Innovaccer

Engineer

• Solve Customer Issues: You are the first line of defense for complex technical escalations. You will triage reported issues, reproduce them in safe environments, and often fix them yourself. Where the fixes require more work, you will translate production data into reproducible test cases, unblocking the offshore team and keeping our velocity high. You aren't just closing tickets; you are solving the root cause of customer pain.
• Ship Core Product Code: You are a builder. You will contribute to our TypeScript/Node.js backend, writing features and refactoring legacy code. You will ensure that "support" issues translate into permanent engineering fixes.
• Scale & Optimize: You own the health of the US production environment. You will optimize slow Postgres queries, manage database locking strategies, and build internal tools (like data de-identification pipelines) that allow our global team to ship faster and safer.
• Be Flexible: You will alternate between solving for high-impact customer needs, core development, and ensuring production health and quality.

Forward Deployed Engineer

Medical Billing and Coding

• The Medical Coder is responsible for independently reviewing, analysing, and resolving all assigned front-end claims to ensure accurate and timely claim submission.
• This position focuses on identifying and correcting coding-related issues prior to claim transmission, applying established coding guidelines, payer requirements, and organizational policies.
• The Medical Coder works closely with revenue cycle partners to prevent claim rejections, support clean claim rates, and promote efficient reimbursement processes.
• This role requires strong attention to detail, foundational coding knowledge, and the ability to work independently in a fast-paced environment.
• Averages 10 front-end holds per hour
• Maintains a minimum of 90% coding accuracy.
• Assigns ICD-10-CM and CPT codes with appropriate modifiers for services provided in the professional fee environment.
• Reviews medical records and all applicable documentation to determine appropriate codes for documented services and diagnoses.
• Ensures all diagnosis codes meet local and national medical necessity guidelines.
• Utilizes internal coding resources, payer guidelines, and other reference materials to ensure accurate and compliant coding for all assigned services.
• Follows all HIPAA regulations and upholds the highest standards of privacy and confidentiality.
• Maintains current knowledge of laws, regulations, payer policies, and industry guidance impacting compliant coding practices.
• Independently reviews and resolves all assigned front-end claim holds.
• Actively participates in department meetings, one-on-one meetings, and mentorship meetings with the assigned Coding Team Lead.
• Escalates identified client trends to the assigned Coding Team Lead.
• Escalates all coding-related questions to the assigned Coding Team Lead for guidance and clarification.
• Maintains and completes all CEU requirements.
• Performs other duties or tasks as assigned.

Medical Coding Specialist

• The Medical Coder is responsible for independently reviewing, analysing, and resolving all assigned front-end claims to ensure accurate and timely claim submission.
• This position focuses on identifying and correcting coding-related issues prior to claim transmission, applying established coding guidelines, payer requirements, and organizational policies.
• The Medical Coder works closely with revenue cycle partners to prevent claim rejections, support clean claim rates, and promote efficient reimbursement processes.
• This role requires strong attention to detail, foundational coding knowledge, and the ability to work independently in a fast-paced environment.
• Averages 10 front-end holds per hour.
• Maintains a minimum of 90% coding accuracy.
• Assigns ICD-10-CM and CPT codes with appropriate modifiers for services provided in the professional fee environment.
• Reviews medical records and all applicable documentation to determine appropriate codes for documented services and diagnoses.
• Ensures all diagnosis codes meet local and national medical necessity guidelines.
• Utilizes internal coding resources, payer guidelines, and other reference materials to ensure accurate and compliant coding for all assigned services.
• Follows all HIPAA regulations and upholds the highest standards of privacy and confidentiality.
• Maintains current knowledge of laws, regulations, payer policies, and industry guidance impacting compliant coding practices.
• Independently reviews and resolves all assigned front-end claim holds.
• Actively participates in department meetings, one-on-one meetings, and mentorship meetings with the assigned Coding Team Lead.
• Escalates identified client trends to the assigned Coding Team Lead.
• Escalates all coding-related questions to the assigned Coding Team Lead for guidance and clarification.
• Maintains and completes all CEU requirements.
• Performs other duties or tasks as assigned.

