Top Tech Jobs & Startup Jobs in Austin, TX

The Program Manager in Complex Issue Resolution will lead program implementation activities, oversee claims issue resolution projects, and drive operational improvements. Responsibilities include developing strategies, meeting with stakeholders, managing risks, ensuring compliance, and measuring program success.

The Director, Market Management is responsible for membership growth and financial performance within their market. This role involves managing cross-functional teams, developing relationships with providers and regulators, enhancing workflows, generating financial insights, and contributing to long-term goals of the company.

The Regulatory Manager is responsible for tracking and analyzing legislative and regulatory developments, drafting summaries, and communicating the business impact to compliance teams. They will mentor colleagues, manage policy reviews, present legislative updates, and collaborate with various teams to ensure compliance with regulations.

The Program Associate, Complex Issue Resolution supports program implementation and operational improvements within claims quality operations, optimizing processes and managing risks. This role involves collaboration with stakeholders and ensuring project plans are executed efficiently to achieve program goals.

The Senior Software Engineer II, Payment Integrity will develop and scale a claims system, leveraging machine learning to identify fraud and optimize data processing. This role involves collaboration with senior leaders and mentoring other engineers while executing complex technical projects that shape the healthcare company's strategy.

As an Analytics Engineer I at Oscar, you will manage the data pipeline between raw data systems and financial data users. You will work with the Finance team to create and optimize Certified Datasets (CDS) and ensure accurate implementation of financial data models in production, collaborating with various stakeholders and maintaining data quality.

As a Prior Authorization Pharmacist, you will review and render decisions on prior authorizations and appeals for various drugs, conduct calls with prescribers, participate in clinical audits, and apply clinical expertise while ensuring compliance with laws and regulations.