Head of RCM Systems & AI Compliance

Hike Medical(30 days ago)

Boston, MAOnsiteFull TimeDirector$100,000 - $140,000Product

About this role

The Head of RCM Systems & AI Compliance at Hike Medical is responsible for establishing compliance logic and human-in-the-loop (HITL) processes that govern AI-driven workflows for Revenue Cycle Management (RCM) in orthotics and durable medical equipment (DME). The role involves translating Medicare and payer regulations into structured rules and decision frameworks, auditing AI performance, and designing HITL interventions to manage compliance risks. Additionally, this position requires collaboration with engineering teams to implement deterministic rules, as well as direct engagement with customer compliance teams to ensure operational alignment.

View Original Listing

Required Skills

RCM
Compliance
DME
O&P
Medicare
Eligibility Verification
Prior Authorization
Documentation Requirements
Medical Necessity
Claims Submission

+15 more

About Hike Medical

www.hikemedical.com

Hike Medical is a pioneering healthcare company focused on enhancing foot health with custom orthotics and innovative musculoskeletal (MSK) solutions tailored for on-feet workers. Their unique approach combines AI technology and 3D printing to provide personalized insoles, which are created based on a simple foot-scanning process completed in under five minutes. By prioritizing comfort, mobility, and well-being, Hike Medical aims to reduce healthcare costs while improving overall quality of life for its users. The company is dedicated to making foot health accessible and effective, helping to prevent related health issues and enhance productivity in the workplace.