Verse

Analyst

• Analyze denial patterns across payers, HCPCS codes, and product lines to identify systemic root causes to aid in the development of actionable remediation strategies.
• Conduct direct payer outreach, calling insurance representatives, and escalating cases to discover the root cause of denials and underpaid claims.
• Build and maintain denial, issue, and project tracking dashboards and reporting packages that give leadership a clear view of denials, causes, and the ongoing work to fix the denials.
• Develop methodologies in coordination with the head of RCM for denial prioritization.
• Perform root cause analysis on high-volume and high-dollar denials, documenting findings and presenting recommendations.
• Partner with coders, billers, and front-end staff to share insights and reduce revenue leakage through upstream gaps contributing to recurring denials (eligibility, auth, coding, documentation).
• Monitor payer policy changes and updates, flagging impacts to current billing practices and advising on workflow adjustments.
• Collaborate with product and engineering to provide detailed insights into the root cause of denials and assist in crafting solutions.

RCM Analyst

Analytics Engineer

• Develop clean, well-structured data models that support business operations, executive reporting, and advanced analytics.
• Partner with functional stakeholders to translate business problems into scalable, actionable data solutions.
• Establish a semantic layer, documentation standards, and freshness SLA.
• Ensure data accuracy, quality, and compliance through governance, observability, and monitoring best practices.
• Improve data architecture and storage solutions to enhance performance, reduce costs, and optimize batch and real-time workflows.
• Contribute to PHI-adjacent modeling work with best practices on governed data separation.
• Own the ongoing reliability and evolution of production data products, driving projects from concept to execution.
• Operate with initiative and autonomy in a fast-paced, mission-driven environment.

Customer Success Manager

• Managing a portfolio of Verse accounts (clinic and hospital users)
• Manage the handoff process from the sales team & quarterly business reviews
• Resolve high priority and high impact issues in tandem with our operations team
• Identify growth opportunities within accounts to execute on expansion
• Implement new processes within Customer Success that enable us to scale
• Monitor and mitigate account churn
• Collaborate with customers to ensure timely and compliant documentation for successful insurance billing

Medical writer

• Review patient charts and documentation against defined coverage criteria
• Work with internal AI software that enables review productivity
• Apply structured processes to determine documentation sufficiency
• Identify missing or inconsistent documentation and flag appropriately
• Produce clear, standardized written summaries of review outcomes
• Meet daily throughput and quality targets (e.g., reviews/day, QA pass rates)
• Incorporate feedback from QA and continuously improve accuracy and speed
• Collaborate with product team to refine software over time

Clinical Documentation Review Nurse

Account Manager

• Lead deals with health plan customers to achieve multi-year contracts
• Own critical relationships and opportunities with health plan leadership
• Build and maintain a robust sales pipeline through personal prospecting and collaboration with internal teams
• Meet or exceed quarterly and annual targets
• Help shape Verse’s payor partnerships playbook and processes
• Design and sell innovative contract models
• Represent Verse at conferences and industry events

VP, Payor Partnerships

Sales

• Oversee the daily operations of the AE team, providing guidance, support, and mentorship to ensure team members achieve their goals.
• Create and execute strategies to improve customer acquisition, prospecting, and appointment-setting processes.
• Conduct regular training sessions to enhance the skills and effectiveness of the AE team, focusing on best practices and continuous improvement.
• Track and analyze key performance metrics, providing regular reports to the Head of Sales and implementing corrective actions as needed.
• Work closely with the SDR team to align strategies and ensure a seamless handoff of qualified leads to Account Executives.
• Foster a positive and high-energy work environment, motivating the team through recognition, incentives, and team-building activities.
• Participate in the hiring process to build a strong, cohesive AE team.

SMB Sales Manager

Operations

• Work with clinics, supply partners, insurance companies and patients to ensure delivery of care
• Troubleshoot issues that come up within the delivery of care
• Learn the complexities of the healthcare industry and how the different pieces fit together in our business
• Collaborate cross-functionally with Verse Medical’s internal operations, customer service, and customer success teams to coordinate responses to high-urgency issues

Operations Associate

Data Engineer

• Design, build, and manage robust data pipelines that ingest, process, and integrate data from multiple sources.
• Develop clean, well-structured data models that support business operations, executive reporting, and advanced analytics.
• Improve data architecture and storage solutions to enhance performance, reduce costs, and optimize batch and real-time workflows.
• Ensure data accuracy, quality, and compliance through governance, observability, and monitoring best practices.
• Work across technical and non-technical stakeholders to translate business problems into scalable, actionable data solutions.
• Own the ongoing reliability and evolution of production data products, driving projects from concept to execution.
• Operate with initiative and autonomy in a fast-paced, mission-driven environment.

Medical Reviewer

• Ensure each surgical dressing order is fully compliant with every CMS regulation
• Interpret and operationalize LCD L33831 + Policy Article for surgical dressings
• Build a 2‑gate QA on all surgical‑dressing claims
• Lead UPIC/MAC ADR responses (pre‑ and post‑pay)
• Train customer-facing team members and billers on specific documentation

Medical Reviewer, Surgical Dressings

Compliance

• Own the machinery that keeps us compliant with CMS and payors (e.g. ensuring our facilities, accreditations, and licenses are always current).
• Design the process, run the work, and build a small team.
• Deliver accurate, on time, zero defect execution.
• Maintain accreditation requirements such as policies, logs, training, disaster plans, and environment of care.
• Lead mock surveys and corrective actions. Keep facilities ready for audits & reaccreditations every day.
• Own state DMEPOS licenses, renewals, expansions, and relocations. Manage NPIs, PTANs, revalidations in PECOS, surety bonds, and CLIA if applicable.
• Track expirations and filings with no lapses.
• Manage compliance requirements for downstream entities and within partnerships.
• Deliver training to front line teams. Implement simple audits to confirm adoption.
• Hire and coach a small pod such as a licensing & compliance coordinator and a QA analyst.
• Implement lightweight dashboards that cover audit cycle times, overturn rates, error categories and license statuses.

Director of Compliance Operations

Customer Support

• Respond to inbound clinic inquiries via phone, email, and chat
• Troubleshoot order issues, product questions, shipping updates, and documentation needs
• Coordinate cross-functionally with Ops, Billing, and CSM teams to resolve escalations
• Ensure timely follow-up and clear communication with clinics
• Assist clinics with product selection, substitutions, and ordering guidance
• Support documentation collection and order processing workflows
• Identify and proactively flag at-risk orders or delays
• Maintain clean and accurate documentation in Kustomer (our ticketing system)
• Contribute to knowledge base updates and SOP documentation
• Act as a voice of the clinic and patient internally
• Escalate urgent issues appropriately and with strong ownership
• Deliver high-empathy communication in time-sensitive or sensitive situations