, • 401K - 3% contribution, no employee contribution necessary, • Education and tuition reimbursement - up to $50K annually, • Employee Stock Options Plan, • Accident, critical illness, hospital indemnity benefits offered through our providers, • Employee Assistance Program, • Legal assistance, • Paid Time Off - up to 6 weeks per year, • Sick Leave - up to 2 weeks per year

Job Description Shift is the leading AI platform for insurance. Shift combines generative, agentic, and predictive AI to transform underwriting, claims, and fraud and risk - driving operational efficiency, exceptional customer experiences and measurable business impact. Trusted by the world's leading insurers, Shift delivers AI when and where it matters most, at scale and with proven results. Our culture is built on innovation, trust, and a drive to transform the insurance industry through our SaaS platform. We come from more than 50 different countries and cultures and together we are creating the future of insurance. As part of our US Healthcare Payment Integrity and Customer Success organization, you will use your technical and clinical coding knowledge to help implement and support solutions that improve claim payment accuracy. Working closely with senior specialists, product, and technical teams, you will help validate edit logic, assist with audits, and identify opportunities to reduce waste and recover overpayments for our customers. What you'll do • Support Claim Accuracy: Assist in managing pre-pay and post-pay workflows, including claim editing and recovery processes., • Operationalize Logic: Help define and validate claim edit logic and payment integrity rules to ensure they are functioning correctly for customers., • Conduct Focused Audits: Perform medical coding audits (inpatient, outpatient, professional) by validating ICD, CPT, HCPCS, and DRG codes under the guidance of senior staff., • Assist with Reviews: Support the customer appeals process by reviewing billed services and assessing their alignment with policies and coding guidelines., • Policy Research: Monitor payer policies and industry benchmarks to identify potential gaps in the current edit library and suggest improvements., • Cross-Functional Collaboration: Partner with Product and Engineering teams to assist in testing, troubleshooting, and User Acceptance Testing (UAT) for new and updated rules., • Documentation: Maintain clear documentation of audit findings and project progress for internal and external stakeholders.What you bring, • 2+ years of experience in healthcare claims, provider billing, or health plan payment integrity., • 1+ years as a certified medical coder in a payer, provider, or RCM environment., • Solid Foundation: Working knowledge of Medicare, Medicaid, and Commercial payer regulations., • Attention to Detail: Proficiency in auditing for coding accuracy (ICD, CPT, HCPCS, modifiers)., • Analytical Mindset: Ability to review data and identify trends or inconsistencies that impact claim accuracy., • Communication Skills: Strong written and verbal skills; ability to explain technical coding findings clearly to team members., • Adaptability: Ready to learn and grow in a fast-paced environment while managing multiple tasks effectively.Qualifications and core requirements, • Education: Bachelor's degree in Healthcare Administration, Business, or a related field (or equivalent experience). The range listed is for base compensation. Your actual base salary will vary based on factors including location and individual qualifications objectively assessed during the interview process. In addition to base salary, your total rewards package will include additional components such as incentive pay, equity, and benefits. If you're interviewing for this role, speak with your Talent Acquisition Partner to learn more about the specific details for this position. US Base Salary Pay Range$55,000—$65,000 USD To support our permanent, full time employees at every stage of their careers and lives, we provide a competitive total rewards and benefits package. Here are the global benefits we'd like to highlight: • Flexible remote and hybrid working options, • Competitive Salary and a variable component tied to personal and company performance, • Multiple Learning and Development opportunities, including Focus Fridays, a half-day each month to focus on learning and personal growth, • Generous PTO and paid holidays, • Mental health benefits At Shift we strive to be a diverse and inclusive workforce. We welcome applications from and hire people who will contribute to the diversity of our company, without regard to race, color, religion, marital status, age, national or ethnic origin, physical or mental disability, medical condition, pregnancy, genetic information, gender identity or expression, sexual orientation, or other non-merit criteria. Shift Technology is committed to providing reasonable accommodations for qualified individuals with disabilities in our application and employment process. Should you require accommodation, please email and we will work with you to meet your accessibility needs. Please be aware of scammers and only trust correspondence that comes from emails ending in "shift-technology.com". We will never do initial outreach to you via Whatsapp/Text/SMS, never ask for banking information or personal identification numbers (ex. Social Security Number) as part of our recruitment process. Shift Technology does not accept unsolicited CVs from recruiters or employment agencies in response to the Shift Technology Careers page or a Shift Technology social media post. Any unsolicited CVs, including those submitted directly to hiring managers, are deemed to be the property of Shift Technology.

Job DescriptionBeghou brings over three decades of experience helping life sciences companies optimize their commercialization through strategic insight, advanced analytics, and technology. From developing go-to-market strategies and building foundational data analytics infrastructures to leveraging artificial intelligence to improve customer insights and engagement, Beghou helps life sciences companies maximize performance across their portfolios. Beghou also deploys proprietary and third-party technology solutions to help companies forecast performance, design territories, manage customer data, organize, and report on medical and commercial data, and more. Headquartered in Evanston, Illinois, we have 10 global offices. Our mission is to bring together analytical minds and innovative technology to help life sciences companies navigate the complexity of health care and improve patient outcomes. In this role you will oversee and develop client proposals, ensuring methodological soundness while consistently delivering exceptional services within timelines and budgets. You will leverage your coding skills to enhance reporting and data processes, drive client engagement, and identify growth opportunities for the firm. This role requires effective leadership of diverse teams and mentorship of junior members, contributing to their professional development and the overall growth of our practice areas.We'll Trust you to: • Lead Impactful projects- Oversee the development of proposals and ensure that projects meet and exceed quality standards while delivering on time and within budget., • Develop Data-Driven Solutions: Build and enhance complex reports, online tools, and data processes; perform advanced analyses and communicate insights effectively to clients., • Leverage Coding skills: Utilize SAS, Python, VBA to facilitate data processing and reporting, ensuring accuracy and efficiency., • Drive Client Success: Grow external client engagements, own key aspects of client relationships, and ensure satisfaction., • Monitor project progress, manage risks, and keep stakeholders informed of outcomes; manage financial aspects of projects, including drafting SOWs and managing invoices., • Identify Growth Opportunities: Identify areas for firm growth, creating action plans that include new offerings and improvements to best practices., • Lead and Mentor Teams: Motivate & guide diverse teams while fostering an innovative, inclusive, collaborative work environment, Support team's professional development, • Support Organizational Development: Contribute to management initiatives, including employee engagement, recruitment, training, and ongoing education; contribute to internal initiatives as needed. What You Bring:, • Education & Experience: Bachelor's or advanced degree with at least 6 years of professional experience in data and analytics within the life sciences or pharmaceutical industry., • Strong understanding of Pharmaceutical commercial functions, including Data Management, Sales Operations, Commercial Analytics, and BI/Reporting., • Technical Expertise: Strong coding skills (SAS, Python, VBA) and experience with data visualization tools (Tableau, Power BI) are strongly preferred. Proficiency in Microsoft Office (PowerPoint, Word) with advanced Excel skills, • Analytical Skills: Advanced analytical and quantitative aptitude, with exceptional problem-solving skills., • Project & People Management: Proven project management and people management skills, with experience as a team leader or manager. We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

