Insurance & Billing Strategy Consultant

Engagement Type: Contract

Duration: 3-6 months (with potential for extension)

Commitment: 10-20 hours/week

About Mochi Health

Mochi Health’s mission is to be the discovery layer of healthcare. We are building a platform that makes it easier for patients to find the right providers, access the right medications, and take control of their health with transparency and trust.

Over the past few years, we have experienced rapid growth by combining operational excellence, clinical expertise, and innovative technology to deliver care that is more human, intuitive, and effective. From pharmacy pricing transparency and personalized medication management, to long-term medical record access and community-based chronic illness support, Mochi is creating a new model of care that empowers patients, providers, and pharmacies alike.

We believe the future of healthcare is personal, and we are building the technology to power it. At Mochi Health, you will join a team that values inclusivity, collaboration, and bold thinking, and you will have the opportunity to do the most meaningful work of your career.

About the Role

We're seeking an experienced insurance and billing consultant to advise on our expansion of insurance offerings and optimization of revenue cycle operations. This role will provide strategic guidance on payer relations, contract negotiations, billing compliance, and reimbursement optimization as we scale our insurance product.

What You’ll Do

• Advise on payer contracting strategy and negotiations with commercial insurers ● Review and optimize current payer relations and revenue cycle workflows including eligibility verification and payment posting
• Provide guidance on billing compliance and coding optimization for telehealth services ● Support development of claims management processes and denial reduction strategies ● Advise on reimbursement strategies across multiple payer types and state regulations ● Guide insurance product development and go-to-market strategy for new coverage offerings
• Provide strategic recommendations on payer mix optimization and network expansion Required Qualifications
• 5+ years experience in healthcare payer relations, insurance operations, and revenue cycle management, ideally specific to telehealth
• Deep expertise in medical billing, coding, and reimbursement for commercial payers ● Proven track record negotiating payer contracts and managing payer relationships ● Strong understanding of telehealth billing regulations and compliance requirements ● Experience with claims processing, denial management, and appeals ● Experience with CMS regulations, Medicare billing requirements, and federal reimbursement programs

Nice To Have

• Experience with revenue cycle management platforms such as Candid Health or similar billing automation tools
• Familiarity with clearinghouse operations and payer connectivity platforms like Availity Who You Are
• Deep experience across payer contracting, credentialing, claims processing, and revenue cycle management. You understand how commercial payers, Medicare, and state programs operate.
• Current on healthcare billing regulations, compliance requirements, and payer policies across multiple states.
• Proven track record negotiating with payers and collaborating across clinical, finance, and operations teams.
• You use analytics to optimize reimbursement, reduce denials, and improve performance. ● You deliver results in fast-moving environments with shifting priorities.