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reveleer


Reveleer is a SaaS company first. Our philosophy is to provide our clients with an unrivaled software platform that provides the functionality, scalability, real-time analytics, flexibility, and security that allow health plans to quickly launch, monitor and manage critical initiatives around medical records review and analysis. Our software platform allows our customers to select the solutions optimally suited for their needs without compromising on features, visibility, and results.

3d

VP, People & Culture

reveleerGlendale, CA Remote

reveleer is hiring a Remote VP, People & Culture

VP, People & Culture
Glendale, CA

Reveleer is a healthcare data and analytics company that uses Artificial Intelligence to give health plans across all business lines greater control over their Quality Improvement, Risk Adjustment, and Member Management programs. With one transformative solution, the Reveleer platform enables plans to independently execute and manage every aspect of enrollment, provider outreach and data retrieval, coding, abstraction, reporting, and submissions. Leveraging proprietary technology, robust data sets, and subject matter expertise, Reveleer provides complete record retrieval and review services so health plans can confidently plan and execute risk, quality, and member management programs to deliver more value and improved outcomes.

SUMMARY:

We are looking for an experienced HR professional with a broad set of experiences across all major HR functions including Talent, Employee Relations, DEI, Total Rewards, and Compliance. Bonus points if you are a candidate with experience implementing novel HR solutions that improve productivity, productivity, and/or financial responsibility. This position will be expected to provide both strategic support and a hands-on approach to deliver strong HR solutions across the company. The goal is to ensure that all HR needs of the company are being met and are aligned with all business objectives.

HR BUSINESS PARTNER:

  • Serve as a strategic HR partner, working closely with the team to understand and provide HR related guidance, input, and advice.
  • Prepare monthly HR report for leadership team.
  • Work closely with management team during career development conversations and helping to advise on career goals.
  • Recommend ongoing HR ideas and best practices on an as-needed basis to stay aligned with business needs.

TOTAL REWARDS (HIGHLY DESIRED):

  • Make recommendations on compensation, equity, and benefits programs to remain competitive in the market.

EMPLOYEE ENGAGEMENT:

  • Drive initiatives to enhance employee engagement, satisfaction, and morale.
  • Develop programs and events that foster a sense of community and camaraderie among employees.
  • Develop diversity and inclusion programs.
  • Develop and manage comprehensive employee review processes to ensure constructive feedback, goal alignment, and professional growth opportunities.

COMPLIANCE:

  • Well versed in company compliance with federal and state laws, including ACA reporting requirements.

TALENT:

  • Develop and implement robust succession plans to identify and cultivate high-potential employees for key leadership positions, ensuring continuity and readiness for future organizational needs.
  • Collaborate with managers and HR partners to create clear career paths and profession opportunities for employees, fostering retention and motivation while aligning individual aspirations with organizational goals.
  • Strategic meetings with business leaders.

EMPLOYEE RELATIONS:

  • Communicate leave of absence details with employees as needed.
  • Process terminations and conduct exit interviews.
  • Drive consistency and compliance in addressing employee related matters.
  • Implement processes that ensures there is a strong focus on employee development and retention.

COMPETENCIES:

  • Entrepreneurial. You think outside the box; you can do more with less; you are resourceful and fiscally responsible in the pursuit of business objectives.
  • Nimble/Agile. You enjoy stepping outside of your comfort zone and relish the opportunity to tackle new and exciting challenges.
  • Execution Focused. Apolitical, driven by business objectives and pride in work, but not personal aggrandizement.
  • Integrity. You keep your word and do not cut ethical corners. You choose to do what is right versus what is more convenient.
  • Team Player. You are a collaborative, hardworking, problem-solver who leads by example. You would never ask anyone to do something that you are not willing to do yourself.
  • Empathetic. You can feel the heartbeat of the organization. Your colleagues are not afraid to confide in you.
  • Intellectually Curious. You have a deep desire to learn new things and acquire new skills.
  • Problem Solver. You view challenges as opportunities to better revamp processes and offerings. 
  • Solutions-Oriented.You hear and internalize feedback. You understand that other team members may have different perspectives, and you take these into account to make the best decisions for the organization.

REQUIRED EDUCATION AND EXPERIENCE:

  • 8+ years of progressive HR experience.
  • Experience working with remote, hourly, and contractor contingent staff.
  • Strong knowledge of local, state, and federal employment law to ensure compliance.
  • Bachelor’s degree required.
  • Ability to work in a rapidly evolving, fast paced environment and meet time critical deadlines.
  • Excellent verbal and written communication skills
  • Ability to maintain strict confidentiality.
  • Proficient with Microsoft Office Suite.
  • Strong knowledge of CA local, state, and federal employment law to ensure compliance.
  • Bonus points if you have experience working in multi-state HR environments
  • Bachelor’s degree in HR Management, Business, and/or a related field
  • Bonus points if you have graduate level training (Masters level or higher) and/or industry certification(s) in HR (PHR, SPHR, SHRM-CP, PHR CA, etc.) 
  • Comfortable manipulating and/or implementing technical HR tools such as an HRIS and/or ATS. 
  • Comfortable working in a Microsoft Teams environment
  • Experience using Paylocity preferred
  • Healthcare experience preferred

WHAT YOU’LL RECEIVE:

  • Competitive salary 
  • Medical, Dental and Vision benefit
  • Employee Assistant Plan 
  • 100% employer paid life insurance
  • 100% employer paid short and long term disability
  • 401k with Employer Match
  • Generous PTO plan and Summer Fridays
  • Free underground, covered parking

SALARY RANGE: $190,000 - $220,000 / annually

Our compensation reflects the cost of labor across several US geographic markets. Pay is based on several factors including market location and may vary depending on job-related knowledge, skills, and experience.

Reveleer E-Verifies all new hires.

Reveleer is an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, gender identity, sexual orientation, age, marital status, veteran status, disability status or genetic information, in compliance with applicable federal, state and local law.

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reveleer is hiring a Remote Head of Demand Gen & Growth

Head of Demand Gen & Growth
Remote

Reveleer is a healthcare data and analytics company that uses Artificial Intelligence to give health plans across all business lines greater control over their Quality Improvement, Risk Adjustment, and Member Management programs. With one transformative solution, the Reveleer platform enables plans to independently execute and manage every aspect of enrollment, provider outreach and data retrieval, coding, abstraction, reporting, and submissions. Leveraging proprietary technology, robust data sets, and subject matter expertise, Reveleer provides complete record retrieval and review services so health plans can confidently plan and execute risk, quality, and member management programs to deliver more value and improved outcomes.

As the Head of Demand Gen & Growth Marketing, you will develop and scale our top of funnel marketing programs to drive awareness and high quality leads to our sales teams. This role will include leading and coordinating integrated programs across sales and marketing to drive adoption of Reveleer’s platform among enterprise level provider and payer healthcare organizations that include health systems, hospitals, and health insurance companies. In this role, you’ll define and execute marketing campaigns, build and execute an ABM program, execute corporate events, align the teams on KPIs, and drive named account engagement and pipeline for the business. If you are passionate about campaign strategy, architecture, and execution, as well as taking ownership of the overall cross-functional process, then this will be a great next challenge for you. We are looking for someone who has a strong sense of ownership, leadership, and is excited by the idea of acting both operationally (to tactically get things done each week) and strategically (to scale our business in the right ways).

This position will report to the Chief Marketing Officer.

REQUIREMENTS:

  • 10+ years of enterprise demand generation and field marketing experience in a B2B SaaS environment, healthcare highly preferred, but not required
  • 3+ years of team building and management/leadership experience
  • Experience working closely with a leadership team and sales executives to develop marketing processes, strategies, and content requirements
  • Experience building and integrating ABM with the sales process
  • Experience with marketing and sales tech stack (Hubspot, Marketo, Salesforce)
  • Strong and effective communication skills with a focus on relevance
  • Data and results driven with analytical mindset with ability to track and report on campaign performance metrics
  • Entrepreneurial mindset and enthusiasm for creating a new program and driving adoption


RESPONSIBILITIES:

  • Create marketing programs to generate the pipeline needed to achieve the company’s annual revenue target. Work closely with marketing, sales, and client success team to understand pipeline contributions from those functions.
  • Own the campaign calendar and drive demand generation activities - including strategic planning, execution, measurement, and optimization.
  • Build and drive our ABM strategy and work closely with sales leaders to optimize ABM campaign and tactic mix.
  • Develop the campaign creation strategy and operating framework across our paid, owned, and earned channels, then oversee the deployment and optimization of media and digital resources.
  • Take a data-driven approach to customizing marketing assets and developing initiatives that align with the customer journey, sales-buying stages, and support account go-to-market plans.
  • Deploy marketing initiatives on audience segments, using various mediums, including digital, events, and social media.
  • Align go-to-market (GTM) plans between marketing and sales with product launches and new feature releases.
  • Build, lead, and scale a high performing, best-in-class growth marketing team
  • Analyze performance, report against key metrics, and present to sales and marketing leaders
  • Identify opportunities to improve marketing effectiveness through better audience segmentation, marketing techniques, and processes.


