--- title: 'Analyst, Payer Strategy at recoursehealth.com' canonical: 'https://feeny.ai/job/analyst-payer-strategy-recoursehealth-com-san-francisco-p0z3wc7b3zyk' type: 'job' last_seen: '2026-09-12' --- # Analyst, Payer Strategy at recoursehealth.com - **Company:** recoursehealth.com - **Location:** San Francisco, CA - **Compensation:** $95k–$120k - **Employment:** full-time - **Work type:** onsite - **Posted:** 2026-07-29 - **Last confirmed live:** 2026-09-12 - **Apply:** https://jobs.gem.com/recoursehealth-com/am9icG9zdDplMj9NmeblLUh3do8yBERT ## Job description Figure out how payers behave, then turn that into offers that win. ## Why This Exists A federal arbitration system called Independent Dispute Resolution, or IDR, now determines billions of dollars in healthcare payments each year. Providers win the vast majority of disputes, yet most eligible claims are never filed. The process is manual, fragmented, and resource-intensive, and most providers don't have the infrastructure to pursue what they're owed. The No Surprises Act created the framework, and the market already exists. Today it runs on spreadsheets, consultants, and static playbooks. We're building the first intelligent system designed to operate inside it. IDR is a repeated game. The same payers and the same arbitrators show up again and again. Whoever learns fastest from outcomes builds a compounding edge that nobody can copy. This role is how we learn. ## Why This Is Hard (and Interesting) Every dispute produces signal. Which claims won, at what offer multiple, against which payer, in front of which arbitrator, with which evidence. Most of the industry throws that signal away. We want to capture all of it and turn it into a system that gets sharper every month. The hard part is that the signal is noisy and the sample is small at first. Payers change behavior. Arbitrators rotate. Regulations shift under you. You need enough statistical honesty to know when a pattern is real and enough operator judgment to act before you have perfect data. You'll spend your time in claims data, decision letters, and remittance files, looking for the thing nobody has noticed yet. Then you'll turn it into a rule the system can apply. ## Who We Are Recourse is being built in partnership with 25M Health, a healthtech venture firm. We have institutional backing, a shared platform team spanning engineering, strategy, design, and back-office, and early access to large provider systems. We are actively filing disputes for real customers, including a large multi-facility health system and a litigation-finance partner with hundreds of millions in claim value. This is a funded, validated opportunity with real customers and real data. We are a small, nimble team. We move quickly and we value clarity over theater. We want this to be the best work of your career. The stretch you look back on as the one where you shipped real things, with people who raised your game, on something that mattered. We care about clear thinking, high ownership, intellectual honesty, and direct communication. We believe operations, product, and engineering should operate as one pod, not three functions. We want the machines to do machine work, and the humans to do their best work. ## The Role You'll own the intelligence layer underneath our offer strategy. You will: - Analyze outcomes across every dispute we file: win rate, offer multiple, recovery, time to resolution - Build payer profiles that explain how each insurer behaves and where they can be pushed - Run loss analysis on every dispute we don't win, and turn the reason into a rule - Model offer strategy: what to submit, against which payer, for which CPT context, and why - Work with CMS public use file data to benchmark our performance against the whole market - Partner with engineering to encode what you learn into the product, so the system applies it automatically - Build the dashboards and reporting the whole team runs on You'll write specs, SQL, and analysis that gets built against. You'll also be in the claims themselves often enough to keep your instincts honest. ## Who You Are You are genuinely analytical. Not "comfortable with Excel" analytical. You can look at a messy dataset, form a hypothesis, test it, and know the difference between a real pattern and noise. You are AI-pilled. You've used AI tools to do analysis that would have taken a team. You have opinions about which ones are useful and which are hype. You stay current because the world is changing and you want to see the next shift before anyone else. You are intellectually honest. You seek out the data that might disconfirm your belief, not just confirm it. You say when a finding is weak. You use plain language when explaining what