Mpchs Phase 2 Payment Plan Jobs in Usa

Job Title: Electrical Test Engineer - Three Phase and motor

Location: Charlotte, NC

Job Description

This role is responsible for the validation and certification of commercial chiller systems. The position focuses on electrical system design evaluation, instrumentation, test execution, data analysis, and compliance with applicable industry standards. Engineers will work closely with mechanical engineers, lab technicians, and quality teams to ensure chiller performance, safety, and reliability.

Key Responsibilities

· Maintain all electrical systems fully functional to test HVAC systems (water-cooled and air-cooled chillers)

· Plan, execute, and support electrical testing of commercial chillers, including air-cooled and water-cooled systems

· Troubleshoot control circuits and low-voltage wiring on water-cooled and air-cooled chillers

· Develop and review electrical test procedures, wiring diagrams, and control schematics

· Set up and validate test instrumentation for voltage, current, power, harmonic distortion, and control signals

· Troubleshoot electrical, controls, and communication issues during system testing

· Analyze test data and prepare technical reports documenting results, issues, and corrective actions

· Support compliance testing to applicable standards (e.g., UL, IEC, AHRI, ASHRAE)

· Collaborate with design engineering teams to identify root causes and recommend design improvements

· Support factory acceptance testing (FAT), qualification testing, and reliability testing

· Ensure testing activities comply with lab safety procedures and electrical safety requirements

· Provide technical support during audits, certifications, and customer witness testing

Required Qualifications

· Bachelor’s degree in Electrical Engineering or related field

· 3–7 years of experience in electrical testing, validation, or product development (HVAC or industrial equipment preferred)

· Strong understanding of three-phase power systems, motor drives, starters, and VFDs

· Experience with electrical test equipment (power analyzers, oscilloscopes, multimeters, data acquisition systems)

· Knowledge of control systems, PLCs, sensors, and communication protocols (Modbus, BACnet, CAN, etc.)

· Ability to read and interpret electrical schematics and wiring diagrams

· Strong troubleshooting and problem-solving skills

· Proficiency in technical documentation and test reporting

· Familiarity with lab safety standards and electrical codes (NFPA 70 / NEC)

Preferred Qualifications

· Experience with commercial chillers, large HVAC equipment, or refrigeration systems

· Familiarity with industry standards such as ASHRAE 90.1, AHRI 550/590, UL 1995, IEC 60335

· Experience working in an engineering laboratory or test environment

· Knowledge of energy efficiency testing and performance certification

· Experience with automated test systems and data analysis tools (LabVIEW, Python, MATLAB, or similar)

· Professional Engineer (PE) license or EIT certification

Key Competencies

· Primarily laboratory-based role with exposure to high-voltage equipment and rotating machinery

· Occasional extended hours during test execution or customer witness testing

· Strict adherence to safety protocols and PPE requirements

We’re seeking a highly analytical, detail-oriented Demand Planning and Forecasting Analyst to support our supply chain network. In this role, you will lead forecasting and inventory planning initiatives using SO99+ and other advanced planning tools. You will help ensure accurate demand projections, optimize inventory, manage part lifecycles, and guide the business with actionable insights. If you thrive on transforming data into strategy, enjoy solving complex problems, and want to make a measurable impact across an entire supply chain, we’d love to meet you.

What you’ll do:

• Develop and maintain accurate demand forecasts using SO99+
• Manage forecast exceptions and overrides to enhance accuracy and responsiveness
• Create forecasts for new parts by incorporating historical analogs and market intelligence
• Collaborate cross-functionally to align demand forecasts with business objectives
• Oversee part lifecycle management, including phase-in/phase-out strategies
• Conduct obsolescence and excess inventory analysis to minimize waste and cost
• Support warehouse balancing through analysis of regional demand and inventory levels
• Continuously refine forecasting models and planning processes
• Monitor forecast accuracy and key KPIs, providing insights to supply chain, sales, and finance
• Prepare and deliver regular reports for key stakeholders
• Maintain confidentiality and perform other duties as assigned

What we're looking for:

Required Education & Experience

• Bachelor’s degree in Supply Chain, Business, Statistics, or related field
• 2–4 years of demand planning experience (SO99+ experience strongly preferred)

Core Skills

• Attention to Detail: Consistently accurate and thorough
• Organization: Ability to prioritize and manage multiple tasks effectively
• Communication: Clear, concise verbal and written communication skills
• Excellent analytical and problem-solving abilities

Disclaimers

Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time.

