About Alaffia & Our Mission
Each year, the U.S. healthcare system suffers from over $500B in wasted spending due to medical billing fraud, waste, and administrative burden. At Alaffia, we’re on a mission to change that. We’ve assembled a team of clinicians, AI/ML engineers, and product experts to build advanced AI that finally bends the cost curve for all patients across our ecosystem. We’re a high-growth, venture-backed startup based in NYC and are actively scaling our company.
About the Role
We are seeking a clinically trained, detail-oriented Doctor of Medicine (MD) to support and lead clinical audit functions for our health plan partners. The ideal candidate will have experience performing clinical reviews of facility claims on behalf of payers, including DRG validation, readmission reviews, short stay assessments, and other medical necessity determinations.
This individual will play a critical role in evaluating inpatient and outpatient claims and delivering defensible clinical determinations. You will collaborate closely with internal audit, product, and AI engineering teams to improve our AI-driven review tools and audit logic. This is a high-impact, fast-paced role suited for someone excited to innovate in healthcare while working at the intersection of clinical review and technology.
What You’ll Be Doing
What We’re Looking For
What Else Do You Get Working With Us?
Please note: Alaffia Health does not provide employment sponsorships at this time
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