WHAT YOU’LL RECEIVE:

  • Competitive salary
  • Medical, Dental and Vision benefits
  • 401k with Employer Match
  • Generous PTO plan

SALARY RANGE: $225,000 - $245,000 / annually

Our compensation reflects the cost of labor across several US geographic markets. Pay is based on several factors including market location and may vary depending on job-related knowledge, skills, and experience.

Reveleer E-Verifies all new hires.

Reveleer is an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, gender identity, sexual orientation, age, marital status, veteran status, disability status or genetic information, in compliance with applicable federal, state and local law.

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reveleer is hiring a Remote Customer Implementation Specialist

Customer Implementation Specialist
Remote Opportunity

Reveleer is a healthcare data and analytics company that uses Artificial Intelligence to give health plans across all business lines greater control over their Quality Improvement, Risk Adjustment, and Member Management programs. With one transformative solution, the Reveleer platform enables plans to independently execute and manage every aspect of enrollment, provider outreach and data retrieval, coding, abstraction, reporting, and submissions. Leveraging proprietary technology, robust data sets, and subject matter expertise, Reveleer provides complete record retrieval and review services so health plans can confidently plan and execute risk, quality, and member management programs to deliver more value and improved outcomes.

We are seeking a highly motivated Implementation Specialist to join our dynamic team. The ideal candidate will have previous experience in SAAS implementation within the health tech or value-based care market, along with strong project management and project setup knowledge.

RESPONSIBILITES:

  • Lead the implementation of Reveleer Prospective Risk offerings for clients, ensuring successful deployment and utilization of the platform.
  • Collaborate with cross-functional teams, including client services, product management, and technical support, to define project requirements, timelines, and deliverables.
  • Conduct thorough assessments of client needs and workflows to tailor implementation plans accordingly.
  • Serve as the primary point of contact for clients throughout the implementation process, addressing inquiries, resolving issues, and providing guidance as needed.
  • Manage project scope, timelines, and resources to ensure projects are completed on schedule.
  • Provide training and support to clients to facilitate user adoption and maximize platform utilization.
  • Monitor post-implementation performance and identify opportunities for optimization and enhancement.

REQUIREMENTS:

  • Bachelor's degree in healthcare management, business administration, information technology, or related field.
  • Minimum of 2 years of experience in SAAS implementation within the health tech, EMR, or value-based care market.
  • Proven track record of successful project management, including project planning, execution, and monitoring.
  • Strong understanding of project setup processes and methodologies.
  • Excellent communication and interpersonal skills, with the ability to effectively engage with clients and internal stakeholders at all levels.
  • Solid analytical and problem-solving abilities, with a keen attention to detail.
  • Self-motivated and proactive, with the ability to work independently and as part of a team in a fast-paced environment.
  • Experience with Risk Adjustment offerings or similar healthcare technology solutions is a plus.

WHAT YOU’LL RECEIVE:

  • Competitive salary
  • Medical, Dental and Vision benefits
  • 401k with employer matching
  • Generous PTO plan

SALARY RANGE: $85,000 - $100,000 / annually

Our compensation reflects the cost of labor across several US geographic markets. Pay is based on several factors including market location and may vary depending on job-related knowledge, skills, and experience.

Reveleer E-Verifies all new hires.

Reveleer is an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, gender identity, sexual orientation, age, marital status, veteran status, disability status or genetic information, in compliance with applicable federal, state and local law.

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reveleer is hiring a Remote Clinical Informaticist

Clinical Informaticist
Remote Opportunity


JOB SUMMARY:

Skilled nurse informaticist to work with machine learning, NLP, generative AI modeling, research and development. The ideal candidate will engage with AI engineers, data scientists, and clinical product teams to provide clinical data expertise to develop and refine innovative analytic solutions and data models to support VBC entities. Applies expert-level clinical knowledge to enhance data-driven analytics, interactions, and interventions for all utilizers of point of service solutions. Recommends, interprets, and communicates inputs to, processes used, and results from AI and other analytic models to ensure that they follow sound methodologies, are fed by unbiased data, and result in clinically coherent results; including, but not limited, to developing, reviewing and validating data reports, and presenting findings in a clear and concise manner to help improve reporting and documentation. Interacts with customers, partners, and clinical practitioners to ensure enterprise solutions are rooted in principles of sound clinical practice, consider appropriate risk factors, and are monitored to minimize risks of bias or drift in the data and recommendations.

This role will report to the Vice President of Clinical Prospsective MDP

WHAT YOU WILL CONTRIBUTE:

  • Collaborates with Machine Learning/Natural Language Processing (ML/NLP) engineers and clinical teams to provide expert insights into real-world clinical decisions, coding, and interpretation of cases and findings.
  • Guides the development and refinement of NLP algorithms by leveraging expertise in medical nomenclatures and coding systems.
  • Ensures the accuracy and relevance of clinical data used in generative AI models from constructing the samples, ensuring sufficient "edge cases", curating inputs such that sound methodologies were followed.
  • Participates in the design and implementation of studies to validate and improve the performance of NLP applications in clinical settings.
  • Contributes to the selection and development of tools and processes that enhance the usability of clinical data in research and healthcare applications.
  • Serves as a bridge between the technical team and clinical practitioners, translating clinical needs and data into actionable insights for technical development.
  • Liaison between customer healthcare providers and other stakeholders to gather requirements and feedback for AI-driven informatics projects.
  • Participates in the development of training materials and documentation for end-users of AI applications in healthcare.
  • Conducts regular reviews of AI model performance, ensuring accuracy and compliance with clinical standards and socioeconomic factors to foster interventions to reduce obstacles in obtaining needed health care.
  • Collaborates with data governance teams to ensure the integrity, security, and quality of healthcare data used in AI applications.

PREFERRED EXPERIENCE:

  • Current Registered Nurse Licensure
  • Experience with and preferably certification in medical records clinical coding practices.
  • 8+ years' work experience
  • Clinical Informatics Applications (CPOE, Evidence Based Order Sets, Provider Documentation)
  • EHR Documentation Optimization
  • Evidence Based Clinical Documentation, Promoting Interoperability and the Clinical Information Integrity Program (CIIP).

OTHER SKILLS/KNOWLEDGE:

  • Deep understanding of real-world uses of standard medical nomenclatures (for example, ICD, CPT/HCPC, LOINC, NDC, SNOMED) and aspects of the Unified Medical Language System (UMLS).
  • Experience with healthcare data standards such as HL7, FHIR, and ICD-10.
  • Expert-level understanding of medical and clinical data.
  • Experience with electronic health records in clinical settings.
  • Familiarity with healthcare system workflows and clinical practices.
  • Proficiency in statistical analysis and data manipulation techniques.
  • Some knowledge of machine learning algorithms and their applications in healthcare.
  • Ability to develop and refine data models for healthcare analytics.
  • Working competence in using statistical software and tools for data analysis.
  • Experience using data visualization and interpretation of complex data sets.
  • Excellent communication skills to interact with customers, partners, and clinical practitioners.
  • Capacity to translate complex data insights into actionable healthcare interventions.
  • Problem-solving abilities to address challenges in data-driven analytics.
  • Leadership and teamwork skills to collaborate effectively with cross-functional teams.

SALARY RANGE:$90,000 - $110,000 / annually

Our compensation reflects the cost of labor across several US geographic markets. Pay is based on several factors including market location and may vary depending on job-related knowledge, skills, and experience.

Reveleer E-Verifies all new hires.