Job Description Title: Certified Risk Coder Reports to: Manager, Risk Coding Classification: Individual Contributor Location: Boston (Remote) Job description revision number and date: 2.0, 01.06.2025 Organization Summary: Community Care Cooperative (C3) is a 501(c)(3) non-profit, Accountable Care Organization (ACO) governed by Federally Quality Health Centers (FQHCs). Our mission is to leverage the collective strengths of FQHCs to improve the health and wellness of the people we serve. We are a fast-growing organization founded in 2016 with 9 health centers and now serving hundreds of thousands of beneficiaries who receive primary care at health centers and independent practices across Massachusetts. We are an innovative organization developing new partnerships and programs to improve the health of members and communities, and to strengthen our health center partners. Job Summary: The Certified Risk Coder will be a part of an emerging coding team and coding service that performs retrospective and prospective risk coding reviews and completes provider training for a group of outpatient primary care practices across Massachusetts. In so doing, the Certified Risk Coder will use knowledge of appropriate coding, combined expertise in claims submission processes to improve the accuracy of documentation. This work ultimately leads to a greater understanding of the patient’s complexity while ensuring accurate risk adjustment for patient care. The Certified Risk Coder has experience in risk adjustment, outpatient primary care and/or behavioral health condition coding, billing compliance, and coding quality assurance protocols. The person in this role will report to the Manager, Risk Coding, and interface with an internal team of Practice Transformation Managers, as well as staff at FQHCs. Responsibilities: • Serves as an expert on ICD-10-CM coding guidelines, AHA Coding Clinic Guidance and MassHealth Risk Adjustment guidance, • Completes record review with a high degree of familiarity with common EHRs, especially Epic, NextGen, Centricity, and eCW, • Assists in the compilation and delivery of project reports and facilitates provider-facing interactions, • Completes internal audits per quality assurance protocols, • Facilitates allowable modifications to the bill to ensure accuracy, involving extensive interaction with FQHC billing and operations staff departments, • Assists in chart preparation for providers in advance of appointments, • Communicates with provider education team on observed trends to improve documentation, • Utilizes population health reporting tools to assist in the identification of patients and conditions in need of review and improvement, • Identifies opportunities for FQHC risk score improvement, • Performs other duties as assigned Required Skills: The Certified Risk Coder must be innovative, comfortable with ambiguity, well-organized, and committed to moving quickly and collaboratively as a member of an emerging team within a fast-paced organization. They must communicate clearly and succinctly in writing and verbally across multiple tiers of the organization, from leadership to individual providers and health center staff. Additionally, they must have a strong commitment to quality assurance and exceptional customer service. • 0-5 years of risk coding experience, • 0-5 years of medical billing experience in an outpatient setting, preferably in primary care, pediatrics, or behavioral health, • In-depth knowledge of medical terminology, anatomy, physiology, and disease process, • Knowledge of electronic health record systems: Epic, NextGen, Centricity, and eCW preferred, • Expertise in Medicaid and/or Medicare risk adjustment models, • Billing compliance expertise required, • Self-starter; exercises high degree of initiative, judgement, discretion and decision making to achieve objectives, • Familiarity with Excel, • Familiarity with the MassHealth ACO program, • Familiarity with Federally Qualified Health Centers, • Certified Risk Coding (CRC) Certification through AAPC required In compliance with Infection Control practices per Mass.gov recommendations, we require all employees to be vaccinated consistent with applicable law.

At Zelis, we Get Stuff Done. So, let's get to it! A Little About Us Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. We serve more than 750 payers, including the top five national health plans, regional health plans, TPAs and millions of healthcare providers and consumers across our platform of solutions. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts - driving real, measurable results for clients. A Little About You You bring a unique blend of personality and professional expertise to your work, inspiring others with your passion and dedication. Your career is a testament to your diverse experiences, community involvement, and the valuable lessons you've learned along the way. You are more than just your resume; you are a reflection of your achievements, the knowledge you've gained, and the personal interests that shape who you are. Position Overview The Client Policy Specialist is a client facing role that will act as the subject matter expert (SME) as it pertains to Zelis editing product in support of the growth, and expansion of assigned clients. The Client Policy Specialist will lead the sales overview discussion of new/existing opportunities for the Zelis editing product during client meetings in partnership with the Client Management team. This includes, but is not limited to, review of client data to identify pre/post-production edit volume and savings, edit trends, outliers while providing rationale and potential customization options to ensure Zelis edit logic is aligned with internal policies of assigned clients and their specific Lines of Business. The Client Policy Specialist will ensure day-to-day activities of assigned team aligns with the overall mission and adherence to best practice policies as defined by the organization. What you'll do: • Demonstrate an expert level understanding of Zelis editing products with an ability to clearly articulate correct coding and claim adjudication guidelines, interpretation of client policies and present Zelis edits/editing suites to assigned clients., • Primary contact for Client Manager to support the retention and expansion of Zelis Editing Products for assigned clients., • Ability to work day-to-day with autonomy. Individual contributor as it pertains to assigned clients but works well with CPS team and provides guidance and asks questions as needed., • Proactively partner with Zelis assigned clients to assist in questions, concerns, and provide explanations regarding editing logic, CMS rules and regulations, and assist in client operational efficiencies., • Ability to recommend editing adjustments and modifications as needed to product and to the client., • Includes and identifies individual stakeholders for client meetings, needs, and solutions., • Schedule internal stakeholder meetings for new edit offerings for assigned clients., • Builds relationships internally with collaborative partners and follows processes well., • Proactively partner with Client Policy Integration Director for input regarding Pre-Stakeholder meetings to validate pre-production data and client selection based on edit volume/potential savings opportunity., • Demonstrate expertise in ability to document root-cause analysis of identified client editing issues for escalation to the appropriate Zelis internal team for resolution and communication to the client., • Proactively monitor, research, and summarize changes to client payment policy during ongoing scheduled client meetings while partnering with Client Policy Team to ensure awareness of updates and revisions to Zelis Edits., • Proactively monitor, research and present edit customizations to clients to ensure that all customizations are up-to-date and valid., • Assists in ongoing process improvement and automation., • Proactively escalate identified Zelis Editing Product issues utilizing all tools and resources to document and resolve issue., • Effectively collaborate with the Zelis Editing Product team as it pertains to editing solutions, new edit releases, and product issues., • Proactively partner with Product and Product Analytics team to obtain impact analysis with claim level details for production edits for all assigned clients to support upsell of existing/new production edit opportunities., • Partner with Client Integration Specialist and Implementation teams to support the implementation of the Zelis Edit Products for new/existing clients which includes but is not limited to edit presentation, interpreting client policies, provide guidance for requested client customizations and support testing and client "go-live"., • Effectively partner with Edit Configuration and Claims Edit Validation Team to confirm client selected edit package set up with various lines of business (when applicable), interpret intent of client requested customizations, confirm configuration of requested customizations, and support post-production validation of selected client approved edit and newly deployed edits., • Ensure compliance with HIPAA regulations and requirements. What you'll bring to Zelis: • 3 years of relevant experience or equivalent combination of education and work experience with healthcare