Teams at Alaffia Health

Lead product strategy and roadmap for a Payment Integrity SaaS platform, deliver workflow and GenAI-driven automation, partner with engineering, AI, and data teams, define features that improve claim throughput and savings, ensure compliance with healthcare security/privacy, and drive measurable operational outcomes.

Review and investigate provider disputes for high-dollar facility claims and itemized bills. Analyze UB-04s, itemized bills, medical records, and audit findings to determine whether Payment Integrity findings should be upheld, modified, or overturned. Apply coding and reimbursement guidelines (CPT, ICD-10, HCPCS, DRGs, APCs), document defensible decisions, manage a high-volume queue, and collaborate with Payment Integrity teams while ensuring PHI/HIPAA compliance.

Alaffia Health seeks a Senior Python Engineer to develop AI-driven medical billing applications, focusing on backend API development and data processing. Responsibilities include collaborating across teams, improving observability practices, and ensuring successful project delivery.