Reveleer is an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, gender identity, sexual orientation, age, marital status, veteran status, disability status or genetic information, in compliance with applicable federal, state and local law.

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20d

Head of Product Marketing

reveleer%LABEL_MULTIPLE_LOCATIONS% (2) Remote

reveleer is hiring a Remote Head of Product Marketing

Head of Product Marketing
Glendale, CA or Remote

Reveleer is a healthcare data and analytics company that uses Artificial Intelligence to give health plans across all business lines greater control over their Quality Improvement, Risk Adjustment, and Member Management programs. With one transformative solution, the Reveleer platform enables plans to independently execute and manage every aspect of enrollment, provider outreach and data retrieval, coding, abstraction, reporting, and submissions. Leveraging proprietary technology, robust data sets, and subject matter expertise, Reveleer provides complete record retrieval and review services so health plans can confidently plan and execute risk, quality, and member management programs to deliver more value and improved outcomes.

Are you a passionate marketing leader with a proven track record of bringing innovative products to market? Do you thrive in a fast-paced environment and relish the challenge of building a high-performing team? If so, then we want to hear from you!

ESSENTIAL FUNCTIONS

  • Define clear product positioning and messaging that resonates with target audiences across various channels.
  • Develop and implement a data-driven product marketing strategy that aligns with overall business objectives.
  • Track and analyze key performance metrics (KPIs) to measure the effectiveness of product marketing initiatives and identify areas for improvement.
  • Lead the development and execution of go-to-market plans for new product launches and product updates. Collaborate closely with cross-functional teams including product management, sales, and marketing to drive successful launches and adoption.
  • Partner with the sales team to develop sales enablement materials, including presentations, collateral, and training programs, to support the sales process and drive revenue growth.
  • Work closely with the customer success and product teams to gather customer feedback and insights. Use data-driven insights to continuously optimize product positioning, messaging, and marketing strategies.
  • Build and lead a high-performing product marketing team, providing mentorship, guidance, and professional development opportunities to team members.
  • Conduct in-depth market research and analysis to identify customer needs, emerging trends, and competitive insights.
  • Collaborate with product management, sales, and engineering teams to ensure seamless product launches and go-to-market initiatives.
  • Develop and manage product marketing programs and campaigns across digital, social media, and traditional channels.
  • Stay abreast of industry trends and best practices in product marketing.
  • Represent the company at industry events and conferences as a product marketing thought leader.

REQUIRED EDUCATION AND EXPERIENCE

  • 10+ years of experience in product marketing, with a proven track record of success in developing and executing product marketing strategies, with a minimum of 2 years in a leadership role.
  • Strong strategic thinking and analytical skills, with the ability to translate market insights into actionable strategies.
  • Excellent communication and presentation skills, with the ability to effectively articulate complex concepts and influence cross-functional stakeholders.
  • Demonstrated ability to thrive in a fast-paced, dynamic environment and drive results in a rapidly evolving market.
  • Strong understanding of market research methodologies and competitive analysis.

REQUIRED COMPETENCIES

  • Effectively Communicates: Speaks clearly, listens effectively, and responds well to questions; Writes clearly and informatively; Edits work for errors; Varies writing style to meet needs; Able to read and interpret information; Documents are accurate and delivered on time; Uses good judgement when communicating information.
  • Interpersonal Skills: Builds strong relationships; Flexible and open minded; Receptive to feedback; Motivates employees and peers for the purpose of achieving organizational goals.
  • Professionalism: Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments.
  • Adaptability: Adapts to changes in the work environment; Adjusts methods to best fit the situation; Able to deal with change, delays, or unexpected events. Can work with diverse groups of customers and internal stakeholders.
  • Cultural Sensitivity: Models behaviors that reflect the culture of Reveleer; Awareness of the similarities and differences that exist between employees, teams, departments and customers to build more effective relationships.
  • Computer & Presentation Skills: Essential to be skilled in with all Microsoft Suite products (e.g., Excel, Word, PowerPoint, etc.)

WHAT YOU’LL RECEIVE

  • Competitive salary
  • Medical, Dental and Vision benefits
  • 401k with Employer Match
  • Generous PTO plan

SALARY RANGE: $225,000 - $245,000 / annually

Our compensation reflects the cost of labor across several US geographic markets. Pay is based on several factors including market location and may vary depending on job-related knowledge, skills, and experience.

Reveleer E-Verifies all new hires.

Reveleer is an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, gender identity, sexual orientation, age, marital status, veteran status, disability status or genetic information, in compliance with applicable federal, state and local law.

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23d

Senior Director, Engineering Operations

reveleer%LABEL_MULTIPLE_LOCATIONS% (2) Remote

reveleer is hiring a Remote Senior Director, Engineering Operations

Senior Director, Engineering Operations
Location: Glendale, CA or Remote

Reveleer is a healthcare data and analytics company that uses Artificial Intelligence to give health plans across all business lines greater control over their Quality Improvement, Risk Adjustment, and Member Management programs. With one transformative solution, the Reveleer platform enables plans to independently execute and manage every aspect of enrollment, provider outreach and data retrieval, coding, abstraction, reporting, and submissions. Leveraging proprietary technology, robust data sets, and subject matter expertise, Reveleer provides complete record retrieval and review services so health plans can confidently plan and execute risk, quality, and member management programs to deliver more value and improved outcomes.

General Summary:

Reveleer’s Technology organization is focused on building and managing our cloud native SaaS platform. We are looking for a highly motivated and experienced Senior Director of Engineering Operations to lead the technical services and engineering operations functions within our organization. This is a key leadership role, pivotal in ensuring that our platform exceeds our healthcare clients' operational and technical expectations, from implementation through live operations.

Responsibilities:

  • Leadership and Team Building: Recruit, mentor, and lead a high-performing team of Integration Engineers, Data Analysts, and Technical Project Managers. Foster a collaborative and innovative culture that encourages growth and excellence.
  • Technical Services Management: Oversee the technical aspects of the software implementation process, ensuring seamless integration and deployment of our solutions within client environments. Coordinate closely with the sales, product, on-boarding, and engineering teams to understand client needs and deliver customized solutions.
  • Business Operations Monitoring: Take charge of the Technology Operations aspect, focusing on the monitoring and optimization of business processes such as data loads, extract generations, and CMS functionalities including data sweeps and AEP support. Ensure operational excellence in our platform's ability to handle these critical functions.
  • Strategic Planning: Collaborate with senior leadership to define and execute the technology operations strategy, including resource planning and technical project management, aligning with the company's growth objectives. Ensure operational excellence and the continuous improvement of processes and technologies.
  • Customer Success Partnership: Work closely with the Customer Success team to ensure that technical operations support client satisfaction and retention. Lead the technical response to any client issues, driving quick resolutions and maintaining trust.
  • Innovation and Improvement: Stay abreast of industry trends, AWS cloud innovations, integration methodologies, and healthcare regulations to drive continuous improvement and competitive advantage. Encourage innovation within the team to enhance our platform and services.

Qualifications:

  • Minimum of 15 years’ experience in engineering services, technical operations, or a similar role within a software or SaaS environment, including 5+ years in a leadership capacity.
  • Extensive experience with SaaS systems, including business operations and technical implementation.
  • Demonstrated success in building, mentoring, and leading technical services/operations teams.
  • Strong background in the healthcare industry, with a thorough understanding of healthcare-related data processes and regulatory standards (e.g., HIPAA, HiTrust).
  • Outstanding project management abilities, capable of prioritizing and managing multiple projects and initiatives concurrently.
  • Excellent communication skills, capable of effectively collaborating with cross-functional teams and engaging with senior management.
  • Demonstrated ability to collaborate with cross-functional leaders and integrate various product strategies.
  • Experience with Medicare systems or similar healthcare technologies is highly beneficial.
  • Excellent leadership, communication, and strategic thinking skills.
  • Self-starter and self-motivated with the proven ability to deliver results in a fast-paced, high-energy environment.
  • Works effectively with cross-functional teams to build a trusted partnership.

What You’ll Receive:

  • Competitive salary
  • Medical, Dental and Vision benefits
  • 401k with employer matching
  • Generous PTO plan

Salary Range: $180,000 - $200,000 / annually

Our compensation reflects the cost of labor across several US geographic markets. Pay is based on several factors including market location and may vary depending on job-related knowledge, skills, and experience.