you found. You have a bias to action. You don't wait for perfect data. You form a view, act on it, measure, and adjust. Most decisions are reversible and do not need extensive study. You care about the details. In this work, a small pattern in how a payer codes an EOB can be worth real money. You notice things. You put the team first. You are reliable and fully invested. You take your vacations. You check on your teammates. You help build a culture where people do their best work because they are supported, not squeezed. ## What You Bring - 3+ years in analytics, data science, strategy, or a similarly quantitative role - Strong SQL. You pull your own data and you don't wait for someone else to do it - Comfort with Python or R for anything SQL can't handle - Healthcare data experience is a strong plus: claims, 835s, EOBs, CPT and diagnosis coding, payer contracting - Hands-on fluency with AI tooling. You have used it to accelerate real analytical work, not just tried the demos - Clear written communication. Your analysis has to change what other people do, which means they have to understand it - A preference for small teams and early-stage chaos over mature org charts Strong plus, not required: experience with the No Surprises Act, IDR, arbitration, payer contracting, or out-of-network claims. If you have it you'll move faster. If you don't, we'll teach you. Sound judgment, analytical depth, and ownership mindset are required. Grit matters more than pedigree. ## Why This Role Most analytics jobs produce dashboards nobody looks at. This one directly sets the number we submit on every dispute, which directly determines whether a provider gets paid. You'll also be building something genuinely novel. Nobody has a real intelligence layer on IDR yet. The public data exists, the outcomes exist, and almost nobody is doing the work to connect them. You'd be first. If you want this to be the most memorable stretch of your career, where you shipped something real, with a team you respected, in a domain that actually matters, this is the seat. Please apply even if you don't fit 100% of these requirements. We would like to talk. ## Equal Opportunity Recourse is an equal opportunity employer. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other characteristic protected by law. We believe the best teams are built from people with different backgrounds and perspectives, and we're committed to creating an environment where everyone can do their best work. ## About recoursehealth.com ## Company Overview - **One-liner**: Recourse Health provides an AI-powered claims-intelligence platform that automates the end-to-end federal Independent Dispute Resolution (IDR) process for healthcare providers, optimizing disputes for dollars recovered rather than win rate. - **Entity Type**: Private (Seed stage) - **Headquarters**: San Francisco, California, USA - **Founded**: 2026 - **Founders**: David Hegarty (CEO & Founder) ## Core Business - Primary industry/industries: Healthcare Technology (Healthcare IT), Claims Management, Revenue Cycle Management - Target customers: Healthcare providers (physician groups, hospitals), particularly those navigating the federal IDR process created by the No Surprises Act (B2B). - Mission or purpose statement: To run federal IDR for physician groups and optimize every filing for dollars recovered, lowering the filing threshold and maximizing recovery per claim. ## Products & Services - **Recourse Claims Intelligence Platform**: A SaaS platform that uses AI and large language models (LLMs) to automate the entire IDR workflow. It ingests standard 837/835 claims data, confirms eligibility, maps deadlines, and prioritizes disputes with the highest recovery potential. - **Claims Intelligence**: An AI-powered module that analyzes claims and remittance data to guide the offer and supporting evidence for each dispute. - **Submission Intelligence**: An automated module that assembles the evidence package, addresses statutory factors, and files the complete IDR submission on time. - **Recovery Intelligence**: A dashboard for tracking every active dispute, dollar at stake, and recovery outcome, with the system learning from each result. - **CMS Filing Benchmark**: A free service that reviews a provider's public CMS filing record and compares their performance against 632 high-volume filers. ## Market Standing - **Valuation/Market Cap**: Not publicly disclosed. - **Key Metric**: The company is venture-backed, having raised a **Seed VC** round. Lead investor is **25Madison**. - **Notable Investors/Partners**: **25Madison** (lead investor). - **Growth Signals**: A very early-stage startup (founded in 2026) that has already secured venture funding and launched a live