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About the Role

This role supports the design, deployment, and optimization of AI-driven solutions for healthcare revenue cycle management (RCM). You will act as a liaison between business stakeholders and technical teams, translating operational requirements into inputs for AI models. Responsibilities include AI program coordination, managing initiatives related to Agentic AI platforms, and ensuring AI solutions align with business priorities. Experience with RCM workflows is highly desirable.

Responsibilities

• Serve as a bridge between business stakeholders and AI/engineering teams, translating operational requirements into technical specifications and data requirements.
• Work closely with RCM operations teams to identify opportunities where AI can improve efficiency, accuracy, or automation.
• Communicate AI capabilities and limitations in business-friendly language to non-technical stakeholders.
• Facilitate requirement gathering sessions and document business processes for AI solution development.
• Support the planning and coordination of AI initiatives, including projects related to Agentic AI platforms and AI-driven workflow automation.
• Assist in tracking AI product development milestones, roadmap execution, and program deliverables.
• Work with AI architects, data scientists, and engineering teams to ensure business requirements are clearly understood.
• Monitor progress of AI initiatives and help coordinate cross-functional collaboration across teams.
• Analyze operational data related to claims, denials, appeals, prior authorization, and payer policies.
• Identify patterns and insights that can inform AI model development or workflow improvements.
• Support AI model evaluation by helping define business-level success metrics and KPIs.
• Work with data engineering teams to validate datasets and ensure data quality for AI workflows.
• Assist in defining and refining AI-driven workflow designs, including AI-assisted appeals generation, policy interpretation, and automated decision support.
• Support documentation of AI product features, data inputs, and operational workflows.
• Contribute to the development of AI product requirements and functional specifications.

Requirements

• Bachelor’s degree in Data Analytics, Health Informatics, Business Analytics, Computer Science, or a related field.
• 4+ years experience working in Healthcare Revenue Cycle Management (RCM) environments.
• Strong analytical skills with experience working with data-driven operational workflows.
• Ability to translate business problems into structured analytical requirements.
• Strong communication skills with the ability to collaborate with both technical and non-technical stakeholders.
• Experience working in cross-functional environments involving engineering, product, and business teams.
• Familiarity with workflows such as claims processing, denials management, appeals, payer policies, and prior authorization.
• Exposure to AI / machine learning solutions in operational environments.
• Basic understanding of LLMs, AI agents, or Agentic AI architectures.
• Experience supporting technical programs or product development initiatives.

Skills

• Data Analysis
• Healthcare Revenue Cycle Management (RCM)
• Business Process Analysis
• AI Program Coordination
• Stakeholder Communication
• Requirements Gathering
• Cross-functional Collaboration

Location

• San Diego, CA

Work Type

• Onsite

Experience Level

• 4+ years experience working in Healthcare Revenue Cycle Management (RCM) environments

Education Level

• Bachelor’s degree in Data Analytics, Health Informatics, Business Analytics, Computer Science, or a related field.

Salary/Compensations

• $100,000- $145,000

Benefits

• Comprehensive health benefits including medical, dental, vision, and telehealth
• 401(k) with company match and personalized financial coaching
• Health Savings Account (HSA) with company contributions
• Wellness incentives
• Tuition assistance
• Flexible time off and company-paid holidays
• Social and fun events

About the Company

• At XiFin, we believe a healthier, more efficient healthcare system starts with strong financial and operational foundations. Our innovative technologies help diagnostic providers, laboratories, and healthcare systems manage complexity, drive better outcomes, and stay focused on what matters most: patient care.
• We’re on a mission to simplify the business side of healthcare—and we know that mission takes people from all backgrounds and experiences.
• We value individuals who ask questions, challenge the status quo, and want to grow while making a real difference.
• We’re more than just a healthcare technology company—we’re a team that cares about people.

Equal Opportunity

• XiFin is proud to be an equal opportunity employer. We value diverse voices and do not discriminate on the basis of race, color, religion, national origin, gender, gender identity, sexual orientation, disability, age, veteran status or any other basis protected by law.