Business Analyst, Clinical & Reimbursement Policy

📋 Description

• Manage the full lifecycle of clinical and reimbursement policies, including development
• Serve as a subject matter expert on Medicare guidelines, interpreting and operationalizing National
• Establish a structured policy review framework and maintain a comprehensive project plan to ensure
• Ensure all existing clinical and reimbursement policies remain accurate and current as regulations
• Lead initiatives to automate reimbursement policy monitoring using AI technologies and advanced
• Use large language models (LLMs), including ChatGPT, Claude, and Gemini, to conduct in-depth

🎯 Requirements

• At least 5 years of experience in healthcare claims, configuration, or reimbursement policy, with a
• Extensive knowledge of Medicare regulations and the ability to interpret and operationalize complex
• A demonstrated ability to manage clinical and reimbursement policy lifecycles and maintain
• Strong interest in AI technologies and practical experience or enthusiasm for using LLMs such as
• Experience managing external vendors or strategic partners, monitoring performance, and ensuring
• Strong analytical skills, including the ability to interpret dashboards, evaluate trends, and

🎁 Benefits

• Annual base salary ranging from $107,000 to $130,000 USD.
• Equity opportunities and a performance-based bonus program.
• 401(k) retirement plan with company matching.
• Regular compensation reviews.
• Comprehensive medical, dental, and vision insurance.
• Remote-first work culture that supports flexibility and collaboration.