About Alaffia & Our Mission
Every year, U.S. health plans lose billions to improper payments and administrative waste. That wasted spending ultimately trickles down across the healthcare ecosystem, driving up costs for plans, providers, and patients alike. We're here to change that paradigm.
Alaffia is a new kind of claims operations partner for health plans. Using expert clinicians and transparent AI, we deliver deeper insights, smarter automation, and consistently better outcomes across the entire lifecycle of claims. With Alaffia, health plans can cut wasted spending more effectively than ever — and provide their members the most affordable care.
We're a high-growth, venture-backed Series B healthtech startup based in NYC and are actively scaling our company. Join us in helping to build a healthcare system that works better for everyone.
About the Role
As Implementation Lead, you will own end-to-end delivery for new Payment Integrity clients — from solution handoff through configuration, data integration, and go-live — ensuring a seamless transition to Customer Success and Account Management.
This is a technical, domain-driven role suited to someone fluent in claims data and payment integrity workflows who can engage credibly with a client's technical and clinical stakeholders. As a foundational hire for this function, you will also help establish the implementation methodology and best practices that will scale with Alaffia's growth.
What You'll Be Doing
Own the implementation lifecycle: Manage the handoff from Solutions, scope technical requirements with the client, configure the platform, and integrate client data feeds through go-live.
Work directly with claims data: Configure and validate payment integrity logic against claims data (UB-04/itemized bills, ICD-10, CPT/HCPCS, DRG), and troubleshoot data or configuration issues.
Serve as the client's technical point of contact during implementation: Translate technical and clinical requirements clearly, gather specifications, and provide consistent client communication throughout the engagement.
Coordinate cross-functionally: Partner closely with Engineering, Product, and Claims/Clinical teams to resolve issues and keep implementations on track.
Manage the project plan and risk: Build timelines, proactively identify risks, and drive issues to resolution.
Ensure clean handoff to Customer Success: Document implementation context and client requirements to support a smooth transition post go-live.
Contribute to process design: Help establish the implementation methodology, templates, and standard configurations that will support Alaffia's growth.
What We're Looking For
5+ years of experience in healthcare technology implementation, payment integrity, or claims auditing — payer, provider, or vendor side
Strong working knowledge of claims and payment integrity concepts: DRG validation, UB-04/itemized bill review, CPT/ICD-10/HCPCS, medical necessity, FWA
Experience configuring or implementing SaaS platforms for healthcare or health plan clients (claims platforms, payment integrity or utilization management tools, payer systems)
Demonstrated ability to build client trust and credibility through technical expertise and reliable execution
Self-directed, with the ability to help define process and best practices within a growing function
Familiarity with payment integrity vendors such as Cotiviti, HMS/Gainwell, or Equian/Zelis is a plus
PMP, Lean Six Sigma, or similar project methodology experience is a plus but not required
Our Culture
Alaffia was born out of our founders' personal connection to the inefficiency of the U.S. healthcare system. We are deeply mission-driven, with an abiding belief that technology can help create a better future for everyone — and we're looking for others who share our passion for change to join the team.
What Else Do You Get Working With Us?
Competitive Compensation
Medical, Dental, and Vision benefits
Flexible, paid vacation policy
Work in a flat organizational structure — direct access to Leadership
Skills Required
- 5+ years of experience in healthcare technology implementation, payment integrity, or claims auditing
- Strong knowledge of claims and payment integrity concepts, including DRG validation, UB-04 and itemized bill review, CPT, ICD-10, HCPCS, medical necessity, and fraud, waste, and abuse
- Experience configuring or implementing SaaS platforms for healthcare or health plan clients
- Ability to build client trust and credibility through technical expertise and reliable execution
- Self-directed ability to define processes and best practices in a growing function
- Familiarity with Cotiviti, HMS/Gainwell, or Equian/Zelis
- PMP, Lean Six Sigma, or similar project methodology experience
Alaffia Health Compensation & Benefits Highlights
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Healthcare Strength — Health coverage is advertised as 100% employer-paid for employees, with contributions toward dependents and multiple plan options, strengthening overall total rewards. Medical, dental, and vision are consistently included as part of a comprehensive package.
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Leave & Time Off Breadth — Flexible, trust-based PTO and an unlimited paid vacation policy provide broad latitude for rest and time away. Feedback suggests these policies are positioned to support a modern, high-growth work model.
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Parental & Family Support — Paid parental leave is explicitly offered and described as generous for new parents. Dependents can be covered under medical, dental, and vision plans, extending support to families beyond the employee.
Alaffia Health Insights
What We Do
Every year, U.S. health plans lose billions to improper payments and administrative waste. That wasted spending ultimately trickles down across the healthcare ecosystem, driving up costs for plans, providers, and patients alike. We’re here to change that paradigm. Alaffia is a new kind of claims operations partner for health plans. Using expert clinicians and transparent AI, we deliver deeper insights, smarter automation, and consistently better outcomes across the entire claims lifecycle. With Alaffia, health plans can cut wasted spending more effectively than ever and provide their members the most affordable care. We’re a high-growth, venture-backed Series B healthtech startup based in NYC and are actively scaling our company. Join us in helping to build a healthcare system that works better for everyone.
Gallery
Alaffia Health Offices
Hybrid Workspace
Employees engage in a combination of remote and on-site work.
We have a recognize the varying needs of our employees and have designed a location-based policy, offering flexibility while ensuring that the hybrid work model supports both individual and company success.