payers, third party administrators, and health plans. Bachelor's Degree preferred * CPC or equivalent required • Current certified coder (AAPC or AHIMA) or Registered Health Information (RHIA/RHIT) certifications required., • Extensive knowledge of correct coding and industry standard claim adjudication guidelines and policies., • Extensive knowledge and ability to translate coding and adjudication guidelines, policies and references into edit policies and rules., • 3 years minimum client facing and/or provider facing experience which includes but is not limited to conducting product overview and sales workshops, • Extensive experience in managing internal/external relationships with strong Project Management skills., • Excellent verbal & written communication skills, • Proficient in Microsoft Office suite (Word, Excel, Power Point etc.), • Proficient in JIRA, • Travel requirements to (primarily) domestic destinations should not exceed 10%. Please note at this time we are unable to proceed with candidates who require visa sponsorship now or in the future. Location and Workplace Flexibility We have offices in Atlanta GA, Boston MA, Morristown NJ, Plano TX, St. Louis MO, St. Petersburg FL, and Hyderabad, India. We foster a hybrid and remote friendly culture, and all our employee's work locations are based on the needs of the position and determined by the Leadership team. In-office work and activities, if applicable, vary based on the work and team objectives in accordance with Company policies. Base Salary Range $65,000.00 - $82,650.00 At Zelis we are committed to providing fair and equitable compensation packages. The base salary range allows us to make an offer that considers multiple individualized factors, including experience, education, qualifications, as well as job-related and industry-related knowledge and skills, etc. Base pay is just one part of our Total Rewards package, which may also include discretionary bonus plans, commissions, or other incentives depending on the role. Zelis' full-time associates are eligible for a highly competitive benefits package as well, which demonstrates our commitment to our employees' health, well-being, and financial protection. The US-based benefits include a 401k plan with employer match, flexible paid time off, holidays, parental leaves, life and disability insurance, and health benefits including medical, dental, vision, and prescription drug coverage. Equal Employment Opportunity Zelis is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. We welcome applicants from all backgrounds and encourage you to apply even if you don't meet 100% of the qualifications for the role. We believe in the value of diverse perspectives and experiences and are committed to building an inclusive workplace for all. Accessibility Support We are dedicated to ensuring our application process is accessible to all candidates. If you are a qualified individual with a disability or a disabled veteran and require a reasonable accommodation with any part of the application and/or interview process, please email ___. Disclaimer The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities, duties, and skills from time to time.

Lantheus (NASDAQ: LNTH) is the leading radiopharmaceutical-focused company, delivering life-changing science to enable clinicians to Find, Fight and Follow disease to deliver better patient outcomes. Headquartered in Massachusetts with offices in New Jersey, Canada, Germany, Sweden, Switzerland and United Kingdom, Lantheus has been providing radiopharmaceutical solutions for nearly 70 years. Today, we're expanding our portfolio and pipeline across oncology, neurology and cardiology. Through recent acquisitions, along with strategic partnerships across the life sciences ecosystem, we are accelerating our efforts to advance precision medicine and improve patient outcomes around the world. At Lantheus we are purpose-driven, and every employee plays a vital role in our success. We're dedicated to cultivating a high-growth, forward-thinking culture where innovation thrives and diverse perspectives drive meaningful progress. Join us and be part of a company where your contributions make a real impact, because we know someone's health is in our hands. Summary of Role: The field-based role is responsible for providing US coverage, coding, and payment expertise to support the Lantheus Holdings portfolio. Acting as the primary contact for all patient access related inquiries, the Market Access Leader will support seamless and timely access and reimbursement for prescribed Lantheus products. The individual in this role will have responsibility for educating customers on the services and support offered by Lantheus Link, as well as educating customers on payer coverage, coding and payment policies affecting the Lantheus portfolio and ensuring access for patients prescribed Lantheus products. The successful candidate will have a proven track-record assisting customers in facilitating patient access, overcoming complex reimbursement challenges, is an excellent cross functional collaborator and thrives in a fast-paced environment. This is a remote position open to applicants authorized to work for any employer within the United States. Key Responsibilities/Essential Functions: • This position will report to the Head of Market Access, • Serve as subject matter expert to prevent and address access and reimbursement issues., • Provide proactive education, reimbursement support and problem-solving strategies to identified customers in defined geographical territory., • Educate customers on Lantheus Link services and offerings., • Support all Lantheus Link patient referrals from submission to scan completion., • Identify, develop, and execute territory business plan opportunities by focusing on appropriate positioning and messaging of Lantheus products and services to colleagues and customers, • Manage and coordinate resolution of reimbursement issues by collaborating with internal teams, prescribing office and non-hospital imaging centers, • BS/BA in Business, Marketing, Economics, or related field; advance degree strongly preferred., • 5+ years of coverage, coding, payment, and policy experience within the diagnostics, biotech, and/or pharmaceutical industry, • Preferred experience working in a hub model., • Preferred access and reimbursement experience specifically in radiopharmaceuticals, imaging, or diagnostics, • Demonstrates a solid understanding of the US payer market, experience with both commercial and public payers and understands the process for approving treatments and imaging agents within the payer community., • Ability to thrive in a cross-functional working environment., • Successful decision-making, strategic planning, and problem-solving skills., • Demonstrated track record of strategic impact in defining and executing complex customer experience roadmaps while driving for innovative results., • Demonstrated ability to develop credible relationships at high levels within accounts., • Possesses strong business acumen negotiation and presentation skills., • Superb written and verbal communication skills, • Field-based role; must be a self-starter with ability to work independently and organize own work without continuous direct supervision. The ideal candidate will embody Lantheus core values: • Let people be their best, • Respect one another and act as one, • Learn, adapt, and win, • Know someone's health is in our hands Actual base pay offered may vary depending on a number of factors such as job-related knowledge, skills and experience. Employees in this position are eligible for a discretionary performance-based cash incentive, and depending on the level of the role may be eligible for a discretionary annual equity award. Benefits for this position include a comprehensive health benefits package that includes medical, prescription drug, dental, and vision coverage. Other offerings include life and disability benefits, pre-tax accounts, a 401(k) with company contribution, and a variety of other benefits. In addition, employees are eligible for a generous time off package including paid vacation, holidays, sick days, and paid parental leave. Interested candidates can apply at Lantheus.com. Applications for this position will be accepted until April 24, 2026. Lantheus is committed to equal employment opportunity and non-discrimination for all employees and qualified applicants without regard to a person's actual or perceived race, color, creed, religion, national origin, ancestry, citizenship status, age, sex or gender (including pregnancy, childbirth, related medical conditions and lactation), gender identity or gender expression, sexual orientation, marital status, military service and veteran status, disability, protected medical condition as defined by applicable state or local law, genetic information, or any characteristic protected under applicable federal, state, or local laws and ordinances. Any applicant requiring an accommodation in connection with the hiring process and/or to perform the essential functions of the position for which the applicant has applied should make a request to the Lantheus Talent Acquisition team at ___. Lantheus is an E-Verify Employer. Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the ___ notice from the Department of Labor.