LeMans Corporation is an equal opportunity employer. Employment decisions are made without regard to race, color, religion, national or ethnic origin, sex, sexual orientation, gender identity or expression, age, disability, protected veteran status or other characteristics protected by law. LeMans will only employ those who are legally authorized to work in the United States for this opening. There are not any current or future visa sponsorships for this opening.

This company participates in E-Verify.

Notice to California Employees and Prospective Employees

Who We Are

We are an international group of consultants united in the goal of helping our customers revolutionize their approach to business challenges with the use of digital technologies. Combining automation and software development with “traditional” engineering, the companies we work with are able to obtain visibility into their own operations and control.

Who We’re Looking For

Though over 1,700 strong (and growing!), Radix operates like anything but a large company. When you join our company, you will help us as a Senior Planning Analyst:

The Senior Planner is responsible for establishing and maintaining disciplined project planning and controls for complex projects and programs, ensuring predictable execution through integrated schedules, baselines, and structured change control.

Sitting within the BU delivery organization, this role partners closely with Project/Program Managers and delivery leads to create high-quality plans, manage dependencies, track performance, and provide clear visibility into schedule risks and required decisions. The Senior Planner strengthens execution discipline by improving planning maturity, enabling reliable forecasting, and supporting governance cadences.

A critical part of this role is enabling disciplined resource planning and allocation, ensuring staffing assumptions, capacity constraints, and sequencing are visible early and managed through structured planning cadences.

The Senior Planner does not own client relationships, pricing approvals, or delivery outcomes. The role enables delivery success through rigorous planning, transparent reporting, and early risk identification.

Essential Job Responsibilities

• Build and maintain integrated project/program schedules, including work breakdown structure (WBS), dependencies, milestones, and critical path analysis.
• Establish and manage schedule baselines, ensuring changes are controlled, documented, and reflected accurately in planning artifacts and reporting.
• Support Project/Program Managers with planning inputs for delivery governance cadence, including progress tracking, variance analysis, and schedule risk mitigation plans.
• Identify schedule risks early (dependencies, resource constraints, vendor delays, scope changes) and recommend mitigation actions with clear impact assessments.
• Develop and maintain resource-loaded plans (where applicable), including role-based demand, staffing assumptions, and capacity constraints across workstreams.
• Partner with Project/Program Managers and BU delivery leadership to drive allocation readiness, ensuring the right skills are planned, secured, and sequenced to meet critical milestones.
• Identify and escalate resource risks early (skill gaps, over-allocation, availability conflicts), proposing mitigation options such as re-sequencing, scope phasing, or alternative resourcing approaches.
• Facilitate planning workshops with delivery teams to validate assumptions, sequencing, and readiness, ensuring plans are executable and aligned with delivery reality.
• Provide structured planning and controls reporting to BU leadership and client PMO stakeholders as applicable (milestone status, variance, critical path, decision logs).
• Support change control processes by assessing schedule impacts of scope changes and providing clear documentation for approval workflows.
• Drive planning discipline and consistency by applying standard templates, schedule quality checks, and planning best practices.
• Capture lessons learned and contribute to continuous improvement of planning standards, tools, and practices within the BU.

