{"id":2497385,"url":"https://alion.io/job/team8-bluespine-payment-accuracy-and-concept-lead-ai-driven-2","title":"Bluespine-Payment Accuracy and Concept Lead (AI-Driven)","company":{"id":50633,"name":"Team8","domain":"team8.vc","url":"https://alion.io/company/team8","size_band":"51-200","is_staffing_agency":false,"employer_type":"direct","is_intermediary":true,"listed_via":null,"ats_vendor":"Comeet","truth_index":null},"role":"AI/ML","role_family":"AI/ML","seniority":"lead","employment_type":null,"work_mode":"remote","remote_scope":"stated_countries","remote_scope_basis":"board_field","remote_working_hours":null,"hiring_geo_confidence":"structured","locations":[],"countries":[],"hiring_countries":["US"],"hiring_countries_total":1,"salary":null,"salary_estimate":{"min_usd":199000,"max_usd":355000,"period":"year","method":"role_seniority_country_remote_cell","sample_n":180},"experience_years_min":null,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[],"status":"live","first_seen_at":"2026-06-22T15:56:06Z","employer_posted_date":"2026-06-22","last_verified_at":"2026-10-25T18:50:55Z","board_verified":true,"closed_at":null,"days_open":125,"trust":{"level":"stale","repost_count":0,"flags":["stale"],"days_open":124},"description":"Description\nBluespine is an innovative new startup in the health-IT domain. By employing cutting-edge technologies, Bluespine is developing an engine that detects errors in medical billing, which causes billions of dollars in losses across the entire industry. Bluespine can offer personalized precision by tailoring assessments to each unique medical claim, considering the relevant provider, payer, and plan, and ensuring unparalleled accuracy.\nWe are looking for a Payment Accuracy and Concept Lead to discover medical billing errors and fraudulent billing patterns of medical claims for commercial payers.\nUtilized Bluespine platform to develop and enhance new audit concepts using healthcare. Leads concept creation across multiple audit verticals, collaborating with R&D for testing\nResponsibilities\nLeverages the Bluespine platform to develop and refine new audit concepts in healthcare. Leads concept creation across multiple audit verticals.\nWorks closely with Medical Coders, Data Sciences, and Engineering teams to ensure alignment and drive impactful results\nLead in-depth research of new ideas and concepts\nRequirements\nExtensive knowledge of medical terminology, medical records, health information management, medical coding, DRG methodologies, CPT/HCPCS coding guidelines, physician specialty guidelines, reimbursement programs, claims adjudication processes, member contract benefits, and provider billing systems and practices.\nPrevious auditing or consulting experience in a provider or payer environment is preferred\nAdvantages\nRegistered Nurse required; Bachelor's or Graduate degree\nPrevious auditing or consulting experience with self-insured companies","description_format":"text","description_chars":1675,"description_truncated":false,"requirements":{"experience_years_min":null,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":{"level":"bachelor","optional":false},"security_clearance":false,"languages":[]},"benefits":[],"hiring_locations":[{"name":"United States","iso":"US","kind":"country"}],"hiring_excludes":[],"relocation_offered":false,"industries":["Venture Capital"],"lifecycle":[{"event":"open","at":"2026-10-14T05:11:24Z"}],"visa":[],"liveness":{"score":14,"band":"cold","label":"Long shot","p_open":1,"p_active":0.497,"p_room":0.28,"age_days":124,"expected_fill_days":18,"reasons":["conf:2","velocity","win:tail","crowd:"],"computed_at":"2026-10-25T05:49:26Z"},"pay":null,"html_url":"https://alion.io/job/team8-bluespine-payment-accuracy-and-concept-lead-ai-driven-2","json_url":"https://alion.io/job/team8-bluespine-payment-accuracy-and-concept-lead-ai-driven-2.json","meta":{"generated_at":"2026-10-25T21:58:11Z","cache_seconds":300,"methodology":"https://alion.io/methodology","terms":"https://alion.io/terms","contact":"https://alion.io/contact","api":"https://alion.io/developers","about":"Alion is a live layer of people, companies and AI agents: who they are, whether they are real and active right now, what they do and how to work with them, readable by people and by agents and paid per call.","catalog":"https://alion.io/catalog.json","usage":{"tier":"crawler_verified","counted_by":"address","units_charged":1,"used_today":31041,"day_limit":null,"remaining_today":null,"minute_limit":300,"resets_at":"2026-10-26T00:00:00Z"}},"offers":[{"id":"company.slices","title":"One company in depth, by slice","status":"live","price":{"credits":0.02,"usd":0.002,"plus_per_slice":{"credits":0.05,"usd":0.005}},"unit":"per company, plus each slice with data","note":"the employer in depth","call":{"mcp_tool":"get_company","arguments":{"id":50633},"rest":"https://alion.io/mcp/rest/get_company?id=50633"},"human":"https://alion.io/catalog?offer=company.slices&for=job%2Fteam8-bluespine-payment-accuracy-and-concept-lead-ai-driven-2"},{"id":"market.stats","title":"A market slice: pay, demand and time to fill","status":"live","price":{"credits":1,"usd":0.1},"unit":"per slice","note":"pay, demand and time to fill for this role and place","call":{"mcp_tool":"market_stats"},"human":"https://alion.io/catalog?offer=market.stats&for=job%2Fteam8-bluespine-payment-accuracy-and-concept-lead-ai-driven-2"},{"id":"job.search","title":"Open jobs by role, technology, place, pay and visa","status":"live","price":{"credits":0.02,"usd":0.002},"unit":"per posting in a list","note":"similar open postings","call":{"mcp_tool":"search_jobs"},"human":"https://alion.io/catalog?offer=job.search&for=job%2Fteam8-bluespine-payment-accuracy-and-concept-lead-ai-driven-2"},{"id":"company.verify","title":"Is this company real and active right now","status":"pilot","price":null,"unit":"per company","request":{"url":"https://alion.io/catalog/request","method":"POST","body":"{\"offer\": \"company.verify\", \"for\": \"job/team8-bluespine-payment-accuracy-and-concept-lead-ai-driven-2\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Fteam8-bluespine-payment-accuracy-and-concept-lead-ai-driven-2"}]}