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Revecore
Revecore
1 001 – 5 000 Xodimlar
B2BSaaSSog‘liqni saqlash
Revecore — shifoxonalar va sog‘liqni saqlash tizimlariga aks holda e’tibordan chetda qolishi mumkin bo‘lgan to‘lovlarni aniqlash va undirishda yordam beradigan tibbiy xizmatlar daromadini tiklash kompaniyasi. Uning ReClaim™ platformasi xususiy sun’iy intellekt, da’volar bo‘yicha ma’lumotlar, ish jarayonlarini avtomatlashtirish va to‘lovchi qoidalari dvigatellarini klinik, huquqiy hamda to‘lovlarni undirish bo‘yicha ekspertiza bilan birlashtiradi. Platforma VA, avtohalokat, ishchilarga tovon puli va Medicaid da’volarini o‘z ichiga olgan murakkab da’volarni undirishni, rad etilgan da’volarni boshqarishni, kam to‘langan summalarni undirishni va debitorlik qarzlarini tezlashtirishni qo‘llab-quvvatlaydi. Revecore’ning HIPAA talablariga mos, SOC 2 sertifikatiga ega infratuzilmasi yuz millionlab da’volar asosida o‘qitilgan mashinaviy o‘rganish modellaridan foydalanadi, kompaniya esa 1 300 dan ortiq shifoxonaga xizmat ko‘rsatadi. Uning jamoasi sog‘liqni saqlash texnologiyalari, daromadlar aylanishi operatsiyalari, klinik xizmatlar, huquqiy ekspertiza va to‘lovlarni undirish sohalarini qamrab oladi.
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Kompaniyadagi ish o‘rinlari

Director of Diagnosis-Related Group Validation (DRGV)

Lead the launch of Revecore’s Diagnosis-Related Group Validation service for hospitals seeking to recover earned revenue. Shape its operating model, technology, staffing, performance measures, pricing, and go-to-market approach.

USAmerika Qo‘shma ShtatlariALAlabamaCTKonnektikutFLFloridaIAAyovaKSKanzasKYKentukkiLALuizianaMEMenMAMassachusetsMIMichiganMNMinnesotaMSMissisipiMOMissuriNENebraskaNHNyu-HempshirNCShimoliy KarolinaOHOgayoOKOklaxomaPAPensilvaniyaRIRod-AylendSCJanubiy KarolinaSDJanubiy DakotaTNTennessiTXTexasVTVermontVAVirjiniyaWVG‘arbiy VirjiniyaWIViskonsinMasofaviyTo‘liq stavkaYetakchiTalab Qilinadigan Til: inglizchaDirektor

Tavsif

  • Lead Revecore’s Diagnosis-Related Group Validation service launch and development
  • Establish the operating model, workflows, staffing plan, productivity measures, quality standards, and industry benchmarks
  • Serve as a DRGV, coding, MS-DRG, revenue integrity, and claims subject matter expert
  • Collaborate with Product, Data, AI, Development, and Operations teams to create scalable processes and technology solutions
  • Assess how AI and automation can improve account selection, prioritization, processing, productivity, and service delivery
  • Act as the technical and operational bridge between DRGV specialists and Product and Engineering teams
  • Contribute to software development and address complex coding-table requirements
  • Set performance expectations and metrics while tracking implementation, operational, and financial objectives
  • Provide guidance on pricing, marketing strategy, market positioning, and sales enablement
  • Participate in prospect and client conversations to support sales efforts
  • Work with the BCO team responsible for client service delivery
  • Coordinate execution across a matrixed organization and align stakeholders around the new solution

Talablar

  • Extensive Diagnosis-Related Group Validation expertise supported by hands-on coding experience
  • Expert knowledge of Medicare Severity Diagnosis-Related Group classification and reimbursement methodology
  • Strong knowledge of revenue cycle and revenue integrity, including charge capture, charging patterns, coding, and Clinical Documentation Integrity
  • Experience interpreting payer contracts, reimbursement provisions, and claim adjudication processes
  • Experience designing, leading, or making significant contributions to DRGV programs
  • Experience creating and maintaining complex coding or reimbursement code tables
  • Experience working with Product, Engineering, or software development teams to convert requirements into scalable technology solutions
  • Working knowledge of data, artificial intelligence, and automation applications in DRGV
  • Ability to lead cross-functional initiatives across technical, operational, and commercial teams
  • Strong communication and client engagement abilities
  • Preferred: Experience with Diagnosis-Related Group Downgrades
  • Preferred: Experience at a vendor-side DRGV, payment integrity, revenue integrity, or healthcare revenue cycle organization
  • Preferred: Experience launching or expanding a healthcare service line, product, or operational capability
  • Preferred: Experience with client solutioning, sales enablement, or healthcare industry thought leadership
  • Must live in the United States in one of the specified states
  • Authorization to work in the United States
  • Successful completion of a background check

Imtiyozlar

  • Work remotely from home
  • A quiet, distraction-free home office environment
  • A secure internet connection
  • Home internet service exceeding 20 Mbps download and 10 Mbps upload speeds
  • Workspace suitable for company-provided workstation equipment and related materials
  • Affirmative Action/Equal Opportunity Employer
  • Interview recording and transcription alternatives available upon request

O‘xshash ish o‘rinlari

Hewlett Packard Enterprise

Senior Channel Presales Technical Architect, Canada

Hewlett Packard Enterprise
H1B vizasi homiysiApparat ta’minotiKorxonaSun’iy intellekt
CAKanada
139 000 $ – 257 000 $ / yil
MasofaviyTo‘liq stavkaO‘rta darajaSeniorTalab Qilinadigan Til: inglizchaSotuvoldi muhandisi
AWSAzureBulutMS SQL ServerOracleSQLVMware

Guide channel partners in designing and selling HPE storage and data protection solutions. Build technical advocacy, grow the opportunity pipeline, and support customer engagements.

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Hewlett Packard Enterprise

Senior Channel Presales Technical Architect, Storage — HPE Canada Remote

Hewlett Packard Enterprise
H1B vizasi homiysiApparat ta’minotiKorxonaSun’iy intellekt
CAKanada
139 000 $ – 223 000 $ / yil
MasofaviyTo‘liq stavkaO‘rta darajaSeniorTalab Qilinadigan Til: inglizchaSotuvoldi muhandisi
AWSAzureBulutMS SQL ServerOracleSQLVMware

Help HPE channel partners position, design, and sell storage and data protection solutions. Support solution architecture, demonstrations, proofs of concept, pipeline development, and partner technical advocacy.

Ochish
Hewlett Packard Enterprise

Channel Presales Technical Architect, Canada

Hewlett Packard Enterprise
H1B vizasi homiysiApparat ta’minotiKorxonaSun’iy intellekt
CAKanada
111 200 $ – 178 400 $ / yil
MasofaviyTo‘liq stavkaO‘rta darajaSeniorTalab Qilinadigan Til: inglizchaSotuvoldi muhandisi
AWSAzureBulutMS SQL ServerOracleSQLVMware

Guide HPE channel partners in positioning, designing, and delivering storage and data protection solutions. Build partner technical capability, develop pipeline, and help secure competitive wins.

Ochish