Job DescriptionBeghou brings over three decades of experience helping life sciences companies optimize their commercialization through strategic insight, advanced analytics, and technology. From developing go-to-market strategies and building foundational data analytics infrastructures to leveraging artificial intelligence to improve customer insights and engagement, Beghou helps life sciences companies maximize performance across their portfolios. Beghou also deploys proprietary and third-party technology solutions to help companies forecast performance, design territories, manage customer data, organize, and report on medical and commercial data, and more. Headquartered in Evanston, Illinois, we have 10 global offices. Our mission is to bring together analytical minds and innovative technology to help life sciences companies navigate the complexity of health care and improve patient outcomes. This role supports the conceptualization, execution, and integration of data-driven projects for commercial efforts in the pharmaceutical and life sciences industries. As a subject matter expert, you will drive innovation and creative solutions within various work streams and provide thought leadership. You will lead project teams and play a pivotal role in guiding internal stakeholders toward project success.We'll trust you to: • Lead cross-functional project teams in the design and development of high-quality deliverables for clients., • Provide strategic advice on project direction, resource management, and timelines, while assuming responsibility for key data analytics tasks to support internal teams and clients., • Collaborate with leadership to define project scope, approach, and development strategies., • Contributes to Beghou’s internal data warehouse build (ARMADA)., • Demonstrates knowledge of data platform components (warehouse, monitoring, etc.) and data engineering (ETL design, schema design, etc.) and CI/CD best practices., • Analyze data, synthesize findings, and develop actionable insights, communicating results to both internal and external teams., • Independently manage projects, handling client communications, meeting facilitation, and timelines, serving as a primary point of contact with minimal oversight., • Develop and optimize data processes, utilizing coding where necessary to facilitate efficient data handling and reporting., • Coordinate with global and diverse teams to ensure seamless project execution., • Engage in business development activities and contribute to internal firm initiatives to drive organizational growth., • Provide mentorship and guidance to junior team members, overseeing their professional development and encouraging continuous improvement and innovation within the team.You will need to have:, • Bachelor’s or advanced degree with at least 6 years of relevant professional experience, preferably in the pharmaceutical or life sciences industry., • Experience with relational database technologies, including PostgreSQL, Oracle, MySQL, Databricks, and Snowflake., • Strong proficiency in Microsoft Office tools (Word, PowerPoint), with advanced expertise in Excel., • Knowledge of coding languages (SAS, Python, R, VBA, etc.) and experience with data visualization software (Tableau, Power BI) is highly preferred., • Excellent analytical and quantitative skills, with a proven ability to solve complex problems., • Exceptional communication skills, both written and verbal., • Demonstrated organizational, time management, and project management skills, with the ability to lead teams and manage multiple projects simultaneously., • Strong ability to collaborate, adapt quickly, and work effectively in a fast-paced environment. We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

Job DescriptionDescription: Who is Gather Health? We are a new and growing healthcare organization with a unique and innovative approach to healthcare. Our mission is to improve lives and communities through socially supported primary care for older adults. Our innovative business model allows our clinicians to treat the whole patient - not just their clinical needs. We do this by having a dedicated care team that supports our clinicians by addressing our patients’ social determinants of health and providing the highest quality of service possible. Our ultimate vision is creating generational health and equity for communities across the country, one patient at a time. The Risk Adjustment Coding Specialist will play a pivotal role in supporting accurate and complete diagnosis documentation as part of Gather Health’s commitment to value-based care under Medicare Advantage and ACO REACH contracts. Embedded within a collaborative, interdisciplinary team—including primary care providers, clinical support staff, and care coordination specialists—this role ensures that coding practices align with clinical realities, driving both quality outcomes and appropriate reimbursement. With deep expertise in the CMS-HCC Risk Adjustment Payment Model (V28), Hierarchical Condition Category (HCC) and CPT coding, the Specialist will serve as a trusted partner to providers, offering 1:1 feedback, leading group education sessions, and identifying opportunities for documentation improvement. Through both remote and in-person collaboration, this role strengthens the connection between frontline care delivery and compliant, effective coding practices. Duties & Responsibilities: • Making sure that codes are assigned correctly and sequenced appropriately as per government and insurance regulations, • Complying with medical coding guidelines and policies, • Reviewing patients’ charts and documents for verification and accuracy (retrospective, prospective and Concurrent Chart Review), • Ensuring that all documented risk adjusted conditions or HCCs are compliantly supported via the MEAT criteria, • Maintaining productivity and quality standards as set by the company, • Communicating professionally with co-workers regarding clinical and reimbursement issues, • Reporting missing or incomplete documentation while working with the providers to fix documentation errors., • Two (2) + years previous experience as a certified professional coder, • One year of risk adjustment experience, • Certified Risk Adjustment Coding certificate (CRC) preferred, • Certified Professional Coder through the American Academy of Professional Coders (AAPC) or Certified Coding Specialist through the American Health Information Management Academy (AHIMA), • Proficient computer skills, Microsoft Office Suite (Word, PowerPoint, Outlook, and Excel), • AS degree in accounting, health care administration, finance, business, or related field preferred, • Able to multitask, prioritize, and manage time efficiently, • Self-motivated and self-directed; able to work without supervision Gather’s model achieves superior care by individualizing care and is reinforced by a three-prong approach: a unique care model quarterbacked by PCPs and supported by multi-disciplinary care teams, tailored Social Care Plans that are led by Gather Guides and facilitated by deeply rooted community partners, and a proprietary “Tech Enabled Home Model.” Founded in 2022 and born out of the Healthcare Foundry Portfolio, Gather Health is addressing a $1 trillion market in primary care for older adults. Today, Gather Health operates in Massachusetts and is working with a multitude of payer partners on aligning value-based care economics to deliver integrated care. Gather’s leadership team has a track record of building and scaling innovative primary care platforms focused on vulnerable populations, including VillageMD and Commonwealth Care Alliance. Gather has raised $30M backed by Maverick Ventures, Khosla, and HC9 Ventures. We are committed to supporting every aspect of your life by offering a total rewards package designed to support your health, financial security, and work-life balance: • Health: Comprehensive medical, dental, and vision with day-one eligibility, • Protection: Company-paid Life, Short-Term, and Long-Term Disability insurance, • Retirement: 401(k) with company match and immediate vesting, • Time Off: Generous PTO that increases with tenure and 11 paid company holidays, • Wellness: Employee Assistance Program (EAP) and supplemental benefit options Gather Health is an Equal Opportunity Employer. All employment decisions are made without regard to age, race, creed, color, religion, sex, national origin, ancestry, disability status, veteran status, sexual orientation, gender identity or expression, genetic information, marital status, citizenship status, or any other basis as protected by federal, state, or local law. Requirements:

