Every dispute filed in the country is public record. Almost nobody reads it. You will. A federal arbitration system called Independent Dispute Resolution, or IDR, now determines billions of dollars in healthcare payments each year. Providers win the vast majority of disputes, yet most eligible claims are never filed. The process is manual, fragmented, and resource-intensive, and most providers don't have the infrastructure to pursue what they're owed. The No Surprises Act created the framework, and the market already exists. Today it runs on spreadsheets, consultants, and static playbooks. We're building the first intelligent system designed to operate inside it. CMS publishes the outcome of every federal dispute. Who filed, against whom, for what, and who won. It arrives as enormous, badly structured public use files that almost nobody in the industry actually mines. That data tells you which providers are under-filing, which competitors are growing, which payers lose most often, and where the market is heading. This role turns that raw material into an advantage. The data is public but it isn't easy. The files are large, inconsistently formatted, and change shape between releases. Entity names don't reconcile cleanly. Getting from raw file to a defensible statement about a specific health system takes real work. Then there's the interpretation problem. A provider filing very few disputes might be leaving millions on the table, or might have almost no out-of-network volume. Knowing the difference requires understanding the domain, not just the dataset. Do it well and you produce things nobody else in this market has: a ranked list of who should be our next customer and why, a live picture of how competitors are performing, and an early read on where regulatory change is pushing volume.
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Job Type
Full-time
Career Level
Entry Level
Education Level
No Education Listed