Reveleer E-Verifies all new hires.

Reveleer is an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, gender identity, sexual orientation, age, marital status, veteran status, disability status or genetic information, in compliance with applicable federal, state and local law.

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26d

Software Development Engineer in Test (SDET)

reveleer%LABEL_MULTIPLE_LOCATIONS% (2) Remote

reveleer is hiring a Remote Software Development Engineer in Test (SDET)

Software Development Engineer in Test (SDET)
Location: Glendale, CA or Remote

Reveleer is a healthcare data and analytics company that uses Artificial Intelligence to give health plans across all business lines greater control over their Quality Improvement, Risk Adjustment, and Member Management programs. With one transformative solution, the Reveleer platform enables plans to independently execute and manage every aspect of enrollment, provider outreach and data retrieval, coding, abstraction, reporting, and submissions. Leveraging proprietary technology, robust data sets, and subject matter expertise, Reveleer provides complete record retrieval and review services so health plans can confidently plan and execute risk, quality, and member management programs to deliver more value and improved outcomes.

General Summary:

Reveleer’s Technology organization is focused on building and managing our cloud native SaaS platform. We are looking for a talented Software Development Engineer in Test to join our team. The person will work closely with our development and quality assurance teams to create and execute test plans and automation scripts, identify, and report bugs, and ensure the quality of our software applications. The ideal candidate will have a strong background in software development, as well as experience in testing and test automation.

Responsibilities:

  • Collaborate with development and quality assurance teams to understand product requirements and develop test plans.
  • Create and execute automated and manual test cases for SaaS based web applications.
  • Identify and report bugs and work with development teams to resolve them.
  • Develop and maintain test automation scripts using modern Java Script based end to end automation tools.
  • Contribute towards enhancing and maintaining the automation framework.
  • Design, develop and execute automated API tests.
  • Perform performance, load, and stress testing to ensure the scalability of our applications.
  • Ensure that all testing activities meet our standards for quality and consistency.
  • Work with development teams to integrate automated tests into our continuous integration and deployment processes.
  • Stay up to date with the latest testing tools and methodologies and make recommendations for process improvements.
  • Stay up-to-date with the latest trends and best practices in modern programming languages, automated testing frameworks and testing methodologies

Qualifications:

  • Bachelor's degree in Computer Science or a related field.
  • 5+ years of experience in software development, with a focus on testing and test automation of SaaS based web applications.
  • Strong programming skills in one or more languages such as Java, Python, or JavaScript.
  • Experience with modern Java Script based end to end automation tools such as Cypress, CodeceptJS, and Playwright.
  • Experience with API testing tools and frameworks like Postman, Katalon, or REST Assured.
  • Experience with agile development methodologies and continuous integration and deployment.
  • Strong problem-solving skills and attention to detail.
  • Excellent communication and collaboration skills.
  • Self-starter and self-motivated with the proven ability to deliver results in a fast-paced, high-energy environment.
  • Works effectively with cross-functional teams to build a trusted partnership.
  • Healthcare experience is highly preferred.
  • Experience with reading and writing complex SQL queries.
  • Comfortable diving into code to understand how a system works under the hood.
  • Understanding of code version control systems like git.
  • Experience using and configuring logging and observability tools like Datadog, New Relic, Splunk, Dynatrace, etc.

What You’ll Receive:

  • Competitive salary
  • Medical, Dental and Vision benefits
  • 401k with employer matching
  • Generous PTO plan

Salary Range: $125,000 - $175,000 / annually

Our compensation reflects the cost of labor across several US geographic markets. Pay is based on several factors including market location and may vary depending on job-related knowledge, skills, and experience.

Reveleer E-Verifies all new hires.

Reveleer is an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, gender identity, sexual orientation, age, marital status, veteran status, disability status or genetic information, in compliance with applicable federal, state and local law.

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reveleer is hiring a Remote Sr. Data Scientist

Sr. Data Scientist
Remote Opportunity

Reveleer is a healthcare data and analytics company that uses Artificial Intelligence to give health plans across all business lines greater control over their Quality Improvement, Risk Adjustment, and Member Management programs. With one transformative solution, the Reveleer platform enables plans to independently execute and manage every aspect of enrollment, provider outreach and data retrieval, coding, abstraction, reporting, and submissions. Leveraging proprietary technology, robust data sets, and subject matter expertise, Reveleer provides complete record retrieval and review services so health plans can confidently plan and execute risk, quality, and member management programs to deliver more value and improved outcomes.

WHAT YOU’LL DO:

  • Build proof-of-concept machine learning models
  • Work with engineering teams to implement ML models into production and build ML pipelines
  • Explore, find and implement new solutions to improve the performance of the existing models
  • Bring in the cutting-edge ML and NLP technologies into the existing models (“R&D” style)
  • Exploring LLM solutions for our AI models
  • Be able to complete the entire end-to-end development cycle: define the problem, architect the solution, build and implement the solution

ABOUT YOU:

  • PhD + 2 years of experience OR Master + 5 years of experience
  • Strong Python skills
  • Strong SQL skills, experience of querying large datasets
  • Track record of building ML solutions
  • Track record of using cutting-edge AI technology to solve problems
  • Critical thinking and creative mindset
  • Be a quick learner and keep up-to-date with new AI technology
  • Passion in new AI technology
  • Self-motivated and be able to work independently

NICE TO HAVE:

  • Experience of natural language processing
  • Experience of large language models
  • Experience in MLOps
  • Experience of ETL processing
  • Experience of cloud (AWS preferred)
  • Experience in SaaS companies or in healthcare
  • Experience in Quality or Risk Adjustment
  • Experience with healthcare data

WHAT YOU’LL RECEIVE:

  • Competitive salary
  • Medical, Dental and Vision benefits
  • 401k with employer matching
  • Generous PTO plan

SALARY RANGE: $150,000 - $170,000 / annually

Our compensation reflects the cost of labor across several US geographic markets. Pay is based on several factors including market location and may vary depending on job-related knowledge, skills, and experience.

Reveleer E-Verifies all new hires.

Reveleer is an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, gender identity, sexual orientation, age, marital status, veteran status, disability status or genetic information, in compliance with applicable federal, state and local law.

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reveleer is hiring a Remote Customer & Vendor Support Specialist

Customer & Vendor Support Specialist
Remote Opportunity

Reveleer is a healthcare data and analytics company that uses Artificial Intelligence to give health plans across all business lines greater control over their Quality Improvement, Risk Adjustment, and Member Management programs. With one transformative solution, the Reveleer platform enables plans to independently execute and manage every aspect of enrollment, provider outreach and data retrieval, coding, abstraction, reporting, and submissions. Leveraging proprietary technology, robust data sets, and subject matter expertise, Reveleer provides complete record retrieval and review services so health plans can confidently plan and execute risk, quality, and member management programs to deliver more value and improved outcomes.

We are seeking a highly skilled Customer, Product, and Vendor Support Specialist to join our team. This role will serve as a pivotal link between our customers, product teams, and vendor partners, ensuring seamless communication, effective issue resolution, and program management. The successful candidate will report to the Sr. Director of Operations and play a key role in driving operational excellence and customer satisfaction.

RESPONSIBILITIES:

  • Act as the primary relationship manager for all vendors, fostering strong partnerships and ensuring alignment with company goals and objectives.
  • Manage vendor contracts, negotiations, and performance evaluations to ensure optimal service delivery and cost-effectiveness.
  • Oversee the implementation and execution of vendor programs, ensuring adherence to timelines, quality standards, and regulatory requirements.
  • Serve as the main point of contact for customer inquiries, concerns, and escalations, providing timely and effective resolution while maintaining a high level of customer satisfaction.
  • Collaborate closely with internal stakeholders, including engineering and product teams, to relay customer feedback, identify product issues, and drive continuous improvement.
  • Monitor customer support metrics and performance indicators, analyzing trends and implementing corrective actions as needed to enhance service delivery and operational efficiency.
  • Develop and maintain comprehensive documentation, processes, and procedures related to customer, product, and vendor support activities.
  • Stay abreast of industry trends, market developments, and emerging technologies in the health tech and value-based care market to inform strategic decision-making and drive innovation.