Job DescriptionBeghou brings over three decades of experience helping life sciences companies optimize their commercialization through strategic insight, advanced analytics, and technology. From developing go-to-market strategies and building foundational data analytics infrastructures to leveraging artificial intelligence to improve customer insights and engagement, Beghou helps life sciences companies maximize performance across their portfolios. Beghou also deploys proprietary and third-party technology solutions to help companies forecast performance, design territories, manage customer data, organize, and report on medical and commercial data, and more. Headquartered in Evanston, Illinois, we have 10 global offices. Our mission is to bring together analytical minds and innovative technology to help life sciences companies navigate the complexity of health care and improve patient outcomes. Beghou brings over three decades of experience helping life sciences companies optimize their commercialization through strategic insight, advanced analytics, and technology. From developing go-to-market strategies and building foundational data analytics infrastructures to leveraging artificial intelligence to improve customer insights and engagement, Beghou helps life sciences companies maximize performance across their portfolios. Beghou also deploys proprietary and third-party technology solutions to help companies forecast performance, design territories, manage customer data, organize, and report on medical and commercial data, and more. Headquartered in Evanston, Illinois, we have 10 global offices. Our mission is to bring together analytical minds and innovative technology to help life sciences companies navigate the complexity of health care and improve patient outcomes.This role supports the conceptualization, execution, and integration of data-driven projects for commercial efforts in the pharmaceutical and life sciences industries. As a subject matter expert, you will drive innovation and creative solutions within various work streams and provide thought leadership. You will lead project teams and play a pivotal role in guiding internal stakeholders toward project success.We’ll Trust you to: • Lead cross-functional project teams in the design and development of high-quality deliverables for clients., • Provide strategic advice on project direction, resource management, and timelines, while assuming responsibility for key data analytics tasks to support internal teams and clients., • Collaborate with leadership to define project scope, approach, and development strategies., • Contributes to Beghou’s internal data warehouse build (ARMADA)., • Demonstrates knowledge of data platform components (warehouse, monitoring, etc.) and data engineering (ETL design, schema design, etc.) and CI/CD best practices., • Analyze data, synthesize findings, and develop actionable insights, communicating results to both internal and external teams., • Independently manage projects, handling client communications, meeting facilitation, and timelines, serving as a primary point of contact with minimal oversight., • Develop and optimize data processes, utilizing coding where necessary to facilitate efficient data handling and reporting., • Coordinate with global and diverse teams to ensure seamless project execution., • Engage in business development activities and contribute to internal firm initiatives to drive organizational growth., • Provide mentorship and guidance to junior team members, overseeing their professional development and encouraging continuous improvement and innovation within the team.You’ll Need to Have:, • Bachelor’s or advanced degree with at least 4 years of relevant professional experience, preferably in the pharmaceutical or life sciences industry., • Experience with relational database technologies, including Databricks, Snowflake, PostgreSQL, Oracle, and MySQL., • Strong proficiency in Microsoft Office tools (Word, PowerPoint), with advanced expertise in Excel., • Knowledge of coding languages (Python, PySpark, SAS, VBA, etc.) and experience with data visualization software (Tableau, Power BI) is highly preferred., • Experience with Claude Code or ChatGPT Codex is preferred., • Excellent analytical and quantitative skills, with a proven ability to solve complex problems., • Exceptional communication skills, both written and verbal., • Demonstrated organizational, time management, and project management skills, with the ability to lead teams and manage multiple projects simultaneously., • Strong ability to collaborate, adapt quickly, and work effectively in a fast-paced environment. We are currently unable to consider candidates who require, or will require in the future, sponsorship for work authorization . Applicants must be authorized to work in the US on a permanent and ongoing basis without the need for current or future employer-sponsored work authorization. At Beghou, you'll join a highly collaborative, values-driven team where technical excellence, analytical rigor, and personal growth converge. Whether you're passionate about AI innovation, building commercialization strategies, or shaping the next generation of data-first solutions in life sciences, this is a place to make an impact! Compensation and Benefits:Beghou Consulting offers a competitive compensation package and a full complement of benefits, including the following: Health & Wellness We provide comprehensive medical, dental, and vision insurance, as well as life & AD&D coverage, disability insurance, and a Lifestyle Wellness Account to help you feel your best. Work-Life Balance Our generous PTO, company holidays, and paid parental & bonding leave help you recharge and be present where it matters most. With a flexible hybrid work policy, you’ll enjoy the balance of in-person collaboration and remote flexibility. Financial Wellness We invest in your future with a 401(k) and employer match, tax-free commuter, health, and childcare accounts, and performance bonuses. You’ll also receive a monthly phone stipend and access to an employee discount program. Growth & Giving Back Through mentorship, training, and tuition reimbursement, we help you grow your career while supporting causes you care about with a charitable donation match. Culture & Values Collaboration, innovation, and inclusion define us. Here, you’ll join a community that values your ideas and celebrates your impact. Equal Opportunity EmployerWe are committed to fostering an inclusive company culture that respects and promotes diverse backgrounds and points of view. We seek candidates who will add to our culture and support the company’s vision of a diverse, equitable, inclusive, and collaborative workplace. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, disability, age, or veteran status. We are proud to be an equal-opportunity employer. If you are excited about this role but do not meet 100% of the qualifications listed, we still encourage you to apply. You may be just the right candidate for this or other roles. Must be legally authorized to work in the United States. We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