Medical Coding Specialist – I

Account Manager

• Participate in PQS business and new product development in the pharmacy sector.
• Example: EQUIPP Copilot launch, GTM readiness and adoption.
• Manage the services delivered to assigned pharmacy clients including monthly reporting efforts, access to EQUIPP and any network processes.
• Oversee development and execution of contracts for assigned pharmacy clients and their various support networks.
• Establish service levels for assigned pharmacy clients and improve engagement/embeddedness with EQUIPP performance information.
• Develop and enrich communications with other team members that will be shared with pharmacy team, including “PQS Monthly Notes” and the “EQUIPP Refresh Notice”.
• Contribute to Weekly Client Services calls for both internal and external stakeholders.
• Create and support a process of goal setting for individual accounts and overall goals and targets to reach those goals on an annual basis.
• Including facilitating the process of any new work or development items identified and being the customer’s champion for the work from inception to deployment.
• Responsible for client relationship management with a select group of pharmacy clients.
• Build and maintain positive relationships with select pharmacy clients.
• Improve and expand user engagement and experience with EQUIPP performance data.
• May include travel to corporate headquarters for select clients.
• Develop tailored approaches to manage relationships based on client needs.
• Provide client specific guidance on adoption of quality improvement processes that can impact performance measurement scores.
• Provide training and resources for clients as it relates to medication-related quality measures and specifically, use of EQuIPP.
• Attend Conferences and trade shows where community pharmacists are the primary audience.
• Improve utilization of EQUIPP Support through current support service desk, covering PQS contract-related questions from pharmacies or general support questions from select pharmacy clients.
• Work collaboratively with all PQS staff as well as its parent companies to ensure that PQS’s mission and plans are carried out successfully.
• Travel- Approximately 30% of the time will be spent out of the office

Pharmacy Account Manager

Product Manager

• Serve as the CPO's thought partner and operational deputy, preparing briefing materials, driving follow-through on key initiatives, and acting as a proxy in select forums.
• Own the CPO's planning calendar: quarterly business reviews, product leadership offsites, board and executive updates, and annual planning cycles.
• Distil complex, cross-functional inputs into crisp written recommendations, decision documents, and narratives for senior audiences.
• Identify issues before they surface to the CPO — proactively resolving blockers, brokering alignment, and escalating only what truly requires executive attention.
• Design and stand up the product operating model for an AI-native organization — including portfolio prioritization, OKR processes, roadmap governance, and cross-functional rituals.
• Build lightweight, high-signal reporting cadences that give the CPO and product leadership real-time visibility into progress, risks, and decisions.
• Drive quarterly and annual planning: coordinating inputs from product, engineering, design, data science, and go-to-market teams into a coherent, executable plan.
• Identify operational inefficiencies and eliminate them — the goal is a product organization that ships faster and with less friction, not more process.
• Lead high-priority transformation programs on behalf of the CPO — spanning organizational design, AI adoption, new capability builds, and cross-functional change management.
• Act as a program manager for initiatives that cut across multiple teams and do not have a natural single owner.
• Build the infrastructure for how the product organization makes and communicates decisions — from DACI frameworks to async-first working norms.
• Partner with People, Finance, and Legal as needed to bring structure to people and resource decisions in the product org.
• Help shape what it means to operate as an AI-native product organization — piloting new tools, workflows, and norms and socializing them across the team.
• Build muscle around how the product organization consumes, generates, and acts on AI-driven insights.
• Partner with product and design leadership to embed AI-first thinking into how we scope, prototype, and evaluate work.