REQUIREMENTS:

  • Bachelor's degree in business administration, healthcare management, or related field.
  • Minimum of 2 years of experience in customer support, product management, vendor management, or related roles within the health tech or value-based care market.
  • Proven track record of building and maintaining successful relationships with customers and vendors.
  • Strong understanding of customer service principles, practices, and tools, with a focus on delivering exceptional customer experiences.
  • Excellent communication and interpersonal skills, with the ability to effectively engage with stakeholders at all levels.
  • Solid analytical and problem-solving abilities, with a detail-oriented and proactive approach to issue resolution.
  • Experience with project management methodologies and tools is preferred.
  • Familiarity with healthcare regulations, compliance standards, and industry best practices is a plus.

WHAT YOU’LL RECEIVE:

  • Competitive salary
  • Medical, Dental and Vision benefits
  • 401k with employer matching
  • Generous PTO plan

SALARY RANGE: $85,000 - $100,000 / annually

Our compensation reflects the cost of labor across several US geographic markets. Pay is based on several factors including market location and may vary depending on job-related knowledge, skills, and experience.

Reveleer E-Verifies all new hires.

Reveleer is an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, gender identity, sexual orientation, age, marital status, veteran status, disability status or genetic information, in compliance with applicable federal, state and local law.

See more jobs at reveleer

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reveleer is hiring a Remote Customer Implementation Analyst

Customer Implementation Analyst
Remote Opportunity

Reveleer is a healthcare data and analytics company that uses Artificial Intelligence to give health plans across all business lines greater control over their Quality Improvement, Risk Adjustment, and Member Management programs. With one transformative solution, the Reveleer platform enables plans to independently execute and manage every aspect of enrollment, provider outreach and data retrieval, coding, abstraction, reporting, and submissions. Leveraging proprietary technology, robust data sets, and subject matter expertise, Reveleer provides complete record retrieval and review services so health plans can confidently plan and execute risk, quality, and member management programs to deliver more value and improved outcomes.

We are seeking a highly motivated Implementation Specialist to join our dynamic team. The ideal candidate will have previous experience in SAAS implementation within the health tech or value-based care market, along with strong project management and project setup knowledge.

RESPONSIBILITES:

  • Lead the implementation of Reveleer Prospective Risk offerings for clients, ensuring successful deployment and utilization of the platform.
  • Collaborate with cross-functional teams, including client services, product management, and technical support, to define project requirements, timelines, and deliverables.
  • Conduct thorough assessments of client needs and workflows to tailor implementation plans accordingly.
  • Serve as the primary point of contact for clients throughout the implementation process, addressing inquiries, resolving issues, and providing guidance as needed.
  • Manage project scope, timelines, and resources to ensure projects are completed on schedule.
  • Provide training and support to clients to facilitate user adoption and maximize platform utilization.
  • Monitor post-implementation performance and identify opportunities for optimization and enhancement.

REQUIREMENTS:

  • Bachelor's degree in healthcare management, business administration, information technology, or related field.
  • Minimum of 2 years of experience in SAAS implementation within the health tech, EMR, or value-based care market.
  • Proven track record of successful project management, including project planning, execution, and monitoring.
  • Strong understanding of project setup processes and methodologies.
  • Excellent communication and interpersonal skills, with the ability to effectively engage with clients and internal stakeholders at all levels.
  • Solid analytical and problem-solving abilities, with a keen attention to detail.
  • Self-motivated and proactive, with the ability to work independently and as part of a team in a fast-paced environment.
  • Experience with Risk Adjustment offerings or similar healthcare technology solutions is a plus.

WHAT YOU’LL RECEIVE:

  • Competitive salary
  • Medical, Dental and Vision benefits
  • 401k with employer matching
  • Generous PTO plan

SALARY RANGE: $85,000 - $100,000 / annually

Our compensation reflects the cost of labor across several US geographic markets. Pay is based on several factors including market location and may vary depending on job-related knowledge, skills, and experience.

Reveleer E-Verifies all new hires.

Reveleer is an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, gender identity, sexual orientation, age, marital status, veteran status, disability status or genetic information, in compliance with applicable federal, state and local law.

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reveleer is hiring a Remote Director, Project Management

Director, Project Management
Remote Opportunity

Reveleer is a healthcare data and analytics company that uses Artificial Intelligence to give health plans across all business lines greater control over their Quality Improvement, Risk Adjustment, and Member Management programs. With one transformative solution, the Reveleer platform enables plans to independently execute and manage every aspect of enrollment, provider outreach and data retrieval, coding, abstraction, reporting, and submissions. Leveraging proprietary technology, robust data sets, and subject matter expertise, Reveleer provides complete record retrieval and review services so health plans can confidently plan and execute risk, quality, and member management programs to deliver more value and improved outcomes.

The Director of Project Management plays a vital role in overseeing and managing the successful onboarding of new customers and implementation of software solution projects for our company. This position requires strong leadership, project management expertise, and an understanding of the healthcare industry. The Director of Project Management will lead a team of project managers, collaborating with various stakeholders to ensure the timely and efficient completion of projects from inception to completion.

Essential Duties and Responsibilities:

  • As the Director, you will play a pivotal role in overseeing the continuous improvement of our implementation methodology, project management tools, and templates, while ensuring the seamless execution of projects with our valued customers
  • Lead, mentor, and manage a team of project managers, providing guidance and support to ensure successful project delivery.
  • Collaborate with cross-functional teams including Sales, Customer Success Engineering, Product, IT, Data Management and the customer to develop and implement project plans, ensuring alignment with organizational goals and objectives.
  • Monitor and control project scope, schedule, and budget to achieve successful project outcomes.
  • Foster a culture of collaboration, innovation, and continuous improvement within the project management team.
  • Manage portfolio of projects against contractual deliverables, SLAs, and agreed upon project success criteria.
  • Ensure compliance with industry regulations, standards, and best practices in the healthcare sector.
  • Develop a training program for new hires as well as continuing education for the project management team.
  • Establish and monitor key performance indicators (KPIs) for the project management team.
  • Analyze performance metrics to identify areas for improvement and implement corrective actions.
  • Regularly report on project portfolio progress, addressing potential issues or risks and implementing mitigation strategies as needed.

Knowledge, Skills & Abilities Required:

  • Bachelor's degree in a relevant field or equivalent experience.
  • 5+ years of experience in a project management role with a proven track record of successfully managing and leading teams.
  • Experience in managing large scale projects and programs, monitoring operational success throughout the product lifecycle.
  • Proven ability to oversee and optime project management software, including the use of Monday.com.
  • PMP certification is preferred.
  • Background in healthcare software preferred but not mandatory.
  • Strong financial acumen and experience managing project budgets.
  • Excellent communication and interpersonal skills, with the ability to collaborate effectively with cross-functional teams.
  • Demonstrated ability to drive results in a fast-paced and dynamic environment.

What You’ll Receive:

  • Competitive Salary
  • Medical, Dental and Vision benefits
  • 401k plan with Employer Match
  • Generous PTO Plan

Salary Range: $130,000 - $145,000 / annually

Our compensation reflects the cost of labor across several US geographic markets. Pay is based on several factors including market location and may vary depending on job-related knowledge, skills, and experience.

Reveleer E-Verifies all new hires.

Reveleer is an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, gender identity, sexual orientation, age, marital status, veteran status, disability status or genetic information, in compliance with applicable federal, state and local law.

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reveleer is hiring a Remote Director, Customer Support

Director, Customer Support
Remote Opportunity

Reveleer is a healthcare data and analytics company that uses Artificial Intelligence to give health plans across all business lines greater control over their Quality Improvement, Risk Adjustment, and Member Management programs. With one transformative solution, the Reveleer platform enables plans to independently execute and manage every aspect of enrollment, provider outreach and data retrieval, coding, abstraction, reporting, and submissions. Leveraging proprietary technology, robust data sets, and subject matter expertise, Reveleer provides complete record retrieval and review services so health plans can confidently plan and execute risk, quality, and member management programs to deliver more value and improved outcomes.

The Director, Customer Support, has responsibility for leading and overseeing all aspects of Customer Service. Primary objective is to ensure the delivery of exceptional customer experiences and support, ultimately driving customer satisfaction and brand loyalty. This role will engage and collaborate with cross-functional teams to develop and implement strategies that improve customer support processes, enhance service quality, and maintain a customer-centric culture within the organization.