Job DescriptionBeghou brings over three decades of experience helping life sciences companies optimize their commercialization through strategic insight, advanced analytics, and technology. From developing go-to-market strategies and building foundational data analytics infrastructures to leveraging artificial intelligence to improve customer insights and engagement, Beghou helps life sciences companies maximize performance across their portfolios. Beghou also deploys proprietary and third-party technology solutions to help companies forecast performance, design territories, manage customer data, organize, and report on medical and commercial data, and more. Headquartered in Evanston, Illinois, we have 10 global offices. Our mission is to bring together analytical minds and innovative technology to help life sciences companies navigate the complexity of health care and improve patient outcomes. This role supports the conceptualization, execution, and integration of data-driven projects for commercial efforts in the pharmaceutical and life sciences industries. As a subject matter expert, you will drive innovation and creative solutions within various work streams and provide thought leadership. You will lead project teams and play a pivotal role in guiding internal stakeholders toward project success.We'll trust you to: • Lead cross-functional project teams in the design and development of high-quality deliverables for clients., • Provide strategic advice on project direction, resource management, and timelines, while assuming responsibility for key data analytics tasks to support internal teams and clients., • Collaborate with leadership to define project scope, approach, and development strategies., • Analyze data, synthesize findings, and develop actionable insights, communicating results to both internal and external teams., • Independently manage projects, handling client communications, meeting facilitation, and timelines, serving as a primary point of contact with minimal oversight., • Develop and optimize data processes, utilizing coding where necessary to facilitate efficient data handling and reporting., • Coordinate with global and diverse teams to ensure seamless project execution., • Engage in business development activities and contribute to internal firm initiatives to drive organizational growth., • Provide mentorship and guidance to junior team members, overseeing their professional development and encouraging continuous improvement and innovation within the team.You will need to have:, • Bachelor’s or advanced degree with at least 4 years of relevant professional experience, preferably in the pharmaceutical or life sciences industry., • Strong proficiency in Microsoft Office tools (Word, PowerPoint), with advanced expertise in Excel., • Good understanding of Pharmaceutical commercial functions, including Data Management, Sales Operations, Commercial Analytics, and BI/Reporting., • Knowledge of coding languages (SAS, Python, R, VBA, etc.) and experience with data visualization software (Tableau, Power BI) is highly preferred., • Excellent analytical and quantitative skills, with a proven ability to solve complex problems., • Exceptional communication skills, both written and verbal., • Demonstrated organizational, time management, and project management skills, with the ability to lead teams and manage multiple projects simultaneously., • Strong ability to collaborate, adapt quickly, and work effectively in a fast-paced environment. We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

Job Description Title: Accounts Receivable Specialist Reports to: Director, Patient Financial Services Classification: Individual Contributor Location: Boston (Remote) Job description revision number and date: V3.0; 9.9.25 Organization Summary: Community Care Cooperative (C3) is a 501(c)(3) non-profit, Accountable Care Organization (ACO) governed by Federally Qualified Health Centers (FQHCs). Our mission is to leverage the collective strengths of FQHCs to improve the health and wellness of the people we serve. We are a fast-growing organization founded in 2016 and now serving hundreds of thousands of beneficiaries who receive primary care at health centers and independent practices in Massachusetts and across the country. We are an innovative organization developing new partnerships and programs to improve the health of members and communities, and to strengthen our health center partners. Job Summary: We are seeking an experienced Accounts Receivable Specialist to join our revenue cycle team. The ideal candidate will have a strong background in professional billing or working in a doctor's office, with a preference for experience in Federally Qualified Health Centers (FQHC). The position requires a detail-oriented and collaborative professional responsible for the implementation, configuration, optimization, and support of Epic’s Resolute Professional Billing (PB) module. This role ensures accurate and efficient billing workflows, charge capture, claims processing, and reimbursement across the healthcare revenue cycle. Familiarity with Massachusetts healthcare regulations, electronic health records (EHRs), and related software is essential for success in this role. Responsibilities: • Enter and review charges for accuracy, ensuring proper coding and compliance with payer requirements, • Utilize the charge router within Epic to route charges efficiently and accurately to the correct claim workflows, • Identify and resolve charge capture errors or discrepancies to prevent billing delays, • Prepare, review, and submit electronic and paper claims through Epic and various clearinghouses, ensuring compliance with FQHC billing guidelines and Massachusetts-specific regulations, • Apply claim form logic to review and resolve formatting errors before submission, • Liaise with insurance companies to resolve discrepancies, missing files, and claim rejections, • Analyze claim form logic, including UB-04 and CMS-1500 formats, to ensure proper billing practices are followed, • Monitor claims for timely submissions by working closely with follow-up colleagues to address rejected or denied claims, • Assist in managing accounts receivable by identifying trends in denials or delays, • Perform payer appeals on denied claims as needed, • Leverage Epic systems and other EHRs to support billing workflows, payment posting, and reporting, • Reconcile daily payment batches to ensure all funds are accounted for and discrepancies are resolved promptly, • Monitor unapplied payments and resolve posting errors in a timely manner, • Work with banking institutions to ensure accurate deposit processing and address returned or rejected transactions, • Function as a point of contact for inquiries related to payment posting and ERA processes, • Generate and analyze payment posting and cash reconciliation reports to identify trends and areas for improvement, • Maintain and update patient accounts and payer information in the system as needed, • Collaborate with IT and billing teams to address system-related issues impacting billing processes, • Ensure billing practices comply with FQHC-specific guidelines, Massachusetts healthcare regulations, and payer rules, • Stay updated on changes to coding guidelines, billing codes, payer policies, and industry best practices, • Participate in internal and external audits as required, • Partner with clinical, coding, and health information teams to resolve billing documentation issues, • Communicate effectively with insurance companies, patients, and other stakeholders to address billing inquiries, • Review billing dashboards as a tool to monitor performance metrics and identify denial trends, • Provide feedback to leadership on areas for improvement within billing workflows, • Communicate effectively with insurance payers, patients, and internal teams to resolve billing and payment issues, • Provide excellent customer service when assisting with account inquiries or payment concerns., • Other duties as assigned Required Skills: • Knowledgeable of Massachusetts healthcare billing regulations and payer requirements, • Minimum of 3-5 years of experience in medical billing, preferably in an FQHC or professional billing setting, • Proficiency in Epic resolute professional billing processes, • Strong understanding of claim form logic and payer-specific billing requirements, • Familiarity with Massachusetts healthcare regulations and insurance processes, • Knowledge of medical coding (CPT, ICD-10, HCPCS) and compliance requirements, • Excellent attention to detail, organizational skills, and the ability to meet deadlines, • Strong communication and problem-solving skills, • Solid communication skills across stakeholders, diligence, and problem-solving skills, • Experience in Microsoft Office Suite, • Must have a strong commitment to quality assurance and exceptional customer service., • A strong commitment to C3’s mission Desired Other Skills: • Familiarity with the MassHealth ACO program, • Familiarity working in Federally Qualified Health Centers (FQHC), • Experience with anti-racism activities, and/or lived experience with racism is highly preferred Qualifications: • High school diploma or equivalent required; associate or bachelor’s degree in business, healthcare administration, or a related field is preferred ** In compliance with Infection Control practices per Mass.gov recommendations, we require all employees to be vaccinated consistent with applicable law. **

