Health Admins

Team Lead

• Lead a team of 4-7 Claims Processors and Senior Claims Processors, providing ongoing support, answering questions, and offering guidance in handling complex or escalated cases.
• Oversee daily claims processing tasks, ensuring timely and accurate handling of member claims, reviewing medical invoices, and processing payments in alignment with company guidelines and deadlines.
• Serve as the primary point of contact for escalated issues, working closely with members and providers to resolve disputes or sensitive cases.
• Assist in training new and junior staff members, providing coaching and feedback to help them grow and improve their performance.
• Work closely with Management to monitor department performance, track KPIs, and implement process improvements as needed.
• Coordinate with various departments to enhance the claims processing experience for members and ensure a seamless workflow.
• Identify inefficiencies within the team and recommend automation, system enhancements, or procedural changes to optimize claims processing.
• Ensure compliance with internal and external policies by maintaining accurate member records in the CRM system and conducting periodic audits of claims processed by the team.
• Handle direct communication with members, ensuring queries and escalations are managed with professionalism, empathy, and accuracy.

Claims Team Lead

AI Engineer

• Own AI architecture across cloud platforms (AWS Bedrock, Google Vertex AI)—you'll make the calls on what we build and how
• Design RAG systems end-to-end, from document ingestion and chunking strategy through retrieval optimization and generation quality
• Build agentic systems using modern patterns: MCP (Model Context Protocol), tool-use, function calling, and orchestration frameworks like LangGraph
• Define observability and evaluation so we know our AI is actually working in production—not just demo-ing well
• Manage cost at scale—model selection tradeoffs, token economics, and budget forecasting as we grow
• Establish guardrails and compliance patterns, particularly for healthcare data and HIPAA requirements
• Mentor and guide implementation-level developers as the team grows
• Ship production systems—this isn't a strategy-only role; you'll write code and deploy real solutions

Claims Team Lead

Senior AI Developer – Architect