Remote | Managed Care Payment Variance Review Consultant — Up to $65/hour

We are sharing a specialised part-time consulting opportunity for United States-based healthcare revenue cycle professionals experienced in underpayment recovery, managed care contract interpretation, payment variance analysis, payer reimbursement methodologies, contract compliance monitoring, and revenue cycle analytics. This role supports current and upcoming remote consulting opportunities focused on AI-assisted underpayment detection, managed care contract compliance review, payment variance evaluation, and high-quality project execution. Selected professionals will apply payer contract and reimbursement expertise to evaluate AI-generated underpayment alerts, review contract compliance outputs, identify payment discrepancies, and provide structured feedback based on detailed project criteria. Key Responsibilities Professionals in this role may contribute to: Underpayment & Payment Variance Review Review underpayment detection workflows involving commercial, Medicare Advantage, and Medicaid managed care payer contracts Evaluate AI-generated underpayment alerts, payment variance analyses, and contract compliance outputs for accuracy and completeness Identify payment discrepancies, systematic underpayment patterns, incorrect reimbursement logic, and unsupported variance findings Assess recovery opportunities involving claim payments, payer remittances, contract terms, and reimbursement methodologies Managed Care Contract Interpretation Interpret managed care contract terms, including fee schedules, carve-outs, outlier provisions, payment methodologies, and payer-specific reimbursement rules Review contract modeling and payment reconciliation outputs to determine whether payments align with expected reimbursement terms Assess outputs involving DRG-based, per diem, percent-of-billed charges, fee schedule, and other payer payment structures Identify contract language gaps, payer behavior patterns, and potential renegotiation or recovery opportunities where relevant Structured Feedback & Revenue Cycle Quality Control Annotate AI-generated payment variance and contract compliance outputs and provide structured feedback to support quality improvement Explain review decisions clearly, consistently, and with strong managed care and revenue cycle judgment Evaluate outputs for alignment with payer contract terms, HIPAA requirements, timely filing rules, and underpayment recovery workflows Follow detailed task instructions, quality criteria, and project-specific review guidelines accurately Ideal Profile Strong candidates may have: 5+ years of experience in underpayment recovery, payment variance analysis, managed care contracting, revenue cycle operations, or related healthcare finance functions Demonstrated expertise in payer contract interpretation and payment discrepancy analysis Deep knowledge of payer payment methodologies, including DRG-based, per diem, percent-of-billed charges, and fee schedule reimbursement Strong experience with contract modeling, payment reconciliation, payer dispute resolution, and underpayment recovery workflows Familiarity with managed care contract management systems, payment variance detection tools, and revenue cycle analytics platforms Proficiency with Excel-based financial analysis and healthcare revenue cycle data review Exceptional written and verbal English communication skills High attention to detail and ability to identify payment discrepancies in complex contract structures and AI-generated outputs Educational Background Professional background in healthcare revenue cycle operations, managed care contracting, underpayment recovery, reimbursement analysis, contract compliance, healthcare finance, or payer relations is highly relevant Experience in hospitals, health systems, large physician groups, revenue cycle departments, managed care teams, or payment integrity functions may be especially valuable Practical experience with contract management software, payment variance tools, payer dispute workflows, financial analysis, or reimbursement modeling may support project fit Formal education in healthcare administration, finance, accounting, business, economics, analytics, or a related field may be relevant depending on project scope Nice to Have CHFP, CRCR, managed care contracting certification, or similar healthcare finance or revenue cycle credential Experience with contract management software such as Experian Health, Recondo, or similar platforms Background in hospital, health system, or large physician group underpayment recovery operations Familiarity with AI tools and comfort evaluating AI-generated payment variance, contract compliance, or reimbursement content Experience negotiating payer contracts or presenting underpayment analysis to managed care, finance, or executive leadership teams Strong ability to identify contract language issues, recurring payer underpayment patterns, and recovery prioritization opportunities Why This Opportunity Apply managed care contract and underpayment recovery expertise to structured remote healthcare project work Contribute to high-quality AI-assisted payment variance detection and contract compliance evaluation Use reimbursement analysis, payer contract interpretation, and revenue cycle judgment in a focused review environment Work on flexible assignments aligned with healthcare finance, managed care, underpayment recovery, and payment analytics expertise Remote structure with competitive hourly compensation Contract Details Independent contractor role Fully remote with flexible scheduling United States-based professionals are required for this opportunity Part-time project-based commitment depending on availability, onboarding status, and project needs Competitive rates of up to $65 per hour depending on underpayment recovery experience, managed care expertise, contract interpretation background, and project scope Weekly payments via Stripe or Wise Projects may be extended, shortened, or adjusted depending on scope and performance Work will not involve access to confidential or proprietary information from any employer, client, or institution About the Platform This opportunity is available through 24-MAG LLC. 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