Healthcare Automation Script Developer - Remote

Overview

We are seeking a Contractor with experience in healthcare, insurance verification, and specialty pharmacy operations to support an AI lab in building advanced automation tools for payer communication. This role focuses on creating high-quality benefits investigation call scripts used to guide phone interactions with insurance payers.

In Short

• Develop and refine structured phone call scripts for collecting eligibility and benefits details for specialty medications.
• Translate payer requirements and notes into clear, natural-language questions that ensure accurate and auditable responses.
• Incorporate payer-specific nuances, such as medical vs. pharmacy benefits, prior authorization rules, step therapy, and specialty distribution pathways.
• Continuously improve scripts based on feedback from QA and real-world payer interactions.
• Maintain consistency, accuracy, and compliance across all documentation.

Requirements

• Background in specialty pharmacy operations, payer communications, or benefits investigation.
• Strong understanding of insurance concepts for specialty medications, including coverage restrictions, NDC, J-codes, HCPCS, and ICD-10.
• Proven ability to write precise, conversational scripts that guide others to extract complete payer information.
• Excellent written communication and documentation skills with strong attention to detail.
• Prior experience conducting payer calls or working in benefits verification is a plus.

Benefits

• Commitment: ~20-30 hours/week
• Type: Contractor (Independent)
• Location: Remote