Role Description Digitale Patientenakten, Telemedizin und smarte Kliniksysteme verändern den Arbeitsalltag. Datenanalyse wird zur Schlüsselkompetenz – für bessere Versorgung, effizientere Abläufe und gezielte Pflegeplanung. Mit unserer Weiterbildung zum Data Analyst im Gesundheitswesen (IHK) machst du den nächsten Karriereschritt. Aufgaben - Du lernst, Daten aus Klinik, Pflege und Verwaltung zu verstehen, auszuwerten und sinnvoll zu nutzen. Modulinhalte: - Grundlagen Data Analytics und Excel-Zertifikat - SQL & Power BI: Dashboards für Klinikdaten - Python & Statistik: Datenanalyse, Prognosen, KI-Modelle - Agiles Projektmanagement - Bewerbungstraining & Abschlussprojekt mit Spezialisierung im Gesundheitswesen Beispiele aus der Praxis: - Pflegeplanung mit Predictive Analytics - Klinik-Dashboard zu Wartezeiten und Kosten - Analyse von Patientendaten für Prozessoptimierung Qualifications - Modern Data & AI Excel – Datenanalyse, Visualisierung und KI-gestützte Auswertungen in Excel - SQL & Datenbanken im Gesundheitswesen – Abfragen, Datenmanagement und Schnittstellen zu Kliniksystemen - Microsoft Power BI Professional – Dashboards und Reports für Pflege, Verwaltung und Kliniksteuerung - Python for Health Data Analytics – Datenbereinigung, Analyse und Machine-Learning-Modelle - Statistik & Predictive Analytics – Prognosen, Risikoanalysen und Kennzahlen für bessere Entscheidungen - Data Storytelling & Kommunikation – Analyseergebnisse klar und überzeugend präsentieren - Agiles Projektmanagement im Gesundheitswesen – Projekte planen, steuern und umsetzen Requirements - Diese Weiterbildung passt zu dir, wenn du aus Pflege, Verwaltung, medizinischem Management oder IT kommst - Zahlen und Daten spannend findest - Abläufe in Klinik oder Pflege verbessern willst - bereit bist, den nächsten Karriereschritt zu gehen Benefits - 100% förderfähig mit Bildungsgutschein der Agentur für Arbeit - praxisnahe Inhalte mit echten Beispielen aus Klinik und Pflege - Trainerinnen und Trainer aus dem Gesundheits- und Datenbereich - moderne Lernplattform, flexible Teilnahme (Online oder Hybrid) - offizielle Zertifikate: DSP Academy, IHK, Microsoft Company Description In einer Welt, die von Daten angetrieben wird, braucht es Experten, die sie verstehen und sinnvoll nutzen können. Genau hier setzen wir an! Unser Bootcamp vermittelt nicht nur Theorie, sondern bereitet dich mit praxisnahen Projekten, persönlicher Betreuung und topaktuellen Inhalten gezielt auf den Job als Data Analyst vor.

Role Description Mendelia is hiring a Prior Authorization Specialist to support end-to-end prior authorization workflows for specialty medical services, procedures, imaging, therapy, and medications. In this role, you will work closely with Mendelia’s internal operations team, clinic staff, payer portals, and insurance companies to: - Gather documentation - Submit requests - Track outcomes - Resolve issues that could delay patient care This is a great fit for someone who is detail-oriented, highly organized, comfortable working across multiple systems, and excited to help build a better prior authorization experience for specialty practices. What You’ll Do: - Initiate, submit, and track prior authorization requests for medical services, procedures, imaging, physical therapy, specialty medications, and other clinic needs across payer portals, fax, phone, and other submission methods. - Review patient insurance information, benefits, clinical documentation, diagnosis codes, CPT/HCPCS codes, modifiers, payer requirements, and medical necessity criteria before submission. - Collect, verify, and organize required documentation, including chart notes, imaging reports, PT notes, operative plans, diagnosis codes, medical necessity forms, and payer-specific forms. - Identify missing or incomplete information and coordinate with clinic staff, providers, and internal Mendelia team members to obtain what is needed. - Submit authorization requests accurately and on time using payer portals such as Availity, Carelon, Turning Point, UHC, Cigna, Aetna, and other payer-specific systems. - Follow up on pending cases, respond to payer inquiries, check statuses, escalate delays, and ensure deadlines are met to prevent disruption to patient care. - Document all actions, communications, submission details, case numbers, payer responses, and outcomes in Mendelia’s internal systems. - Communicate authorization updates clearly and proactively to internal team members and clinic stakeholders. - Support denial follow-up, reconsiderations, appeals, and peer-to-peer coordination by assembling documentation and helping determine next steps. - Identify recurring payer issues, avoidable denials, missing documentation patterns, and workflow gaps, and share recommendations to improve Mendelia’s processes. Qualifications - 1–5 years of experience in prior authorization, medical billing, revenue cycle, patient access, insurance verification, pharmacy operations, or a related healthcare administrative role. - Working knowledge of health insurance concepts, including benefits, eligibility, medical necessity, coverage criteria, denials, and appeals. - Strong attention to detail and ability to manage multiple cases at once without losing track of deadlines or required documentation. - Excellent written and verbal communication skills, including professional phone etiquette with payers and clinic staff. - Comfort working in payor portals, EHRs, spreadsheets, internal dashboards, and productivity tools. - Ability to learn new payer systems, clinic workflows, and specialty-specific requirements quickly. Preferred Qualifications - Experience with payer portals such as Availity, CoverMyMeds, Carelon, Turning Point, UHC Provider Portal, Cigna, Aetna, or similar systems. - Familiarity with ICD-10, CPT, HCPCS, modifiers, and common clinical documentation requirements. - Experience with surgical, orthopedic, spine, ophthalmology, retina, physical therapy, or specialty medication authorizations. - Experience working with EHRs or practice management systems such as ModMed, AdvancedMD, Athena, Epic, or similar platforms.