product. The company is addressing a specific, high-stakes pain point created by a federal regulation (No Surprises Act), with a clear value proposition tied to recovery dollars. The CEO has a strong background, having previously founded Nutshell Labs and held roles at Credit Karma, Opendoor, and Microsoft. ## Competitive Advantages - **Outcome-Focused Approach**: The company explicitly differentiates itself from competitors by optimizing for "dollars recovered" rather than the industry-standard metric of "win rate." They claim that across 5.7 million decided claim lines, the highest-win-rate filers recover the least money per dollar offered. - **End-to-End Automation**: Recourse automates the entire IDR lifecycle, from eligibility finding to submission and tracking, which they claim makes smaller claims economical to pursue. - **Low-Friction Integration**: The platform works from existing 837 and 835 files that providers already produce, requiring no new system of record. - **Contingency-Based Pricing**: The company's compensation comes only from the recovery they create, aligning their incentives directly with the client's financial outcomes. - **AI/LLM Powered Reasoning**: Uses advanced reasoning to strengthen the "ask" and the evidence behind it, providing auditability and compliance. ## Strategic Focus - **Scaling Engineer & Growth Team**: The company is actively hiring for roles like **Engineer, Claims Platform** and **Growth Analyst, Market Intelligence**, indicating a dual focus on product development and market expansion. - **Expanding Claim Coverage**: The first lever of their strategy is to lower the filing threshold, allowing providers to pursue a larger pool of eligible claims. - **Increasing Recovery per Claim**: The second lever is to strengthen the filing strategy to increase the value of each completed dispute. ## Why Work Here - **Early-Stage Impact**: As a seed-stage startup founded in 2026 with 1-10 employees, new hires will have a massive impact on the product, culture, and direction of the company. You work directly with the founder. - **High-Stakes Problem**: The work directly addresses a complex, federally-mandated process (the No Surprises Act), helping healthcare providers recover millions in disputed payments. The work is meaningful and quantifiable. - **Remote-First Culture**: The company operates with a remote workspace, though there is a presence in San Francisco, CA. The careers page lists roles as "In-Office or Remote," suggesting flexibility. - **Strong Founder**: David Hegarty (CEO & Founder) has a proven track record with experience at Credit Karma, Opendoor, and Microsoft, and is currently the sole executive. Working here means learning directly from a seasoned founder. - **Technology Stack**: The company is building with AI and LLMs, offering a modern and challenging technical environment. - **Perks**: Specific perks are not listed, but as a VC-backed startup, standard benefits (equity, health, etc.) are likely. ## Sources 1. [recoursehealth.com](https://www.recoursehealth.com/) 2. [builtin.com](https://builtin.com/company/recourse-health) 3. [cbinsights.com](https://www.cbinsights.com/company/recourse-health) 4. [linkedin.com](https://linkedin.com/company/recoursehealth) 5. [cbinsights.com (People)](https://www.cbinsights.com/company/recourse-health/people) 6. [gem.com (Careers Page)](https://jobs.gem.com/recoursehealth-com) ## Other roles at recoursehealth.com - [Growth Analyst, Market Intelligence](https://feeny.ai/job/growth-analyst-market-intelligence-recoursehealth-com-san-francisco-jz277amebapb) — San Francisco, CA - [Growth Lead, Provider Pipeline](https://feeny.ai/job/growth-lead-provider-pipeline-recoursehealth-com-san-francisco-j0j55205305g) — San Francisco, CA - [Provider Partnerships Lead](https://feeny.ai/job/provider-partnerships-lead-recoursehealth-com-san-francisco-zsf84430pc6s) — San Francisco, CA - [AI Engineer, Decision Intelligence](https://feeny.ai/job/ai-engineer-decision-intelligence-recoursehealth-com-san-francisco-6665xenhts39) — San Francisco, CA - [Engineer, Data & Integrations](https://feeny.ai/job/engineer-data-integrations-recoursehealth-com-san-francisco-qfbcxyhjpmcz) — San Francisco, CA - [Lead, State Arbitration](https://feeny.ai/job/lead-state-arbitration-recoursehealth-com-san-francisco-hpbhhjqy1jfv) — San Francisco, CA - [Head of Product](https://feeny.ai/job/head-of-product-recoursehealth-com-san-francisco-dc7q6p07aj30) — San Francisco, CA - [IDR Analyst](https://feeny.ai/job/idr-analyst-recoursehealth-com-san-francisco-4qtnc9hkfwfm) — San Francisco, CA - [Engineer, Claims Platform](https://feeny.ai/job/engineer-claims-platform-recoursehealth-com-san-francisco-tjmz9sxpfc1w) — San Francisco, CA