Top Tech Jobs & Startup Jobs in Austin, TX
The Senior Manager, Pharmacist will oversee the formulary and utilization management operations, working with teams to maintain the drug list, ensure compliance, optimize team performance, and identify growth opportunities. They will also review new trade offers and manage clinical policies.
The Senior Manager, Member Services will lead a team to enhance Provider Services operations by analyzing key business insights, implementing strategies for team development, and ensuring compliance with regulations. The role requires collaboration with business leaders to drive cross-functional initiatives and foster employee satisfaction.
The Senior Claims Quality Control Analyst will support process improvement and issue resolution within the Oscar claims environment. This involves organizing, investigating, and executing solutions while leveraging an understanding of claims infrastructure and workflows. The role requires collaboration with stakeholders to translate issues into actionable improvements, maintaining transparency and compliance throughout the process.
The Senior Manager, Network Analytics will evaluate and enhance network performance through rigorous data analysis. Responsibilities include shaping network strategies, developing playbooks for efficiency, and collaborating with stakeholders to lower costs and improve healthcare outcomes.
The Technical Implementation Associate will design campaign processes, manage client data pipelines, and leverage SQL to analyze data for targeted campaigns. Responsibilities include executing operational tasks, engaging with clients regarding their campaigns, and synthesizing client feedback for product development.
As a Utilization Review Processor, you will manage provider and member concerns related to healthcare services, ensuring efficient resolutions and excellent service by collaborating with various teams. You'll also manage your workload effectively and analyze trends impacting member care and satisfaction.
The Senior Analyst, Medical Economics will analyze cost and utilization trends in assigned markets, identifying drivers of trends and emerging cost issues. Responsibilities include building KPI frameworks, conducting root cause analyses, and leveraging technical expertise to recommend affordability and cost reduction strategies, while effectively communicating insights to leadership.
The Manager, Pharmacy Policy will lead the development and review of pharmacy and medical drug guidelines, manage a team, ensure adherence to departmental strategies, and maintain expertise in pharmaceutical trends and regulations, while communicating effectively across disciplines.
The Director of BPO Strategy & Governance will lead a team of Program Managers focused on operational initiatives within the BPO division. Responsibilities include overseeing the execution of deliverables, managing cross-functional work streams, and shaping operational strategies while ensuring compliance and delivering high service standards.
The Physician will provide virtual care via phone and messaging, supervise Advanced Practice Providers, and ensure compliance with medical guidelines and laws.
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