Required Qualifications

• 6–10 years of experience in project planning, scheduling, project controls, or PMO controls within complex delivery environments.
• Demonstrated ability to build and manage integrated schedules for multi-workstream projects or programs.
• Strong understanding of planning disciplines: WBS, dependency mapping, critical path, baseline management, and variance analysis.
• Experience supporting governance cadences and working with PMs to drive disciplined execution.
• Strong communication skills and ability to translate schedule data into clear insights and decisions.
• Experience operating in matrixed, multi-stakeholder environments (delivery, vendors, client PMO).
• Bachelor’s degree required or equivalent relevant experience.
• Experience in asset-intensive or regulated environments.
• Proficiency with scheduling tools (e.g., MS Project, Primavera P6, Smartsheet, or equivalent).
• Experience with integrated cost/schedule reporting and structured change control.
• Relevant certifications (PMP, PMI-SP, Primavera certifications) are a plus.

Success Measures

• Schedule quality and stability (clear baselines, controlled changes, accurate critical path)
• Early identification and mitigation of schedule risks and dependency issues
• Improved staffing predictability: fewer schedule disruptions caused by unplanned resource constraints, late allocations, or skill coverage gaps.
• Improved predictability and transparency in delivery governance
• Reduction of schedule-related surprises and rework
• Positive feedback from PMs, BU leadership, and client PMO counterparts on planning rigor
• Contribution to standardized planning templates and best practices.

Reporting Lines:

This position reports to the BU / Segment Delivery Leader (or designated PMO / Delivery Excellence lead).

Position Type, Work Environment & Travel

Position Type and Expected Hours of Work: Full-time

Work Environment: Hybrid / Remote depending on client needs

Physical Demands: Standard office and client-site requirements

Travel: As required for planning workshops, governance milestones, and critical project phases

SUMMARY:

Director of Supply Chain and Demand Planning oversees all aspects of product demand, forecasting, and supply chain activities associated with LEDVANCE products in the United States; Manage the supply chain life cycle from the development and implementation of the strategic and tactical plans for the forecasting models through supply chain purchase planning with LEDVANCE China operations in Shenzhen (CORE) for all products sold by the LEDVANCE business segment incorporating business intelligence and forecast information gathered from sales, the market, distributors and other sources. Collaborate with LEDVANCE’s CORE planners to ensure proper supply chain planning that ensures the product is received on-time to fulfill customer demand and reduces stock outs/backorders.

Is responsible for strategic planning and the implementation of systems and processes to ensure smooth day-to-day operations of LEDVANCE’s demand and supply chain department. This position is the key focal point between the commercial (trade), retail and e-Commerce and operations functions. This position must oversee, advise and gain consensus on product launch planning, develop supply replenishment requirements, customer/channel fulfillment, and manage inventory planning. Internal partner stakeholders include sales, finance, CORE, sales operations, supply chain, and business segments.

ESSENTIAL DUTIES:

• Manage the entire demand/forecasting and supply chain planning process to ensure the quality of the process and accuracy of results.
• Lead and inspire a high-performing team of demand supply chain and process improvement professionals who are responsible for day-to-day execution and delivering organization goals
• Direct demand and supply chain planning/forecasting and product fulfillment activities associated with base demand, major events, transitions, new product launches, and discontinued products, with special emphasis on product life cycle management and associated phase-in/phase-out requirements.
• Lead the collaboration and relationships with our planning team in Shenzhen, China and recognize and provide solutions for expedited shipping requests
• Achieve forecast accuracy goals in total and by sales channel.
• Develop and streamline departmental KPI’s
• Facilitate monthly reviews of forecast accuracy results and utilize feedback from Sales to adjust forward estimates.
• Lead cross-functional special projects to improve operation efficiency and reduce costs.
• Drive and facilitate the success of the Sales & Operations Planning Process.
• Analyze and design the right mix of transactional and optimization IT solutions/ Process management across the supply chain.
• Accountable for order planning to achieve target inventory turnover while minimizing negative customer impacts due to material shortage or delays.
• Responsible for Inventory Control oversight, ensuring appropriate controls and practices are established to maximize inventory accuracy (quantity and value) to meet customer expectations.
• Responsible for achieving delivery and quality standards on locally sourced, globally supplied materials.
• Experience working with Enterprise Resource Planning (ERP) systems, preferably SAP, including data analytics within supply chain functions.
• Lead cross-functional collaboration with product managers, sales personnel, marketing and others to optimize sell in and sell down inventory levels throughout product life cycles and seize on short term opportunities.
• Lead catalyst for continuous improvement.
• Actively communicate important changes to the supply plan with a wide-range of parties, including Production, Planning, Procurement, Marketing and Project Management.

