Healthcare Workflow Experts (Clinical, Revenue Cycle, and Payer Systems)
Mercor is hiring
Healthcare Workflow Experts
with hands-on experience across clinical systems, revenue cycle tools, and payer platforms to define and evaluate real-world workflows. You’ll break down how healthcare professionals actually use these systems in practice—beyond surface-level features. This role is ideal for clinicians, operators, and healthcare IT professionals who have deeply used tools across radiology, lab systems, billing, pharmacy, or payer administration, and can articulate detailed, step-by-step workflows. ### What You’ll Do - Map
end-to-end healthcare workflows
performed within specific tools (not just features) - Describe
how clinical and administrative data flows
across systems (intake → processing → decision → output) - Provide
deep, structured breakdowns
of workflows (e.g., prior auth, imaging review, lab processing, claims adjudication) - Identify
decision points, compliance constraints, and edge cases
- Evaluate what a
competent operator (clinician, biller, analyst, etc.)
should be able to accomplish in each system - Produce clear, detailed writeups within ~20 minutes per category ### Example Task -
Set up a batch review assignment.
I need to distribute documents across a team of reviewers in a controlled way. I go to the Review Batches tab, create a new batch set, and point it at a saved search as the source. I set the batch size (how many documents per reviewer per batch). I define the batch source sort order — I can prioritize by date, by custodian, or by relevance score if I've already run analytics. I assign reviewers to the batch set. I create the batches, which locks each reviewer's assigned documents so no one reviews the same document twice. - _“What workflows should a radiologist perform using a DICOM viewer like OsiriX or 3D Slicer?”_ _(you will add the 10 most important workflows that someone might want to perform in the app, 5 mins to write each workflow)_ • *Strong responses include:** - Step-by-step workflows (e.g., ingest imaging studies → review series → annotate findings → compare priors → generate report) - Specifics on
data types (DICOM series, metadata), transformations, and outputs
- Real-world context (clinical decision-making, turnaround times, collaboration)
- *Weak responses include:**
- Generic feature lists (e.g., “view images,” “annotate scans”) without depth or context ### Tools / Categories - RCM Ops workbench - RCM / Billing & Claims (e.g Epic Resolute, FinThrive, R1 RCM, Craneware) - Pharmacy Systems (e.g ScriptPro, QS/1, Omnicell, Parata, RedSail) - Clinical Intelligence Hub - Utilization management / medical necessity criteria (e.g. MCG Health, InterQual, AIM Specialty Health) - Prior authorization (e.g. CoverMyMeds) - Drug information / clinical reference databases (e.g. First Databank, Merative/Micromedex, NCCN Guidelines) - Population health / clinical analytics (e.g. IQVIA, Clarivate, Arcadia Analytics, Azara DRVS, Inovalon) - Payer Admin Core (e.g Cognizant, TriZetto/Facets, HealthEdge, HealthRules, Payer, Oracle Health, Epic Beaker) ### Requirements - Hands-on experience with
at least one
of the listed systems (multiple is a strong plus) - Background in
clinical care, healthcare operations, revenue cycle, or payer systems
- Ability to articulate
detailed, real-world workflows
(not just product features) - Strong understanding of
healthcare processes and data flows
- Clear, structured written communication ### Project Commitment - This is work trial and expected to last ~8 hours in total (across all experts) - Based on results of this it may be extended to be a full long-term project commitment