Top Tech Jobs & Startup Jobs in Charlotte, NC

Perform line-by-line reviews of high-dollar facility itemized bills and claims (UB-04), identify billing/coding errors, validate codes (CPT, HCPCS, ICD-10, MS-DRG), compare charges to contracts and policies, document findings and recommended adjustments, refine audit processes, provide SME guidance and training, and collaborate cross-functionally to remediate payment integrity issues.

Manage and negotiate contracts with hospitals and large ancillary providers to build a high-performing network. Analyze provider performance and financial data, support national network strategy, ensure regulatory compliance, collaborate with provider services, and meet SLAs and cost-saving objectives.

Perform end-to-end claims coding audits and repayment quality reviews using CPT/HCPCS/ICD-10 guidelines; document findings, create reference guides, support provider communications, train teammates, and drive process improvements for payment integrity.

Partner with cross-functional teams to analyze large healthcare datasets, build models and dashboards, and surface insights to reduce medical waste. Scope, run, and present analyses, monitor performance metrics, and support initiatives to improve financial and utilization outcomes.

The Specialist, Contract Loading will manage complex provider contract configurations, resolve issues, track problems, and provide training and support across teams.

Support SIU anti-fraud initiatives by auditing medical records and claims, performing quality checks of coding reviews, interpreting dashboards, documenting findings, educating providers and teams, and recommending process improvements to ensure compliance and operational targets.

The UM Program Operations Manager is responsible for executing high-impact programs, ensuring compliance, managing updates to Prior Authorization lists, and overseeing team performance.

The Manager of Strategic Value & Investment Analysis will oversee financial impacts of UM initiatives, build financial models, and collaborate with various teams to track ROI and support decision-making.

The Sales Executive will drive sales by identifying and qualifying leads, educate prospects on ICHRA, and set up meetings for enrollment.

The Sales Executive will drive membership growth, qualify distribution partners and leads, collaborate on marketing strategies, and ensure compliance while maintaining records.