EDUCATION AND EXPERIENCE:

• Bachelors degree in Supply Chain Management, Business or similar. MBA preferred.
• 10+ years of experience in a demand planning/forecasting or similar Supply Chain role within a medium/large corporate environment required.
• Demonstrated global supply chain planning experience
• Must be a strategic thinker, team leader, self-confident and capable of managing organizational dynamics in a positive manner.
• Experience in customer demand planning, supply chain planning, sales & operations planning, marketing/product analysis and/or inventory management.
• Ability to demonstrate experience in market or distribution channel interpretation and product forecasting with strong track record of documented success.
• Experience analyzing and interpreting large sets of data and drawing conclusions in order to make recommendations to internal and/or external customers.
• Demonstrable advanced/expert proficiency in Excel techniques and statistical analysis. Proficient with MS Office as well as most current specialized software products pertaining to marketing analysis, data analysis, and reporting
• Experience applying AI technologies to demand planning and supply chain optimization is a plus.

OTHER:

• Travel approximately 20%, inclusive of domestic and international travel
• Ability to speak, read, write Chinese is a plus
• Working knowledge of lighting is a plus
• Strong working knowledge of SAP
• Ability to participate in meetings outside of business hours
• Preferred location is Wilmington, MA, alternately Versailles, KY
• Position is eligible for LEDVANCE employee referral bonus

Hiring CDL-A Truck Drivers

PAY THAT PAYS OFF - Earn up to $225,000 per year*
START STRONG - $2,000 sign-on bonus for qualified drivers*
ROOM TO RUN - Multiple freight options & positions

Why Drive for Royal Trucking?

Royal Trucking is hiring in your local area! If you want real choices without the runaround, then we have career opportunities for you. Whether you prefer flatbed or dry van freight, company driving or a lease path, Royal offers steady freight, competitive pay, and a family-owned culture that still knows drivers by name.

If you're looking for a place where your experience is valued, your equipment is maintained, and your career can grow, Royal Trucking delivers.

Flatbed Driver Job Details

• 
  
• High earning potential with premium freight. Earn up to $225,000 gross per year as an independent contractor or up to $100,000 in a company position, earning up to $0.65 per mile and full company benefits*.
  
• Pay structures that reward skill. Lease drivers earn $1.35 per mile* plus 100% fuel surcharge on all miles, turning experience into strong, consistent revenue.
  
• Bonuses that add up fast. Earn weekly and quarterly performance bonuses, plus a $2,000 sign-on bonus* for qualified drivers.
  
• Predictable home time. Flatbed drivers typically get home every 10-12 days, giving you a rhythm that balances miles and rest.
  

Dry Van Driver Job Details

• 
  
• Steady pay with solid consistency. Earn up to $175,000 gross per year as an independent contractor or up to $79,300 in a company position, earning up to $0.61 per mile and full company benefits*.
  
• Straightforward lease pay. Dry van lease drivers earn $1.25 per mile* plus 100% fuel surcharge, backed by reliable freight flow.
  
• Incentives that reward performance. Take advantage of weekly and quarterly bonuses and the same $2,000 sign-on bonus* for qualified drivers.
  
• Balanced schedules. Dry van drivers also enjoy home time every 10-12 days, keeping weeks productive and predictable.
  

Lease Driver Program Details

• 
  
• Low-barrier entry, clear terms. Start with $0 down, no credit check, and no balloon payment, making it easier to step into a lease.
  
• Walkaway protection built in. Royal's walkaway lease gives you flexibility without long-term risk if your situation changes.
  