Job DescriptionBeghou brings over three decades of experience helping life sciences companies optimize their commercialization through strategic insight, advanced analytics, and technology. From developing go-to-market strategies and building foundational data analytics infrastructures to leveraging artificial intelligence to improve customer insights and engagement, Beghou helps life sciences companies maximize performance across their portfolios. Beghou also deploys proprietary and third-party technology solutions to help companies forecast performance, design territories, manage customer data, organize, and report on medical and commercial data, and more. Headquartered in Evanston, Illinois, we have 10 global offices. Our mission is to bring together analytical minds and innovative technology to help life sciences companies navigate the complexity of health care and improve patient outcomes. Beghou brings over three decades of experience helping life sciences companies optimize their commercialization through strategic insight, advanced analytics, and technology. From developing go-to-market strategies and building foundational data analytics infrastructures to leveraging artificial intelligence to improve customer insights and engagement, Beghou helps life sciences companies maximize performance across their portfolios. Beghou also deploys proprietary and third-party technology solutions to help companies forecast performance, design territories, manage customer data, organize, and report on medical and commercial data, and more. Headquartered in Evanston, Illinois, we have 10 global offices. Our mission is to bring together analytical minds and innovative technology to help life sciences companies navigate the complexity of health care and improve patient outcomes.This role supports the conceptualization, execution, and integration of data-driven projects for commercial efforts in the pharmaceutical and life sciences industries. You will drive innovation and creative solutions within various work streams and provide thought leadership. You will lead project teams and play a pivotal role in guiding internal stakeholders toward project success.We’ll Trust you to: • Work with cross-functional project teams in the design and development of high-quality deliverables for clients., • Collaborate with leadership to define project scope, approach, and development strategies., • Contribute to Beghou’s internal data warehouse build., • Demonstrate knowledge of data platform components (warehouse, monitoring, etc.) and data engineering (ETL design, schema design, etc.) and CI/CD best practices., • Analyze data, synthesize findings, and develop actionable insights, communicating results to both internal and external teams., • Work on projects, handling client communications, meeting facilitation, and timelines, serving as a primary point of contact with minimal oversight., • Develop and optimize data processes, utilizing coding where necessary to facilitate efficient data handling and reporting., • Coordinate with global and diverse teams to ensure seamless project execution., • Contribute to internal firm initiatives to drive organizational growth.You’ll Need to Have:, • Bachelor’s or advanced degree with at least 2+ years of relevant professional experience, preferably in the pharmaceutical or life sciences industry., • Experience with one or more additional UI-based ETL tools (e.g., Azure Data Factory, Alteryx, Informatica, SnapLogic, Boomi, Prophecy), preferred., • Experience with relational database technologies, such as Databricks, Snowflake, PostgreSQL, Oracle, and MySQL., • Strong proficiency in Microsoft Office tools (Word, PowerPoint), with advanced expertise in Excel., • Knowledge of coding languages (e.g., Python, PySpark, SAS, VBA, etc.) and experience with data visualization software (e.g., Tableau, Power BI) is highly preferred., • Experience with Claude Code or ChatGPT Codex is preferred., • Excellent analytical and quantitative skills, with a proven ability to solve complex problems., • Exceptional communication skills, both written and verbal., • Demonstrated organizational, time management, and project management skills, with the ability to lead teams and manage multiple projects simultaneously., • Strong ability to collaborate, adapt quickly, and work effectively in a fast-paced environment., • Familiarity with industry best practices in data analytics within the pharmaceutical sector. The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including, but not limited to, skill sets; experience and training; licensure and certifications; and other business and organizational needs. At Beghou, it is not typical for an individual to be hired at or near the top of the range for their role, and compensation decisions depend on the facts and circumstances of each case. A reasonable estimate of the current range is $90,000 to $110,000. We are currently unable to consider candidates who require, or will require in the future, sponsorship for work authorization . Applicants must be authorized to work in the US on a permanent and ongoing basis without the need for current or future employer-sponsored work authorization. At Beghou, you'll join a highly collaborative, values-driven team where technical excellence, analytical rigor, and personal growth converge. Whether you're passionate about AI innovation, building commercialization strategies, or shaping the next generation of data-first solutions in life sciences, this is a place to make an impact! Compensation and Benefits:Beghou Consulting offers a competitive compensation package and a full complement of benefits, including the following: Health & Wellness We provide comprehensive medical, dental, and vision insurance, as well as life & AD&D coverage, disability insurance, and a Lifestyle Wellness Account to help you feel your best. Work-Life Balance Our generous PTO, company holidays, and paid parental & bonding leave help you recharge and be present where it matters most. With a flexible hybrid work policy, you’ll enjoy the balance of in-person collaboration and remote flexibility. Financial Wellness We invest in your future with a 401(k) and employer match, tax-free commuter, health, and childcare accounts, and performance bonuses. You’ll also receive a monthly phone stipend and access to an employee discount program. Growth & Giving Back Through mentorship, training, and tuition reimbursement, we help you grow your career while supporting causes you care about with a charitable donation match. Culture & Values Collaboration, innovation, and inclusion define us. Here, you’ll join a community that values your ideas and celebrates your impact. Equal Opportunity EmployerWe are committed to fostering an inclusive company culture that respects and promotes diverse backgrounds and points of view. We seek candidates who will add to our culture and support the company’s vision of a diverse, equitable, inclusive, and collaborative workplace. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, disability, age, or veteran status. We are proud to be an equal-opportunity employer. If you are excited about this role but do not meet 100% of the qualifications listed, we still encourage you to apply. You may be just the right candidate for this or other roles. Must be legally authorized to work in the United States. We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

