--- title: 'IDR Analyst at recoursehealth.com' canonical: 'https://feeny.ai/job/idr-analyst-recoursehealth-com-san-francisco-4qtnc9hkfwfm' type: 'job' last_seen: '2026-09-12' --- # IDR Analyst at recoursehealth.com - **Company:** recoursehealth.com - **Location:** San Francisco, CA - **Compensation:** $70k–$85k - **Employment:** full-time - **Work type:** remote - **Posted:** 2026-07-29 - **Last confirmed live:** 2026-09-12 - **Apply:** https://jobs.gem.com/recoursehealth-com/am9icG9zdDpwGb5JhKc_aQVWL-JWaIXT ## Job description Run the federal arbitration cases that recover real money for real providers. Make the system smarter with every one. ## 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. This role sits inside that system. You will run real disputes end to end: eligibility, deadlines, submissions, correspondence, resolution. Every claim you touch teaches us something about how to make the next one better. ## Why This Is Hard (and Interesting) You will not inherit a mature process. You will help build it. Claims data is messy. Payers adapt. Deadlines cascade. Audit trails matter. One missed detail can cost a provider real money, or cost us a CMS fee on a dispute we never should have filed. You'll develop sharp instincts for where money gets left on the table and where the system needs a better guardrail. What's different here is the second half of the job. You won't just run the process, you'll improve it. When you spot a pattern in the claims, you write it down, we build it, and the next hundred disputes run better because of you. That means the job grows as you do. In month one you're running cases. By month six you're deciding how they should be run, steering the tooling that handles the routine parts, and spending your time on the disputes that actually need judgment. If you've been watching AI reshape this kind of work and want to be the person directing it rather than the person it happens to, this is a rare seat. ## 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 report to our Head of Operations and own the day-to-day running of IDR disputes. You will: - Evaluate dispute eligibility against federal IDR requirements before anything gets filed - Own submissions through the CMS portal: documentation, offer amounts, supporting briefs - Monitor deadlines across active disputes and make sure nothing lapses on procedure - Handle correspondence with payers and IDR entities, and track every follow-up to close - Verify cases actually resolved, catching premature or missed closures before they cost us money - Read 835 remittance files and EOBs to reconstruct what a payer actually did and why - Turn every recurring pattern you spot into a spec, a checklist, or a prompt that makes the next case easier - Work directly with AI tools to take the repetitive parts off your plate, then partner with engineering to make those improvements permanent This is not a ticket-queue role. You will write code-adjacent artifacts, specs, SQL queries, workflow notes, AI prompts, and you will ship them. You'll learn the domain deeply, and you'll shape how the company actually works. ## Who You Are You have real claims instincts. You can read an EOB and tell what happened. You know what a denial code means without looking it up. You've chased a payer for money that was owed and you know how that conversation goes. You are AI-pilled. You've used AI tools to do work 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 care about the details. You notice when a number is slightly off. You follow the thread until you understand it. In this work, one missed detail is real money. You have a bias to action. You don't default to no. Speed of iteration over polish of iteration. You start, you learn, you fix things in motion. Most decisions are reversible and do not need extensive study. You are intellectually honest and curious. You ask questions when you don't understand something. You say so when you're wrong. You use plain language. You respectfully challenge decisions you disagree with, and once a decision is made, you commit. 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 - 2 to 4 years in revenue cycle, claims operations, denials, appeals, or medical billing - Comfortable reading EOBs, 835 remittance files, CPT codes, and claim adjustment reason codes - Hands-on fluency with AI tooling (Claude, ChatGPT, or similar). You have used it to ship or accelerate real work, not just tried the demos - Comfort with data and analytical tools (Excel or Sheets at pivot-table level, SQL a plus). You can pull answers yourself rather than filing a request - Clear written communication. You can turn a messy situation into a crisp summary - The ability to manage a lot of competing deadlines without dropping any of them - A preference for small teams and early-stage chaos over mature org charts Strong plus, not required: direct experience with Independent Dispute Resolution, the No Surprises Act, arbitration, or out-of-network claims. If you have it, you'll move faster. If you don't, we'll teach you. Sound judgment, operational depth, and ownership mindset are required. Grit matters more than pedigree. ## Why This Role Most claims jobs are the same job at a different company. Same queue, same volume, same work next year as this year. This one isn't. Here the work compounds. You will learn how federal arbitration actually works, and you'll learn how to turn operational knowledge into systems that scale. Both of those are rare, and the combination is rarer. Six months in you will be doing a harder and more interesting job than the one you started, because you built the thing that handles the easy part. You'll also be joining early at a company with real customers and real revenue. Small team, so your work shows up in the numbers immediately. 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 - [Analyst, Payer Strategy](https://feeny.ai/job/analyst-payer-strategy-recoursehealth-com-san-francisco-p0z3wc7b3zyk) — San Francisco, CA - [Head of Product](https://feeny.ai/job/head-of-product-recoursehealth-com-san-francisco-dc7q6p07aj30) — San Francisco, CA - [Engineer, Claims Platform](https://feeny.ai/job/engineer-claims-platform-recoursehealth-com-san-francisco-tjmz9sxpfc1w) — San Francisco, CA