• Payments that fit different goals. Weekly truck payments range from $450-$875, depending on the tractor you choose and lease length.
  
• Fleet options that match your style. Lease terms vary by equipment, letting you select the truck and timeline that work best for you.
  

Company Benefits That Support the Road Ahead

• 
  
• Coverage you can count on. Health, dental, vision, and life insurance, plus AD&D and disability coverage.
  
• Time off and loyalty rewards. Enjoy paid vacation and a yearly loyalty bonus that recognizes long-term commitment.
  
• Equipment you'll be proud to drive. Run late-model 2021-2026 Freightliner Cascadias and Internationals, maintained to keep you moving.
  
• Bring your people with you. Royal offers pet and rider policies, because the road doesn't have to be lonely.
  

*All pay & bonus amounts may vary by job type, location, experience level, and performance and are subject to change based on company discretion. Base pay range is 45-65 CPM. Talk with a recruiter to confirm specific details.
There is no deadline to apply. Applications are accepted on an ongoing basis.

Driver Requirements

• 
  
• Valid Class A CDL
  
• 6+ months verified OTR experience
  
• SAP drivers not eligible for hire
  

Job Type: Full-time

Work Location: On the road

Reference Number: 394

The Billing & Payment Specialist's primary role is to ensure all sales and orders are accurately billed and paid for, ensure invoices correspond with balance sheet reports and continuously look for improvement opportunities all while providing quality customer service to all stakeholders.

Job Duties & Responsibilities:

* Deliver timely and accurate payments by deadline weekly: No payment issues to the external sales team; eliminate billing issues and discrepancies

* Process daily/weekly data files by deadline Provide exceptional customer service to stakeholders

* Review Financial statements including detailed variance analysis of profit and loss statement

* Assist with the month-end close process by providing support to the accounting team

* Create and analyze reports to determine key areas for process improvement

* Extensive and continual monitoring and auditing of data reporting and escalate concerns, if necessary, of the following areas: process inputs (stakeholder data), throughputs (system logic and accuracy), and outputs (billing/payment)

* Review elements of the contract documents associated with the compensation grid to validate that all billing/payment related changes are executed correctly and timely

* Support collaborative solutions that resolve issues from daily challenges, including working under tight, multiple deadlines

* Perform weekly/monthly billing reconciliations, act on discrepancies, and collaborate with stakeholders to resolve with support from other team members

* Protect operations by keeping financial information confidential

Required Qualifications:

* Minimum Associates degree in Finance, Business, Accounting, Math or related field

* 0-2 years of related work experience

* Must have proficiency in Microsoft Excel, PowerPoint, and Word

* Must be able to work independently and as part of a team

* Ability to plan, organize and prioritize multiple tasks and meet deadlines

* Acts decisively to develop a sound plan, and then moves to communicate, implement and monitor it effectively

* Produces results, sets high standards of performance for self and others and assumes responsibility and accountability for successfully completing work projects

* Clear and concise written and verbal communication skills

* Strong attention to detail

Working Conditions:

* The position is hybrid. Candidates must be able to drive into the office 1-2 days a week; the rest of the week is remote.

Job ID: 410003

Practice area:- Litigation - Commercial

Commercial Litigation Associate Attorney (2–5 Years Experience) – High-Stakes Business Disputes | Los Angeles, California

Keywords:- Commercial Litigation Associate Attorney, General Litigation Attorney, Civil Litigation Associate, Business Litigation Attorney, Litigation Attorney California, Los Angeles legal jobs, Attorney jobs Los Angeles CA, CA Bar required, Law firm litigation associate, Partner-track position, lawyer

A top-tier law firm is seeking a Commercial Litigation Associate Attorney (2–5 years experience) to join its litigation practice in Los Angeles, California. Work on complex business disputes, develop trial strategy, and gain early responsibility in high-profile litigation matters.

