Medical Liaison Manager at Hive Health

We are on a mission to make healthcare radically more accessible for all. We are looking for a Medical Liaison Manager to lead our medical adjudication operations and drive continuous process improvements.

Requirements

• Lead and manage the medical liaisons team to meet accuracy, quality, and service targets
• Oversee daily adjudication operations to ensure claims are processed efficiently and in compliance with policy guidelines
• Conduct audits to ensure claims accuracy, completeness, and consistency with internal standards
• Identify potential cases of fraud, waste, or abuse (FWA) and coordinate investigations with Legal and Compliance
• Work cross-functionally with Claims, Provider Partnerships and Healthcare Services to address recurring operational issues
• Monitor key metrics such as turnaround time, quality scores, and error rates, and implement corrective measures as needed
• Drive continuous process improvements to enhance provider and member experience in the claims process

Benefits

• Comprehensive healthcare coverage for you and your dependent
• Paid time off from the start
• Mentorship, career development, and learning opportunities
• Global connections with top minds at Harvard, Stanford, and beyond