Teams at WelbeHealth

The Dispute Specialist investigates and resolves first-level provider disputes involving claim payments, denials, and contractual agreements. The role prepares acknowledgment and determination letters, documents dispute decisions, identifies claim-processing trends, supports compliance, educates providers, and collaborates with internal teams and leadership. It also assists with clean-claim data entry as needed while maintaining knowledge of claims procedures, regulations, and medical billing guidelines.

Manages the full provider relationship lifecycle, including identifying prospective partners, advocating for the PACE model, leading contract negotiations, onboarding providers, and overseeing ongoing network performance. Builds trusted relationships with providers and health systems while coordinating with clinical operations, utilization management, claims, and PACE leadership to improve access, workflow integration, and provider satisfaction.

Leads hands-on architecture, development, and delivery of secure healthcare systems while mentoring engineers and establishing engineering standards. Drives Azure, microservices, DevSecOps, automated testing, AI-assisted development, and scalable solutions. Partners with product, clinical, cloud, and security stakeholders to translate business needs into technical direction and support WelbeHealth’s PACE model.