Complex Clinical Audit (CCA) Business Solutions Lead
Full-time
Abacus Insights
Payment Integrity lives at the intersection of clinical nuance and product logic — and the Complex Clinical Audit (CCA) Business Solutions Lead is where that intersection gets built. This is not a clinical license role — it's a deep payment integrity SME role for someone who has spent 5+ years embedded in payment integrity on the payer or vendor side of U.S. healthcare, and who understands how to turn that domain knowledge into the technical backbone of a product. You'll translate coding guidelines, MS-DRG definitions, and payer audit policy into workable product logic — building the prompts, connectors, and workflows that let us validate claims against medical records at scale. You'll work...
Vacancy posted 14 hours ago
Similar jobs that could be interesting for youBased on the Complex Clinical Audit (CCA) Business Solutions Lead in India vacancy
- ...Payment Integrity lives at the intersection of clinical nuance and product logic — and the Complex Clinical Audit (CCA) Business Solutions Lead is where that intersection gets built. This is not a clinical license role — it's a deep payment integrity SME role for someone...SuggestedFull timeContract workShift work
Abacus Insights
India19 days ago - About the Role The DRG Business Solutions Lead is the clinical-coding domain authority who will partner directly with product, AI engineering, and clinical leadership to translate DRG audit expertise into product capability. This is not a traditional auditor seat — this...SuggestedFull time
Abacus Insights
India14 hours ago - ...About the Role The DRG Business Solutions Lead is the clinical-coding domain authority who will partner directly with product, AI engineering, and clinical leadership to translate DRG audit expertise into product capability. This is not a traditional auditor seat — this...SuggestedFull time
Abacus Insights
India16 days ago - ...and services that help people, businesses and governments realize their... ...passion, our innovations and solutions help individuals, financial... ...future settlement capabilities by leading strategic initiatives across... ...ambiguity and navigate complex business environments. • Excellent...SuggestedFull timeWorldwide
- ...projects to build secure, scalable solutions for a blockchain-powered... ...and shift work, depending on business needs. * About the... ...a Manager, KYC Operations to lead the team responsible for customer... ...design skills - able to translate complex compliance requirements into...SuggestedRemote jobFull timeWork at officeWorldwideRelocationHome officeShift workWeekend work
- ...Sales, Customer Success, Business Development, Solutions Engineering, and Field Marketing... ...leader who can navigate complex regulatory environments,... ...regional sales growth by leading the strategic alignment and... ..., and customer account audits. Regulatory & Compliance...Full timeWork at officeLocal areaRemote workWork from home
Cloudflare
India28 days ago - ...foremost challenges: Navigating the digital asset market can be complex and fragmented, with limited products and services that support... ...found in conventional financial markets. As a comprehensive solution for all digital asset strategies from start to scale, FalconX operates...Full timeLocal area
- ...products and services that help people, businesses and governments realize their greatest... ...deliver operationally ready, market leading solutions. Responsibilities include leading teams... ...as the executive escalation point for complex, high-impact, or cross-regional...Full timeWorldwideShift work
- ...problems, create tangible solutions, and drive results that... ...enabling data-informed business choices across the... ...measurement. Support lead lifecycle management, campaign... .... Perform data audits and maintain CRM data... ...the ability to translate complex data into actionable...Full timeCasual workLocal areaWork from home
Shipbob
India13 days ago - ...and services that help people, businesses and governments realize their... ...partners to offer holistic solutions to our customers. Our solutions... ...of our operating model, lead high-impact transformation initiatives... ...transformation programs in complex, matrixed organizations...Full timeWorldwide
- ...escalate tier 2 People Team support - such as complex issues requiring interpretation and... ...onboards in HCM ensuring data accuracy, auditing new hire data against applicant tracking... ...with cross-functional partners (People Business Partners, Finance, Talent Acquisition, hiring...Full timeLocal area
AlphaSense
India16 days ago - ...globe. You'll work on high-impact initiatives throughout the business, using insight to solve challenges, scale processes, and deliver... ...-solving skills ~ A focus on customer-centric designs and solutions Nice to have ~ A track record of building successful products...Full time
Revolut
India19 days ago - ...clients worldwide. Position Overview The Business Development Executive for GIFT City,... ...cultivating C-level relationships to negotiating complex, multi-year commercial agreements.... ...Full Lifecycle Business Development: Lead and scale end-to-end institutional sales...Full timeContract workLocal areaRemote workWorldwideFlexible hours
DriveWealth
India28 days ago - ...dedicated to transforming modern business productivity. We specialize... ...into scalable, AI-enabled solutions. Moving beyond high-level theory... ...internal tools using leading no-code/low-code platforms and... ...Process Mapping & Redesign: Audit unorganized manual processes...Full timeLocal areaRemote workWork from home
Proper
India28 days ago - ...Summary: This role is responsible for leading a team of analyst-level professionals... ...processes, and enable reliable reporting and business decision-making. This position requires... ...partners to implement sustainable solutions. Ensure data is managed in alignment...Full time
Cision
India9 days ago - ...technology and innovation, partnerships and networks combine to deliver a unique set of products and services that help people, businesses and governments realize their greatest potential. Title and Summary Manager, Enterprise Operations Overview • Globally partnering...Full timeWork experience placementWork at officeWorldwideShift work
- About the Role: The People Operations Coordinator - Global is responsible for delivering a seamless and high-quality employee experience across the full employee lifecycle. This role serves as a key operational partner, ensuring timely support for employee inquiries, accurate...Full time
AlphaSense
India14 hours ago - ...technology and innovation, partnerships and networks combine to deliver a unique set of products and services that help people, businesses and governments realize their greatest potential. Title and Summary Product Operations Specialist-2 Who is Mastercard? Mastercard...Full timeWorldwideMonday to FridayDay shiftEarly shift
- ...technology and innovation, partnerships and networks combine to deliver a unique set of products and services that help people, businesses and governments realize their greatest potential. Title and Summary Manager – Business Development Support The Business Development...Full timeContract workWorldwide
- Job Summary: This role is responsible for leading a team of analyst-level professionals and overseeing the day-to-day execution of data... ...operational processes, and enable reliable reporting and business decision-making. This position requires a strong blend of people...Full time
Cision
India14 hours ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Complex Clinical Audit (CCA) Business Solutions Lead. Be the first to apply!