Essential Duties and Responsibilities:

  • Provide leadership to a team of customer service managers, supervisors, and representatives.
  • Provide guidance, training, and performance feedback to ensure the team meets or exceeds customer service targets.
  • Foster a positive and inclusive work environment that encourages teamwork, motivation, and professional growth.
  • Execute a customer service strategy aligned with the assigned objectives.
  • Identify opportunities to enhance customer interactions and implement best practices to improve overall customer satisfaction.
  • Monitor customer feedback and implement initiatives to address inquiries and feedback effectively.
  • Deliver to the established department service level (SLA) measure and improve service performance.
  • Analyze key performance indicators (KPIs) to identify trends, areas for improvement, and operational efficiencies.
  • Implement processes to optimize customer service operations and streamline workflows.
  • Prepare and present regular reports on customer service performance, response times, and issue resolution rates.
  • Use data-driven insights to identify opportunities for service improvement and make informed business decisions.
  • Oversee the handling of customer inquiries, complaints, and escalations to ensure timely and satisfactory resolutions.
  • Collaborate with other departments, such as customer success, sales, data management, engineering, and product teams, to address customer needs and requests effectively.
  • Organize and conduct regular training sessions to enhance the customer service team's skills and product knowledge.
  • Implement ongoing coaching and performance improvement programs to enhance the team's capabilities.
  • Implement structured employee recognition.
  • Serve as an escalation point for resolving issues.
  • Perform root cause analysis of customer issues and implement solutions to resolve these issues permanently.
  • Implement quality assurance measures to uphold service standards.
  • Design and implement a comprehensive customer feedback loop to capture insights and sentiments at various touchpoints throughout the customer experience.
  • Other duties as assigned.

Supervisory Responsibilities:

  • Responsible for the overall direction, coordination, and evaluation of direct reports.
  • Carries out managerial responsibilities in accordance with the company's policies and applicable laws.
  • Responsibilities include interviewing, hiring, and training employees; planning and assigning work; appraising performance; rewarding and leading employees; addressing conflict resolution and providing workforce success opportunities for team members.

Education / Experience / Certifications

  • Bachelor's degree in business administration, customer service management, or a related field
  • Proven experience in a leadership role within customer service or a related field
  • Strong understanding of customer service principles, practices, and industry trends

Knowledge, Skills & Abilities Required

  • Demonstrated ability to develop and implement customer service strategies that align with organizational goals.
  • Proficiency in using customer service management tools, SFDC CRM software, and other relevant call center technology, specifically Jira Service Management
  • Analytical mindset with the ability to interpret data and generate actionable insights.
  • Capability to solve complex problems, utilizing strong critical thinking and decision-making skills.
  • Superior organizational skills and the ability to assemble resources needed to orchestrate multiple projects/activities and accomplish goals.
  • Model a collaborative leadership style with the ability to build partnerships and influence others into action.
  • Excellent verbal and written communications skills
  • Outstanding presentation and facilitation skills
  • Excellent interpersonal skills and consultative approach; tactful in dealing with people at all levels.
  • Strong sense of urgency, self-motivated and positive
  • Flexible and adaptable; able to work in ambiguous situations
  • Ability to actively lead change initiatives
  • Display highest ethical standards
  • Maintain the utmost level of confidentiality in dealing with sensitive information
  • Detail oriented, with the ability to multi-task in a fast-paced environment

What You’ll Receive:

  • Competitive Salary
  • Medical, Dental and Vision benefits
  • 401k plan with Employer Match
  • Generous PTO Plan

Salary Range: $130,000 - $145,000 / annually

Our compensation reflects the cost of labor across several US geographic markets. Pay is based on several factors including market location and may vary depending on job-related knowledge, skills, and experience.

Reveleer E-Verifies all new hires.

Reveleer is an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, gender identity, sexual orientation, age, marital status, veteran status, disability status or genetic information, in compliance with applicable federal, state and local law.

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+30d

BI Analyst

reveleerUnited States Remote
agilesqlDesign

reveleer is hiring a Remote BI Analyst

BI Analyst
Remote Opportunity

Reveleer is a healthcare data and analytics company that uses Artificial Intelligence to give health plans across all business lines greater control over their Quality Improvement, Risk Adjustment, and Member Management programs. With one transformative solution, the Reveleer platform enables plans to independently execute and manage every aspect of enrollment, provider outreach and data retrieval, coding, abstraction, reporting, and submissions. Leveraging proprietary technology, robust data sets, and subject matter expertise, Reveleer provides complete record retrieval and review services so health plans can confidently plan and execute risk, quality, and member management programs to deliver more value and improved outcomes.

As a BI Analyst, your primary responsibility will be to work with stakeholders across business functions including growth, marketing, business development, finance, and operations to build analytics products that enable data-driven decision making. You will guide analytics projects from discovery to solution and help us raise the bar for how we should apply our data to business decisions.

On the analytics team, you will work with two developers who will assist you in accessing the data you need and you will be reporting to the BI Manager.  Your role on this team is to take the data sets provided, use our Looker platform, and provide analysis according to internal and external customers’ needs and requests.  Answer questions, provide ad hoc analysis, monitor enterprise level dashboards, and provide insight for business users to improve outcomes.  Most of your data manipulations will happen in our BI tool, Looker, but at times you will need to use Excel to provide shareable insights.  You will also determine the best ways to automate satisfying business needs, using scheduled reports, emails, and dashboards to streamline delivery of analysis to the stakeholders.

What You’ll Do:

  • Complete analysis projects with business stakeholders to monitor the health of the business and help the business make data-driven strategic and operational decisions.
  • Develop and own business intelligence dashboards to provide ongoing tracking and insights to business partners.
  • Build and improve advanced analytical models, such as our fit algorithm and inventory forecasting.
  • Collaborate with data engineering to improve data architecture and maintain a robust and accurate data warehouse.
  • Discover ways to use analytics to support team members across the business to yield action through data-driven decision making.
  • Provide user assistance and direction for ad-hoc data reporting.

About You:

  • At least 3+ years of related experience with data analysis projects
  • Strong understanding of Microsoft T-SQL, including query optimization around large data sets
  • Looker power user and data visualization experience
  • Strong knowledge of Excel (e.g. pivot tables, vlookups, visualization)
  • Ability to build trust and communicate insights effectively with a variety of business stakeholders across analytical levels.
  • Comfort working in an Agile, technology driven environment – working closely with Product Owners and larger Engineering team
  • Desire to be a partner to business stakeholders with a shared goal on using analytics and insights to drive the business forward
  • Given context, you're capable of self-direction and enthusiastic about owning your work
  • You deliver results quickly with iteration, instead of waiting for perfection

Nice to Have:

  • Hands-on experience with cloud BI frameworks (e.g., Lookml, Power BI, SSRS Analytics)
  • Experience with ETL processing, data validation
  • Design and implement new tables and fields in the reporting database
  • Knowledge of Data Warehouse solutions, strategies, and implementations
  • Experience with US Healthcare / Managed Care Organizations, specifically around Compliance and RISK Assessments programs

What You’ll Receive:

  • Competitive salary
  • Medical, Dental and Vision benefits
  • 401k with employer matching
  • Generous PTO plan

Salary Range: $70,000 - $85,000 / annually

Our compensation reflects the cost of labor across several US geographic markets. Pay is based on several factors including market location and may vary depending on job-related knowledge, skills, and experience.

Reveleer E-Verifies all new hires.

Reveleer is an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, gender identity, sexual orientation, age, marital status, veteran status, disability status or genetic information, in compliance with applicable federal, state and local law.

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reveleer is hiring a Remote Clinical Operations QA Specialist

Clinical Operations QA Specialist
Remote

Reveleer is a healthcare data and analytics company that uses Artificial Intelligence to give health plans across all business lines greater control over their Quality Improvement, Risk Adjustment, and Member Management programs. With one transformative solution, the Reveleer platform enables plans to independently execute and manage every aspect of enrollment, provider outreach and data retrieval, coding, abstraction, reporting, and submissions. Leveraging proprietary technology, robust data sets, and subject matter expertise, Reveleer provides complete record retrieval and review services so health plans can confidently plan and execute risk, quality, and member management programs to deliver more value and improved outcomes.