• support clients in delivering AI-native products • automate business workflows • turn AI opportunities into production-ready solutions • deliver MVPs, prototypes and production-ready AI solutions • accelerate product development through AI-native engineering practices • support discovery, estimation and technical decision-making

Role Description Mindrift connects specialists with project-based AI opportunities for leading tech companies, focused on testing, evaluating, and improving AI systems. Participation is project-based, not permanent employment. While each project involves unique tasks, contributors may: - Design and evaluate fee inquiry scenarios — verifying that fee amounts and category names match the bank's disclosed fee schedule exactly, and flagging cases where the system charge and the schedule diverge; - Write statement clarification test cases that require distinguishing a descriptor-mapping question from a real fraud claim, and routing each correctly; - Create autopay setup scenarios with deliberate traps: incorrect payee, insufficient-funds policy, wrong draft date, or missing confirmation steps; - Build statement reprint cases that test realistic timing communication — including archived statements, fee citation, and the difference between self-service and manual retrieval channels; - Develop beneficiary update scenarios that probe when a routine POD change crosses into ERISA/spousal-consent territory and requires specialist routing; - Design card replacement cases with time-sensitive card-block urgency, fraud-signal recognition, interim mobile-wallet guidance, and delivery option trade-offs; - Author account closure scenarios testing retention-offer eligibility logic, pending-transaction checks, and refusal to extend offers to ineligible customers; - Write fraud claim warm-handoff cases — immediate card block, intake information capture, Regulation E clock awareness, and clean transfer to the disputes team; - Grade responses on both factual accuracy and conversational tone: empathy under pressure, voice vs. chat register, and clarity without over-promising. Qualifications - No specific degree required — for this agent, employer, tenure, and role progression are stronger signals than academic background; a degree in Business, Finance, Communications, or a related field is a positive signal but not a filter; - 3+ years of front-line or supervisory experience in a U.S. bank or credit union call center, branch, or contact center; - Ability to read a bank fee schedule and identify which fee applies to a specific transaction without assistance; - Routing judgment — clear instinct for what is and isn't servicing's job (fraud goes to disputes; retirement-beneficiary complexity goes to a specialist; loan questions go to loan servicing); - Familiarity with Regulation E timing windows: the 60-day customer dispute window, the bank's 10/45-day investigation windows, and what starts the clock; - Awareness of ERISA spousal-consent requirements on retirement accounts and community-property state rules for beneficiary changes; - Experience with retention-offer eligibility verification — knows not to extend offers indiscriminately to customers threatening to close; - Ability to calibrate tone between voice-call (warmer, conversational) and chat (compact, direct) registers; - QA analyst, call-center trainer, or conversation designer background is a strong positive signal for grader roles; - AAP (Accredited ACH Professional) credential is a strong signal for autopay and electronic-payment tasks; - Strong written English (C1+). Requirements - Apply → Pass qualification(s) → Join a project → Complete tasks → Get paid Benefits - For this project, tasks are estimated to require around 10–20 hours per week during active phases, based on project requirements. This is an estimate, not a guaranteed workload, and applies only while the project is active; - On this project, contributors can earn up to $60 per hour equivalent, depending on their level and pace of contribution; - Compensation varies across projects depending on scope, complexity, and required expertise. Please note that other projects on the platform may offer different earning levels based on their requirements.