Job Description Life at Plume At Plume, we believe that technology isn't about moving faster, it's about making life's moments better. Which is why we've built the world's first, and only, open and hardware-independent service delivery platform for smart homes, small businesses, enterprises, and beyond. Our SaaS platform uses WiFi, advanced AI, and machine learning to create the future of connected spaces—and human experiences—at massive scale. We now deliver services to over 60 million locations globally and have managed over 3 billion devices on our platform. We're expanding rapidly, pioneering a new category, and we achieved our Series F funding in just four years. Our customers include many of the world's largest Internet Service Providers (ISPs) who look to Plume to help them evolve their smart home offerings while gleaning insights from their own data. With a bias for action and a love for being trailblazers, the team at Plume embodies a combination of relentless curiosity and imaginative innovation. We challenge ourselves to think in ways that other companies don't, work to do what should be done (rather than what can), and if we can't do it exceptionally well, we don't do it. It's how we've assembled a team of world-class builders, thinkers, and doers. And it's how we're reinventing what's possible every day. As part of our Product Engineering organization, you will play a critical role in building scalable, high-performance backend systems that directly power customer-facing products and internal platforms. Product Engineering at our company is responsible for translating product vision into reliable, secure, and production-grade software solutions. This role sits at the intersection of product strategy and technical execution — partnering closely with Product, Design, and cross-functional engineering squads to rapidly ship impactful features while maintaining long-term architectural integrity. You'll help shape the technical foundation of our products, ensuring they are scalable, resilient, observable, and built with engineering excellence. Responsibilities • API Development: Design, implement, and maintain RESTful and gRPC APIs powering internal and external applications., • Cloud Microservices: Architect and deploy scalable microservices in AWS/GCP/Azure using Kubernetes and modern DevOps practices., • Data Pipelines: Build real-time and batch data pipelines, ensuring data accuracy, performance, and observability (EMR on EKS)., • Collaboration: Partner with cross-functional squad members to deliver features end-to-end, from concept to production., • System Reliability: Optimize services for scalability, resilience, and high availability., • Engineering Excellence: Contribute to architecture discussions, enforce coding standards, and drive best practices in CI/CD, testing, and monitoring., • Strong proficiency in Scala, Go, or Java and Python (experience with multiple is a plus)., • Proven experience with distributed systems, microservices, and event-driven architectures., • Fundamental understanding of computer networking (including Wi-Fi), operating system, and database, • Hands-on expertise in cloud platforms (AWS, GCP, or Azure) and container orchestration (Kubernetes, Docker)., • Familiarity with data engineering (ETL pipelines, real-time streaming with Kafka/Pulsar, batch processing frameworks)., • Experience with SQL and NoSQL databases (e.g., PostgreSQL, MongoDB, Cassandra, DynamoDB)., • Solid knowledge of CI/CD pipelines, testing frameworks, and observability tools (Grafana, Prometheus, ELK)., • Functional programming experience in Scala., • Experience with caching layers, distributed storage, and message queues., • Familiarity with AI-powered developer tools such as ChatGPT, Cursor, GitHub Copilot, or similar to boost productivity. An employee's base salary and its position within the range may depend on a number of factors including job related knowledge, education, skills, experience and other business related considerations. Published ranges are provided in good faith at the time of posting. #RemoteWork #LI-Remote #WorkFromHome #RemoteJob #WFH About Plume As the creator of the only open, hardware-independent, cloud-controlled experience platform for ISPs and their subscribers, Plume partners with over 400 ISP customers, including some of the world's largest such as Comcast, Charter, Liberty Global, and J:COM. Using OpenSync, the most widely supported open-source, silicon-to-cloud framework for smart spaces, Plume's software-defined network allows ISPs to decouple their service offerings from hardware and rapidly curate and deliver new services over a multi-vendor, open-platform architecture. Plume is an equal opportunity workplace that maintains a continuing policy of nondiscrimination in all employment practices and decisions, ensuring equal employment opportunities for all qualified individuals without regard to race, color, creed, religion, sex, national origin, age, physical or mental disability, sexual orientation, gender identity, marital status, pregnancy, childbirth or related individual conditions, medical conditions (as defined by state law), military or veteran status, or any other characteristic protected by federal, state or local law.

Job Description Hi, we're Oscar. We're hiring an Analyst II, Actuarial to join our Actuarial. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family. About the role: The Analyst II, Actuarial maintains Oscar's forecasting, valuation, and pricing processes for several Affordable Care Act (ACA) markets. You will oversee regularly maintaining and reviewing actuarial models used to develop pricing, forecasting, trend analytics, Incurred but not Reported (IBNR) projections and risk adjustment accruals. You will report into the Manager, Actuarial. Work Location: This is a remote position, open to candidates who reside in: Boston, MA. You will be fully remote; however, our approach to work may adapt over time. Future models could potentially involve a hybrid presence at the hub office associated with your metro area. #LI-Remote Pay Transparency: The base pay for this role is: $65,520 - $85,995 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses. Responsibilities: • Maintain core pricing and plan design models. Ensure consistency and standardization across team users., • Important contributor in developing and submitting regulatory filings, and developing a viewpoint and recommendation for strategic pricing decisions., • Develop and provide recommendations for the accrual setting process with respect to IBNR claims, Risk adjustment and Shared Savings deals., • Identify and triages meaningful observations of experience across plan designs, providers, vendors, and markets., • Promote and shape Oscar actuarial best practices concerning automation and documentation., • Maintain relationships, rapport, and lines of communication with all partners., • Aid in the onboarding of analysts by collaborating and integrating them into existing processes., • Compliance with all applicable laws and regulations, • Bachelor's degree in a STEM field., • Passed a minimum of two actuarial exams., • Experience with health insurance concepts and nuances., • Highly technical with a strong enthusiasm to apply tech-forward methods in actuarial models. At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives. Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements. Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts. Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team () to make the need for an accommodation known. California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.