As a Clinical QA Specialist, you will be responsible for ensuring all clinical resources are monitored to meet quality scores based on QA standards set by the organization. Your responsibilities also include providing support to clinical QA and Training team to deliver excellent quality and productivity outcome.

The ideal candidate is detail-oriented, able to work independently and at the same time able to collaborate with team members and staff. Ideal candidate will demonstrate initiative and leadership in designing new QA protocols and QA policies in the bounds of Reveleer clinical operations and serves as subject matter expert and support to staff at all levels throughout the organization..

Essential Functions:

  • Completes overread of chases for coders in production and provides support in completing initial QA process during onboarding.
  • Communicates with and provides feedback to the Training and QA team of coding error trends and assist in creating action plans to mitigate QA discrepancies.
  • Assists coders in resolving coding queries based on Reveleer Coding Guidelines, AHA Coding Clinics, CMS Coders Guidance on Medical Review.
  • Create and maintain quality control activities: Bi-monthly quality check on performance, monthly quality assurance reviews, keeping track of QA scores and make sure that all corrections are done in a timely manner.
  • During the bi-monthly quality checks – able to identify outliers that needs retraining and set action plans and communicated either on one-on-one or group teaching in coordination with the training team.
  • Pulls reports to better understand error trends and present to internal team for deliberation.
  • Collaborate and consult effectively with all levels of the QA teams to ensure adherence to policies and procedures.
  • Well-versed and Knowledgeable on Microsoft Office applications (Excel, Word, Powerpoint) as well as Adobe Pro and use these applications to handle communication within the clinical team.
  • Additional duties as necessary to meet our obligations to our customers.

Core Competencies:

  • Caring – Warm, sincere, calm, cool and collected energy and presence with the ability to develop relationships.
  • Analytical Skills and Attention to Detail– Reviewing clinical documentation and coding.
  • Effectively Communicates – Speaks clearly, listens effectively, and responds well to questions; Writes clearly and informatively; Edits work for errors; Varies writing style to meet needs; Able to read and interpret information; Documents are accurate and delivered on time; Uses good judgement when communicating information.
  • Interpersonal Skills - Builds strong relationships; Flexible and open minded; Receptive to feedback; Motivates employees and peers for the purpose of achieving organizational goals.
  • Professionalism – Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments.
  • Adaptability– Adapts to changes in the work environment; Adjusts methods to best fit the situation; Able to deal with change, delays, or unexpected events. Can work with diverse groups of customers and internal stakeholders.
  • Cultural Sensitivity – Models behaviors that reflect the culture of Reveleer; Awareness of the similarities and differences that exist between employees, teams, departments, and customers to build more effective relationships.
  • Computer Skills – Essential to be skilled in with all Microsoft Suite products (e.g., Excel, Word, PowerPoint, etc.)

Job Requirements:

  • Must have a professional coding certificate through AHIMA/AAPC
  • Minimum of 5 years coding experience with specific knowledge of Medicare and Commercial Risk Adjustment such as Hierarchical Condition category (HCC)
  • Strong computer skills and high-speed internet access at home
  • Commitment to confidentiality of patient health information
  • Professional, articulate and able to work independently

Compensation: $32.25 / hour

Our compensation reflects the cost of labor across several US geographic markets. Pay is based on several factors including market location and may vary depending on job-related knowledge, skills, and experience.

Reveleer E-Verifies all new hires.

Reveleer is an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, gender identity, sexual orientation, age, marital status, veteran status, disability status or genetic information, in compliance with applicable federal, state and local law.

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+30d

Clinical Coding Manager

reveleerUnited States Remote

reveleer is hiring a Remote Clinical Coding Manager

Clinical Coding Manager
Remote

Reveleer is a healthcare data and analytics company that uses Artificial Intelligence to give health plans across all business lines greater control over their Quality Improvement, Risk Adjustment, and Member Management programs. With one transformative solution, the Reveleer platform enables plans to independently execute and manage every aspect of enrollment, provider outreach and data retrieval, coding, abstraction, reporting, and submissions. Leveraging proprietary technology, robust data sets, and subject matter expertise, Reveleer provides complete record retrieval and review services so health plans can confidently plan and execute risk, quality, and member management programs to deliver more value and improved outcomes.

We are seeking a full time Clinical Coding Manager to oversee duties of Risk Adjustment and reporting.

WHAT YOU’LL DO:

  • Oversee and/or perform an accurate medical record review for all RISK
  • Support and participate in process and quality improvement initiatives
  • Conduct training related to ,RISK, platform usage, up date any training materials, and function as RISK SME
  • Monitor project status
  • Work on flexible projects with variable client/project specific guidelines
  • Review all Negative / Positive hits
  • Manage RISK coding projects when needed- including project status and completing chart reviews for coding projects as needed.

JOB REQUIREMENTS:

  • Must have a professional coding certificate through AHIMA/AAPC
  • Minimum of 5 years of hands-on medical records experience
  • 5 Years of RISK experience
  • Background in UR, QA and/or QI experience preferred
  • Strong computer skills and high-speed internet access at home
  • Commitment to confidentiality of patient health information
  • Professional, articulate and able to work independently
  • Ability to manage teams and meet deadlines
  • Be able to conduct trainings in nonstandard time frames to meet abstractor needs and training
  • Clinical Documentation Review: Analyze medical records and NLP results and validate that the clinical evidence meets the necessary requirements for submission and documentation. This includes making sure the documentation accurately reflects the patient’s conditions, treatment and services provided. Identify gaps, inconsistencies, and discrepancies in documentation that could impact patient care, quality reporting and reimbursement.
  • Coding Support: Ensure documentation aligns with accurate code assignment and follow CMS’s coding guidelines for HCC risk adjustment coding.
  • Clinical Knowledge: Maintain a deep understanding of medical terminology, disease processes, treatments, and procedures to accurately interpret and validate clinical documentation.
  • Documentation Integrity: Safeguard the integrity and confidentiality of patient health information while handling medical records and sensitive data in accordance with HIPAA and other relevant regulations.
  • Interdisciplinary Communication: Foster clear communication and collaboration between different healthcare departments, ensuring that accurate patient information is shared across the continuum.

CORE COMPETENCIES:

  • Caring – Warm, sincere, calm, cool and collected energy and presence with the ability to develop relationships.
  • Results Driven – Focus on achievement, motivated by results and outcomes, goal oriented.
  • Analytical Skills and Attention to DetailReviewing clinical documentation and coding.
  • Effectively Communicates– Speaks clearly, listens effectively, and responds well to questions; Writes clearly and informatively; Edits work for errors; Varies writing style to meet needs; Able to read and interpret information; Documents are accurate and delivered on time; Uses good judgement when communicating information.
  • Problem Solver-Expertise managing client relationships and accounts for technically complex products and platforms with the ability to lead a resolution towards mutual success.
  • Continuous Quality Improvement – Evaluates polices, programs, and services; Implements strategies for continuous quality improvement; Assesses the use of evaluation findings for improving policies, programs, and services; Looks for ways to improve and promote quality; Demonstrates accuracy and thoroughness.
  • Customer Focus - Follows through; Courteous; Helps internal and external customers; Understands customer perspectives and needs; Assesses the effects of decisions on different customers and services ; Facilitates collaborations among teams and the customer; Develops and maintains partnerships that will increase customer satisfaction and decrease risk
  • Interpersonal Skills - Builds strong relationships; Flexible and open minded; Receptive to feedback; Motivates employees and peers for the purpose of achieving organizational goals.
  • Professionalism – Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments.
  • Adaptability – Adapts to changes in the work environment; Adjusts methods to best fit the situation; Able to deal with change, delays, or unexpected events. Can work with diverse groups of customers and internal stakeholders.
  • Cultural Sensitivity –Models behaviors that reflect the culture of Reveleer; Awareness of the similarities and differences that exist between employees, teams, departments and customers to build more effective relationships

SALARY RANGE: $80,000 - $90,000 / annually

Our compensation reflects the cost of labor across several US geographic markets. Pay is based on several factors including market location and may vary depending on job-related knowledge, skills, and experience.

Reveleer E-Verifies all new hires.

Reveleer is an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, gender identity, sexual orientation, age, marital status, veteran status, disability status or genetic information, in compliance with applicable federal, state and local law.

