DRG (Diagnosis-Related Group) Business Solutions Lead

Tech Stack

Responsibilities

• Define product requirements, audit methodologies, and business logic to support accurate, scalable audit workflows.
• Translate Official Coding Guidelines and MS/APR-DRG Definitions into structured, codifiable audit logic.
• Define and maintain the DRG audit prompt library.
• Partner with product management on product vision, roadmap prioritization, and payment integrity solutions.
• Partner with data science and AI teams to define clinical entity extraction targets and test/refine NLP model outputs.

Soft Skills

Benefits

• Equity
• Health Insurance
• Home Office Budget
• Remote Work
• Unlimited PTO

Culture

Requirements