Head of Product Transformation

Vice President

• Define and own the multi-year product strategy for Innovaccer's population health platform — spanning risk adjustment, quality and HEDIS, care management, and network performance — with AI as the foundational layer across every capability.
• Develop a differentiated point of view on where the market is heading and translate that into an AI-first product roadmap that positions Innovaccer ahead of the curve.
• Partner with the CPO to shape Innovaccer's overall product narrative and communicate strategy to customers, investors, and internal stakeholders.
• Stay close to the evolving regulatory and reimbursement landscape — CMS programs, ACCESS, STARS, MSSP, ACO REACH, and state-level value-based contracts — and build product decisions around it.
• Lead, develop, and grow a team of product managers working across the population health portfolio, cultivating an AI-first mindset and skillset throughout the team.
• Set a high bar for product quality — from discovery and problem definition through to launch and iteration — and model that standard for the team.
• Own the prioritization process across the portfolio, balancing strategic bets with near-term customer commitments and platform investments.
• Drive alignment across engineering, data science, design, and clinical SMEs to ensure the team ships high-quality, high-impact products on a predictable cadence.
• Establish clear success metrics for the portfolio and build a culture of measurement, learning, and iteration — leveraging AI-powered analytics to close the feedback loop faster.
• Be the product voice with Innovaccer's largest and most strategic population health customers — joining key conversations, absorbing feedback, and closing the loop back into the roadmap.
• Partner with sales, pre-sales, and customer success to understand where the product wins, where it loses, and what it would take to move the market.
• Develop deep relationships with customer clinical and operational leaders — medical directors, CMOs, quality officers, and population health program leads — to inform product strategy from the ground up.
• Represent Innovaccer's product perspective in external forums: industry conferences, advisory boards, and regulatory consultations.
• Champion an AI-first development philosophy across the entire product lifecycle — from how we define problems and scope solutions, to how we prototype, validate, launch, and iterate. AI-native is the default; everything else requires justification.
• Serve as an active evangelist for AI in product development: run working sessions, establish best practices, and raise the bar for what the team expects from itself when it comes to leveraging AI tools in their daily workflows — from discovery and spec writing to QA and release.
• Own the mandate to ensure every population health capability is built on and scales within Innovaccer's AI-native platform — working closely with platform, engineering, and data science to maintain architectural integrity as the portfolio grows.
• Ensure hands-on adoption of AI-powered product development tools across the PM team — including AI-assisted research synthesis, automated feedback analysis, generative prototyping, and intelligent backlog management — and hold the team accountable for using them.

VP, Product – Population Health

• Own stakeholder management end-to-end. Set and manage expectations across both organizations. Build deep, trust-based relationships with GSI leadership and orchestrate Innovaccer’s executive sponsorship in return. Diffuse friction early, surface issues at the right altitude, and keep both sides aligned on shared outcomes.
• Drive the joint pipeline and hit joint revenue commitments. Build, qualify, and close partner-sourced opportunities. Sit in on partner sales calls, run executive demos, handle objections, and move deals through the funnel alongside the GSI’s account teams. Own the partnership scorecard against shared commitments.
• Represent Innovaccer at end customers. When your GSI partner brings Innovaccer into a customer conversation — payer, provider, or life sciences — you are the senior voice in the room. Land the platform narrative, scope the right Gravity capabilities, and pull in the right Innovaccer SMEs at the right time.
• Maximize Gravity consumption, drive renewals, and grow the partnership. Help your GSI deploy and activate the Gravity licenses they have committed to, then turn early wins into bigger commitments through expansion, renewal growth, and net-new license purchases year over year.
• Open net-new logos and cross-sell Innovaccer’s broader portfolio. Use the GSI’s account relationships to bring Innovaccer into customers we would not otherwise reach. Once a customer is in via the GSI, expand the footprint with Innovaccer’s broader product portfolio.
• Build joint solutions and new monetization streams. Partner with the GSI’s solution and product teams to identify, scope, and bring to market co-built solutions on Gravity — creating new joint revenue streams that scale beyond individual deal-by-deal selling.
• Stand up the Partner Center of Excellence and run sales enablement at scale. Drive the standup and growth of the GSI’s Gravity practice — certified resources, named champions, repeatable solutions. Make their sellers Gravity-fluent through bootcamps, certifications, battle-cards, and ride-alongs.
• Run a satellite deal desk for the GSI. Be the single point of contact for pricing, deal structuring, contract questions, and order processing. Coordinate Innovaccer’s commercial, legal, and finance teams to keep partner deals moving fast.
• Carry the voice of the partner into Innovaccer. Surface real-world solution gaps, win-loss themes, and roadmap asks back to Innovaccer’s product organization. Drive reference customers, case studies, and joint marketing that amplify the partnership.