The opportunities for success await those with stellar academic credentials and solid work experience at this firm. Here, you can work with among the most talented attorneys in the United States who take their work very seriously. The attorneys working here are also exceedingly intelligent and interesting. It is not uncommon for a second- or third-year associate working here to end up ""assuming the lead"" when this firm is involved in litigation matters against other firms. We mean taking control of the case from partners in other firms. The people in this firm are very nice and also very focused on their work.

________________________________________

A highly respected top-tier law firm is seeking a Commercial Litigation Associate Attorney to join its litigation practice in Los Angeles, California. This opportunity is ideal for attorneys with strong academic credentials and experience handling sophisticated business disputes.

Attorneys pursuing Los Angeles legal jobs in litigation will gain exposure to complex commercial disputes involving financial structures, intellectual property issues, securities matters, and privacy-related claims. The Commercial Litigation Attorney will collaborate closely with experienced litigators while actively participating in all phases of litigation, including investigations, discovery, and trial preparation.

This partner-track position provides early courtroom exposure and significant responsibility for talented litigators seeking Los Angeles legal jobs where they can build advanced litigation expertise. The firm is actively interviewing candidates interested in working on high-profile commercial litigation matters.

________________________________________

Key Responsibilities

• Draft persuasive briefs, motions, and legal memoranda in commercial litigation matters.

• Conduct investigations and analyze complex business disputes.

• Manage discovery processes, including document review and production.

• Prepare witnesses and assist in trial preparation.

• Take and defend depositions in commercial litigation proceedings.

• Argue motions and assist with courtroom advocacy.

• Develop case strategies and collaborate with litigation teams.

• Maintain client communication and provide litigation updates.

• Travel for trials, depositions, and hearings when required.

________________________________________

Qualifications

• 2–5 years of experience as a Commercial Litigation Associate Attorney or General Litigation Attorney.

• Experience handling commercial litigation matters, including discovery, investigations, and motion practice.

• Strong legal writing, research, and analytical skills.

• Entrepreneurial mindset and ability to manage complex litigation tasks.

• Experience in related areas such as intellectual property, securities, or privacy litigation is beneficial.

• Judicial clerkship experience is encouraged but not required.

• California Bar preferred, though admission is not initially required.

________________________________________

Education

• Juris Doctor (JD) degree with outstanding academic credentials.

________________________________________

Certifications

• Admission to the California Bar preferred.

________________________________________

Skills

• Excellent litigation strategy and legal writing abilities.

• Strong leadership potential and initiative in litigation matters.

• Ability to manage multiple complex legal assignments simultaneously.

• Strong analytical and research skills.

• Effective client communication and case management capabilities.

________________________________________

Culture & Firm Appeal

This opportunity is with a highly respected law firm known for attracting exceptional legal talent and handling complex commercial litigation matters nationwide. Attorneys benefit from a collaborative and intellectually stimulating environment where legal excellence and innovation are strongly encouraged.

The firm is known for giving associates early responsibility and meaningful client interaction. Attorneys seeking Los Angeles legal jobs will benefit from mentorship opportunities and exposure to high-level litigation strategies typically handled by senior litigators.

Associates consistently highlight the firm's strong professional culture and opportunities to develop leadership skills while working alongside highly accomplished attorneys.

________________________________________

Why This Role Is Unique

• Opportunity to work on high-profile commercial litigation matters across multiple industries.

• Early responsibility in complex litigation and strategic investigations.

• Exposure to trial preparation, depositions, and courtroom advocacy.

• Direct collaboration with experienced litigators and sophisticated clients.

• Clear partner-track position with strong career advancement opportunities.

• Ideal opportunity for attorneys seeking advanced Los Angeles legal jobs in commercial litigation.

This position rarely opens at this level and offers attorneys a unique opportunity to build sophisticated litigation experience while working with some of the most accomplished legal professionals in the field.

________________________________________

Benefits

• Opportunity to work on high-profile commercial litigation matters.

• Collaborative and progressive firm environment.

• Potential for early responsibility and direct client contact.

________________________________________

Call to Action

Apply now for a confidential discussion with a BCG Attorney Search recruiter.

Explore this elite-level opportunity today.

