Teams at HealthCare.com

Senior leader owning broker and consultant distribution for Pivot Health: build and scale sales and account management teams, drive new business with agents/FMOs, establish SLAs and performance metrics, improve broker retention and experience, align distribution strategy with product and operations, and report pipeline and forecasts to executive leadership.

Investigate and resolve denied, underpaid, and outstanding medical and pharmacy claims across multiple systems. Manage accounts receivable and aging balances, submit appeals and reconsiderations, complete pre-dispensing verification, communicate with payers, providers, and attorneys, maintain documentation, and collaborate with internal teams to ensure timely reimbursement and accurate patient billing.

The Senior Applied AI Data Scientist will build AI workflows, prototype applications, and enhance decision-support systems while collaborating with various teams to operationalize AI solutions.