Director – Partnerships and Alliances

Artificial Intelligence

• Diagnose. Work closely with health system leadership — CMOs, VPs of Population Health, CFOs — to identify the highest-value operational challenges such as care gap closure, risk adjustment leakage, referral management breakdowns, and readmission hotspots. You’ll go deeper than a traditional consultant because you’re not writing a report, you’re building the solution.
• Build. Lead Healthcare AI Bootcamps, working alongside a dedicated engineering team to use the customer’s own data to build AI-powered workflows in real time. Customers will see their patient populations risk-stratified, care gaps identified, and AI agents deployed — not in a demo environment, but on their actual data.
• Sell. Present outcomes to C-suite executives and translate technical results into financial impact: quality bonuses captured, risk adjustment revenue recovered, and readmissions avoided. You will carry a revenue target because your work is central to both winning and expanding customer partnerships.
• Scale. Own the customer relationship from the initial bootcamp through enterprise-wide deployment. Identify new use cases, enable the customer’s team to self-serve, and help establish a Center of Excellence built on Innovaccer’s platform.
• Shape the Product. Bring field insights directly into the product roadmap. The patterns you see across customers will help define the next generation of platform capabilities. You’re not just deploying AI you’re helping shape the future Healthcare Operating System.

Healthcare AI Transformation Strategist

Analyst

• Collect, clean, and analyze large healthcare datasets using statistical and data analysis techniques, including medical claims/encounter data, pharmacy, and patient registries.
• Conduct descriptive and inferential statistical analyses to assess healthcare utilization patterns, treatment effectiveness, cost-effectiveness, and patient outcomes.
• Collaborate with internal team and external client to design and execute HEOR studies, ensuring alignment with research objectives and regulatory requirements.
• Generate comprehensive reports, presentations, and visualizations to ensure high quality of deliverables and effectively communicate findings to decision-makers.
• Support the growth of the business through the development of strong client relationships.
• Stay abreast of emerging trends, methodologies, and best practices in HEOR and healthcare data analytics, contributing to continuous improvement initiatives within the organization.
• Adhere to data privacy and regulatory guidelines, ensuring the ethical and secure handling of sensitive healthcare information.

Senior HEOR Analyst

Project Manager

• Lead delivery of AI-driven programs aligned to customer contracts and strategic initiatives.
• Partner with executive stakeholders to define problem statements, success metrics, and delivery scope.
• Translate high-level AI concepts into executable plans with clear milestones, owners, and dependencies.
• Drive execution across cross-functional teams including product, engineering, data science, security, and customer success.
• Create and maintain project, release, and sprint plans; present updates to customer and internal leadership.
• Track execution using tools such as Jira, Smartsheet, and Confluence.
• Develop and maintain consulting-grade delivery artifacts including project charters, roadmaps, governance decks, and executive readouts.
• Proactively identify and manage risks related to data readiness, integration complexity, compliance, and change management.
• Prepare and publish weekly, monthly, and executive governance updates with a focus on outcomes, not activity.
• Manage resource capacity, utilization, and delivery tradeoffs across parallel initiatives.
• Lead customer and internal working sessions; document decisions and drive action items to closure.
• Partner closely with product, engineering, data science, and infrastructure teams to unblock execution.
• Own transition from pilot or build phases into production deployment and steady-state support.
• Track and report KPIs and OKRs tied to delivery health, adoption, and value realization.
• Identify and remove organizational, process, and cultural impediments to delivery.
• Serve as a trusted execution partner and advisor to customers and internal leadership.