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reveleer is hiring a Remote Clinical Operations Training Specialist

Clinical Operations Training Specialist
Reveleer

Reveleer is a healthcare data and analytics company that uses Artificial Intelligence to give health plans across all business lines greater control over their Quality Improvement, Risk Adjustment, and Member Management programs. With one transformative solution, the Reveleer platform enables plans to independently execute and manage every aspect of enrollment, provider outreach and data retrieval, coding, abstraction, reporting, and submissions. Leveraging proprietary technology, robust data sets, and subject matter expertise, Reveleer provides complete record retrieval and review services so health plans can confidently plan and execute risk, quality, and member management programs to deliver more value and improved outcomes.

As a Clinical Operations Training Specialist, you will be a vital member of the team responsible for ensuring all clinical resources are trained and enabled to perform their job duties with good productivity and quality.

ESSENTIAL FUNCTIONS

  • Clinical Trainer: Deploy all in-class training for new hires and current employees to keep them educated on new compliance rules, platform changes, current active projects/programs.
  • Customer Trainer: Train all customers on clinical workflow or new enhancements that affect workflow.
  • Additional duties as necessary to meet the obligations to our customers.

CORE COMPETENCIES

  • Caring – Warm, sincere, calm, cool and collected energy and presence with the ability to develop relationships.
  • Analytical Skills and Attention to Detail– Reviewing clinical documentation and coding .
  • Effectively Communicates – Speaks clearly, listens effectively, and responds well to questions; Writes clearly and informatively; Edits work for errors; Varies writing style to meet needs; Able to read and interpret information; Documents are accurate and delivered on time; Uses good judgement when communicating information
  • Interpersonal Skills - Builds strong relationships; Flexible and open minded; Receptive to feedback; Motivates employees and peers for the purpose of achieving organizational goals.
  • Professionalism – Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments.
  • Adaptability – Adapts to changes in the work environment; Adjusts methods to best fit the situation; Able to deal with change, delays, or unexpected events. Can work with diverse groups of customers and internal stakeholders.
  • Cultural Sensitivity – Models behaviors that reflect the culture of Reveleer; Awareness of the similarities and differences that exist between employees, teams, departments and customers to build more effective relationships
  • Computer Skills – Essential to be skilled in with all Microsoft Suite products (e.g. Excel, Word, Powerpoint, etc.)

SUCCESS CRITERIA

  • 95% of all staff productive and with a combined quality score of over 96%
  • 95% staff retention of all staff trained within 30 days of training
  • 95% satisfaction scores on a post training and onboarding survey for all vendors and employees

SALARY RANGE:$65,000 - $75,000 / annually

Our compensation reflects the cost of labor across several US geographic markets. Pay is based on several factors including market location and may vary depending on job-related knowledge, skills, and experience.

Reveleer E-Verifies all new hires.

Reveleer is an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, gender identity, sexual orientation, age, marital status, veteran status, disability status or genetic information, in compliance with applicable federal, state and local law.

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+30d

Product Manager

reveleerUnited States Remote

reveleer is hiring a Remote Product Manager

Product Manager

Reveleer is a healthcare data and analytics company that uses Artificial Intelligence to give health plans across all business lines greater control over their Quality Improvement, Risk Adjustment, and Member Management programs. With one transformative solution, the Reveleer platform enables plans to independently execute and manage every aspect of enrollment, provider outreach and data retrieval, coding, abstraction, reporting, and submissions. Leveraging proprietary technology, robust data sets, and subject matter expertise, Reveleer provides complete record retrieval and review services so health plans can confidently plan and execute risk, quality, and member management programs to deliver more value and improved outcomes.

Join Reveleer in shaping the future of healthcare with AI! This is a groundbreaking opportunity for an experienced Product Manager (5-7 years) to own and drive the success of a product squad within our transformative AI platform. You'll have the chance to work on cutting-edge technology, make a real impact on patient care, and be part of a high-performing, collaborative team.

If you're:

  • An experienced product leader with a proven track record of successful launches and feature ownership
  • Passionate about data-driven decision making and agile product development
  • Expert in user research and translating customer needs into product solutions
  • Strong communicator with a talent for collaborating across teams (engineering, design, marketing)
  • A champion of building and empowering product squads to achieve shared goals

Then you'll thrive in this role!

Here's what you'll do:

  • Own the product vision and roadmap for your assigned squad: Work with stakeholders to define what success looks like for your product, prioritize features, and drive iterative development.
  • Lead your squad to ship enterprise SaaS products and enhancement: Be the bridge between product vision and execution, guiding your team through every stage of the development process.
  • Deeply understand your users: Conduct user research, analyze data, and translate insights into actionable product decisions.
  • Partner with engineers and designers: Work closely with technical teams to ensure product specifications are clear, feasible, and aligned with user needs.
  • Communicate effectively across the organization: Keep stakeholders informed, build consensus, and advocate for your product with passion and clarity.

Bonus points if you:

  • Have experience in the healthcare or AI space.
  • Understand Agile methodologies and thrive in fast-paced environments.
  • Can code or have strong technical understanding.
  • Are a data-driven decision maker with a knack for problem-solving.

Ready to make a difference in healthcare with AI? We're excited to hear from you!

SALARY RANGE: $95,000 - $115,000 / annually

Our compensation reflects the cost of labor across several US geographic markets. Pay is based on several factors including market location and may vary depending on job-related knowledge, skills, and experience.

Reveleer E-Verifies all new hires.

Reveleer is an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, gender identity, sexual orientation, age, marital status, veteran status, disability status or genetic information, in compliance with applicable federal, state and local law.

Join us and make a real difference in healthcare. Our squads are ready to be unleashed, and we're seeking the visionary leader to guide them.

See more jobs at reveleer

Apply for this job

reveleer is hiring a Remote VP of Product Management

VP of Product Management

Reveleer is a healthcare data and analytics company that uses Artificial Intelligence to give health plans across all business lines greater control over their Quality Improvement, Risk Adjustment, and Member Management programs. With one transformative solution, the Reveleer platform enables plans to independently execute and manage every aspect of enrollment, provider outreach and data retrieval, coding, abstraction, reporting, and submissions. Leveraging proprietary technology, robust data sets, and subject matter expertise, Reveleer provides complete record retrieval and review services so health plans can confidently plan and execute risk, quality, and member management programs to deliver more value and improved outcomes.

Lead the Product Squads, Elevate Our Impact

As our new VP of Product Management, you'll join Reveleer in shaping the future of our transformative healthcare AI company. This is an extraordinary opportunity for a seasoned leader with deep expertise and a passion for building high-performing, data-driven enterprise SaaS products and teams.

You'll thrive in this role if you have:

  • Executional Expertise: 10+ years of successful product management, leading launches and navigating the complexities of healthcare regulations.
  • Operational Maestro: Experience in building and running agile product squads, fostering collaboration, and driving operational excellence.
  • Innovation Catalyst: A keen eye for opportunities and a passion for piloting disruptive products that improve patient care and healthcare efficiency.
  • Technical Acumen: Strong understanding of AI and its application in healthcare, able to break down complex problems and work collaboratively with engineering.
  • Leadership Dynamo: You inspire and empower your team, cultivate individual growth, and champion a customer-centric approach.
  • Collaboration Guru: You excel at building bridges across cross-functional teams, ensuring seamless execution and shared ownership of success.

More than just managing numbers, you'll:

  • Forge a product vision: Aligned with our company's mission, set the strategic direction for our AI product suite, driving innovation and market leadership.
  • Champion the squad model: Build highly effective, data-driven product squads, empowering autonomy, collaboration, and rapid iterative development.
  • Drive cross-functional harmony: Partner closely with engineering, design, and other teams to deliver products that exceed expectations and impact lives.
  • Communicate with conviction: Be a clear, authentic leader, motivating your team and engaging stakeholders with a customer-centric perspective.

SALARY RANGE: $175,000 - $200,000 / annually

Our compensation reflects the cost of labor across several US geographic markets. Pay is based on several factors including market location and may vary depending on job-related knowledge, skills, and experience.

Reveleer E-Verifies all new hires.

Reveleer is an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, gender identity, sexual orientation, age, marital status, veteran status, disability status or genetic information, in compliance with applicable federal, state and local law.

Join us and make a real difference in healthcare. Our squads are ready to be unleashed, and we're seeking the visionary leader to guide them.

See more jobs at reveleer

Apply for this job