IDR Analyst

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,…