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Pivotal Health
Pivotal Health
51 – 200 Xodimlar
KonsaltingLogistikaSog‘liqni saqlash
Pivotal Health shifoxonalar va ixtisoslashgan tibbiyot muassasalariga adolatli tovon puli olishga yordam beruvchi tibbiy texnologiyalar kompaniyasidir. Uning integratsiyalashgan Mustaqil nizolarni hal qilish (IDR) platformasi muvofiqlikni tekshirish, ariza topshirish va shikoyatlarni qo‘llab-quvvatlash uchun ish jarayonlarini avtomatlashtirish, ma’lumotlar va boshqariladigan xizmatlarni birlashtiradi hamda asosiy daromadlar siklini boshqarish tizimlari bilan ulanadi. Pivotal Health butun jarayon davomida amaliy yordam ko‘rsatadi va mijozlar faqat muvaffaqiyatli natijadan keyin to‘lov qiladigan natijaga asoslangan modeldan foydalanadi. Kompaniya faoliyati tibbiy xizmat ko‘rsatuvchi tashkilotlarning daromadlarni qaytarishi, shaffoflik va operatsion samaradorlikni yaxshilashga qaratilgan.
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Kompaniyadagi ish o‘rinlari

Accounts Payable Analyst – Healthcare Payments

Manage refunds, payment reconciliation, and payor compliance for Pivotal Health’s healthcare reimbursement platform. Support independent dispute resolution workflows and resolve payment issues with clients and internal teams.

USAmerika Qo‘shma ShtatlariNYNyu-York
80 000 $ – 100 000 $ / yil
GibridTo‘liq stavkaJuniorO‘rta darajaDiplom talab qilinmaydiTalab Qilinadigan Til: inglizchaKreditorlik qarzlari
BigQuerySQL

Tavsif

  • Process weekly fee-refund uploads for won or ineligible IDR cases, compare remit amounts with received bricks, and escalate discrepancies to Finance
  • Act as the primary contact for Client Success refund questions, using Metabase and the dispute status tool to track missing or delayed payments
  • Develop and maintain relationships with Independent Dispute Resolution Entities to accelerate outstanding refunds owed to practices
  • Coordinate communications among Client Success, IDREs, Business Operations, and Accounting
  • Create and implement processes that address changing business and customer needs
  • Maintain and enhance Payor Compliance SOPs as workflows develop
  • Analyze payment and refund exceptions for recurring patterns that may signal systemic issues, then escalate findings
  • Investigate platform errors in which lost disputes are recorded as wins and provide supporting evidence to Engineering
  • Reconcile payments and refunds, identify structural payment blockers, and assist processing through the manual intervention queue

Talablar

  • 2–3 years of experience in healthcare operations, revenue cycle, managed care, or a related field
  • Comfort working directly with data in Metabase, BigQuery, or similar tools; basic SQL is a plus
  • Strong written communication skills
  • A detail-oriented and thorough approach to work
  • Ability to manage a high-volume weekly refund cycle alongside multiple open payment exceptions
  • Proficiency with Excel, Google Sheets, Metabase, or BigQuery
  • Analytical skills for evaluating claim and payor data, identifying root causes, and determining next steps
  • Highly accurate data entry and careful matching-based reconciliation skills
  • Familiarity with the No Surprises Act, the federal IDR process, or health insurance payor and TPA structures is a plus
  • Experience handling payment and remittance data, including 835 remits, is a plus
  • Experience with Asana, Notion, Metabase, or similar workflow and reporting tools is a plus
  • Background in revenue cycle payment posting, refund reconciliation, 835 remittance processing, accounting, bookkeeping, or accounts payable and receivable is a plus
  • Authorization to work in the United States without current or future employer sponsorship

Imtiyozlar

  • Competitive compensation with equity
  • Full health, dental, and vision coverage
  • 401(k) retirement savings plan
  • Flexible time off
  • Company-wide connection opportunities and events
  • Remote and hybrid flexibility varies by role and team

O‘xshash ish o‘rinlari

Low Income Housing Institute (LIHI)

Affordable Housing Compliance Manager — LIHI (Hybrid, Seattle)

Low Income Housing Institute (LIHI)
201 – 500 Xodimlar
Ijtimoiy ta’sirKo‘chmas mulkNotijorat
USAmerika Qo‘shma ShtatlariWAVashington
75 000 $ – 90 000 $ / yil
GibridTo‘liq stavkaO‘rta darajaSeniorTalab Qilinadigan Til: inglizchaMuvofiqlik

Oversee HUD, LIHTC, HOME, and HTF compliance across LIHI’s affordable housing portfolio. Prepare regulatory reports, audit tenant files, and guide property teams on occupancy and certification requirements.

Ochish