Senior Project Manager, Healthcare Consulting

Growth Marketing

• Define and continuously refine the go-to-market strategy for the Payer and Public Sector segments, including market prioritization, competitive positioning, and solution packaging.
• Translate deep domain knowledge of payer operations, Medicaid managed care, Medicare Advantage, and government health programs into actionable strategy and compelling narratives for prospects and internal stakeholders.
• Identify white space, emerging policy trends, and shifts in the competitive landscape that inform both near-term pipeline activity and longer-term product investment.
• Serve as the senior subject matter expert and executive-level advisor across deals of all sizes — from early-stage pipeline development through large enterprise pursuits.
• Partner with Sales leaders on consultative discovery with prospects and customers; help define value pathways and solution strategies tailored to each buyer’s specific business priorities and pain points.
• Engage directly with C-suite and senior-level client contacts to build credibility, deepen relationships, and position Innovaccer as a trusted strategic partner.
• Build content, decks, ROI models for deals, RFP,RFI responses etc., ensuring responses reflect both technical accuracy and strategic differentiation.
• Build the internal business case for new product investments, roadmap priorities, and go-to-market pivots by synthesizing client feedback, deal learnings, and market intelligence.
• Collaborate with Product teams on solution positioning, roadmap input, and the development of value propositions for key solution areas including data & analytics, AI, population health, care management, risk adjustment, quality management (HEDIS), utilization management, member engagement, and value-based care.
• Partner with Marketing on thought leadership content, conference strategy, and the development of segment-specific collateral.
• Coordinate across Sales, Legal, Finance, Customer Success, and technical SMEs to ensure deal teams have the materials and context needed to win.
• Lead, develop, and inspire a team of Growth Strategy professionals who deliver presentations, RFP responses, and marketing materials in support of the sales cycle.
• Coach team members on strategic thinking, messaging quality, and cross-functional effectiveness; create development pathways that build both tactical excellence and longer-term strategic capability.
• Model the standard for subject matter depth and client-centric storytelling across the team.
• Represent Innovaccer at industry conferences, panels, and client events as a recognized voice on payer and government health strategy.
• Contribute to and review thought leadership content, white papers, and point-of-view materials that differentiate Innovaccer in the market.
• Help build Innovaccer’s profile with key stakeholders in the Commercial, Medicaid, Medicare Advantage, and public sector health ecosystem.

Director – Growth Strategy, Payer & Public Sector

Senior Project Manager

Customer Success Manager

• Client Relationship Management: Serve as the senior point of contact for government and public sector accounts; build and sustain trusted relationships with program directors, agency executives, and key stakeholders at Medicaid agencies, CMS partner programs, and federal and state health departments.
• Program Delivery Accountability: Own end-to-end delivery of commitments across your portfolio; partner closely with delivery, product, and engineering teams to ensure outcomes are met on time, within scope, and aligned to contractual and regulatory requirements.
• Customer Success Leadership: Lead, develop, and mentor a team of Customer Success Managers and account leaders; coach them to be trusted advisors, manage complex government accounts, and consistently deliver measurable client value.
• Retention & Growth: Drive account retention and expansion across your portfolio; identify opportunities to deepen Innovaccer's footprint within existing programs and position the platform for broader adoption across agencies and program areas.
• Metrics Ownership: Deliver on core performance metrics including CARR, ARR expansion, churn, NPS, and CSAT across your book of business.
• Cross-Functional Collaboration: Partner with Sales, Product, Marketing, and Technical teams to align on client strategy, manage expectations, and deliver a unified client experience tailored to government procurement and compliance environments.
• Market Presence: Maintain a consistent, visible presence within client organizations — understanding evolving program priorities, policy changes, and operational challenges that create opportunities for Innovaccer to add value.
• Escalation Management: Serve as the senior escalation point for your accounts; navigate complex client situations with professionalism and urgency, resolving issues while protecting long-term relationships.
• Best Practices: Contribute to and continuously improve team playbooks and frameworks specific to government and public sector account management.

Managing Director, Customer Success – Healthcare Govt Vertical

Data Scientist

• Work independently to analyze and interpret healthcare utilization and financial data to address business questions regarding population health management, health and economic outcomes, quality of healthcare, and product design.
• Work with clients to identify historical and future cohort populations, calculate utilization and costs, and estimate financial results under different models.
• Work with clients to provide insights about new opportunity assessment.
• Use SAS, SQL, and Tableau to design platforms to report on various healthcare deliverables.
• Track issues with reports, including defects in logic, data quality problems, and process errors.
• Build up predictive models to segment patients.
• Support analytical research projects using your statistics and modeling skills.