Submit your resume to learn more about this prestigious role.

________________________________________

BCG Attorney Search is the industry leader for placing candidates in permanent positions in law firms. Since 2000, our recruiters have placed several thousand attorneys and enjoyed extraordinarily high success rates with our candidates. As a BCG Attorney Search candidate, you have access to more opportunities than any legal placement firm in the United States. We are able to offer the most in-depth insight in the legal recruiting market thanks to our dedicated team of over 150 employees who mercilessly research, study and analyze the legal market. The depth and breadth of our research empowers us to place attorneys at rates that are unparalleled at any placement firm in the United States. Many of our recruiters make 30 to 40 placements per year, while recruiters at competitor firms are likely to make four or five. Unlike other placement firms that can only tell you about openings at major AmLaw firms, we place candidates of all backgrounds in firms of all sizes. While other legal recruiters only represent a narrow band of candidates from top law firms and top law schools, our research, firm contacts, and market insight allow us to place hundreds of candidates each year who do not fit this mold. It is rare that we do not get candidates we represent interviews and offers. No one in the world is better at legal recruiting and placement than BCG Attorney Search.

BCG Attorney Search will confidentially review your application and will not forward your materials to the firm without first discussing the opportunity with you.

Payment Accuracy Manager, Outpatient Facility

Overview

As a Payment Accuracy Policy Manager, you will serve as a critical bridge between healthcare payment expertise in our facility capability. This role combines deep subject matter knowledge with strategic influence—driving the development of payment integrity policies that protect our clients while advancing Rialtic's platform capabilities.

You'll lead the research, evaluation, and implementation of new policies based on CMS guidelines, Medicaid requirements, industry standards, and emerging medical cost trends in the facility space of our offering. Working closely with client management, product, engineering, and content leadership teams, you'll translate complex payment policy concepts into actionable strategies that deliver measurable value. This is an opportunity to shape how health plans approach payment integrity and to build the content foundation that powers our enterprise platform.

Responsibilities

• Serve as the SME for outpatient facility editing policy development, leading the research, scoping, and creation of new claims editing policies for the facility capability
• Source, interpret, and scope new payment integrity policies to expand Rialtic's claims editing content library from outpatient facility claims
• Prioritize policy updates based on savings potential, client impact, and strategic alignment with platform goals
• Leverage CMS, Medicaid, clinical guidelines, and industry trends to identify opportunities for new content development for facility claims
• Quantify and communicate policy value through data-driven analysis and clear financial impact assessments in the facility space
• Work closely with product and engineering teams to ensure client needs inform platform development, building out our facility capability
• Collaborate with content leadership to maintain consistency, quality, and relevance across the policy library
• Perform investigation of current facility policy defects and unexpected claim outcomes, performing root cause analysis and policy research to identify corrective actions and improve policy accuracy and performance
• Serve as the facility payment accuracy SME in client discussions, presenting policy concepts and addressing facility-related questions when needed

Qualifications

Required

• 5-7 years of experience in payment integrity at a health plan, claims editing vendor, or similar healthcare organization with focus in outpatient facility claims editing and reimbursement methodologies
• Active coding certification (COC, CPC, CCS, or equivalent specialty certification) — required for this position
• Proven expertise in:
• Interpreting medical and payment policies
• Applying CMS and Medicaid reimbursement guidelines
• Professional and outpatient coding standards
• Common claims payment error identification and resolution
• Demonstrated ability to advise clients and explain complex payment accuracy concepts in clear, accessible terms
• Strong analytical skills with experience quantifying policy impact and ROI
• Track record of managing claims editing implementations or similar client-facing initiatives
• Intermediate Excel skills (i.e., formulas, v-lookups, pivot tables, etc)

Preferred

• Expertise across both professional and institutional claims environments
• Advanced proficiency with Google Suite or similar collaboration tools
• Experience working cross-functionally with product and engineering teams in a SaaS or health tech environment
• Exceptional written and verbal communication skills with the ability to influence stakeholders at all levels