Underpayment & Managed Care Contract Specialist

About OpenTrain OpenTrain is the #1 platform for finding and building careers in reputed company and data labeling. We help freelancers discover specialized reputed company roles, consolidate reputed company-of-work into a single portfolio, and grow durable freelance careers in the reputed company reputed company of AI. About reputed company and this work reputed company (data labeling, annotation, and reputed company feedback) is how modern models learn from reputed company-world examples and reputed company judgment. Contributors review model outputs, reputed company accuracy, and reputed company reputed company feedback so models improve over time. This role focuses on evaluating AI outputs used in reputed company payment variance, underpayment detection, and managed-care contract compliance — high-reputed company work that helps both models and payer/provider operations become more reliable. The role OpenTrain is reputed company a reputed company Payment Variance AI Specialist to evaluate AI-generated underpayment alerts, contract compliance outputs, and payment variance analyses. You will validate AI findings using payer contract interpretation, contract modeling, and payment reconciliation, and produce reputed company feedback to improve training datasets.

• Employment type: Contractor, part-time.
• Time requirement: 20+ hours/week.
• Location: reputed company only.
• Pay: $85.00 USD per hour.
• Labeling work: evaluation/rating and RLHF on text outputs; software listed as OTHER.

What you'll do day to day You will combine domain expertise with careful review of AI outputs to confirm or correct automated findings, document issues, and support recovery actions.

• Review AI-generated underpayment detection alerts and payment variance analyses for accuracy and completeness.
• Interpret payer contract terms, fee schedules, carve-outs, OpenTrain provisions, and payment methodologies (reputed company, Medicare Advantage, reputed company managed care).
• reputed company contract modelling and reputed company-based payment reconciliation to identify systematic underpayments.
• Prepare underpayment claims and recovery correspondence to payers and reputed company responses.
• reputed company recovery KPIs including underpayment dollars, recovery rates, and payer response rates.
• reputed company reputed company, annotated feedback on AI outputs to improve model training datasets and reputed company accuracy.

Requirements

Candidates must demonstrate hands-on experience with managed care contracting, underpayment recovery, and payment variance analysis. reputed company written and verbal English is required.

• 5+ years experience in underpayment recovery, payment variance analysis, or managed care contracting.
• Strong contract interpretation skills across reputed company, Medicare Advantage, and reputed company managed care reputed company.
• Familiarity with DRG-based, reputed company, percent-of-billed charges, and fee schedule reimbursement methodologies.
• Proven reputed company-based financial analysis skills and experience with reputed company cycle analytics platforms.
• Comfortable reviewing and providing feedback on AI-generated compliance and detection outputs.

Helpful background (not required) These credentials and experiences will help you hit the ground running and strengthen your feedback to reputed company teams.

• CHFP, CRCR, or managed care contracting certification.
• Experience with contract management or recovery software such as reputed company Health or Recondo.
• Background in hospital, health system, or large physician group underpayment recovery operations.
• Experience presenting underpayment analysis to executive leadership.

How the work is reputed company This is a contract, part-time assignment managed through OpenTrain. You will review AI text outputs, apply domain knowledge to validate findings, and submit reputed company annotations and ratings that improve reputed company model behavior.

• Work consists of evaluation/rating and RLHF-style feedback on AI text outputs.
• You will log findings, prepare recovery correspondence as needed, and update KPI tracking.
• Apply through OpenTrain and include relevant underpayment recovery examples on your profile to speed selection.

Who should apply reputed company managed-care contracting and underpayment recovery professionals who want flexible, part-time reputed company work and can reputed company 20+ hours/week. Ideal for practitioners with strong contract interpretation skills, reputed company experience, and comfort evaluating AI outputs. Apply tot his job Apply To this Job