Top Tech Jobs & Startup Jobs in Austin, TX

The Senior Specialist, Risk Adjustment Coder will handle daily operations including medical record reviews, report coding for ACA and MA, and participate in CMS audits. They will maintain compliance with coding guidelines and identify improvements for provider education and efficiency in processes.

The Manager, Risk Adjustment will oversee performance standards, implement workflows, and administer Risk Adjustment Coding and Auditing Programs. Responsibilities include training, managing project volumes, reviewing medical records for accuracy, and ensuring compliance with regulations, supporting both coding and auditing teams to achieve their objectives.

As a Senior Analyst in the Payment Integrity team, you will be responsible for overpayment concept creation, quality control of claims, and process improvements. The role involves leveraging data analysis skills to translate findings into actionable insights and collaborating with stakeholders to drive change in healthcare payment integrity.

The Claims Recovery Specialist will manage provider notifications, investigate overpaid claims, communicate with healthcare providers for recovery, and maintain detailed records. The role involves ensuring compliance with regulations and optimizing claim recovery strategies.

The Associate General Counsel, Litigation, will provide legal counsel on complex issues, support business strategy, and develop relationships with key stakeholders. Responsibilities include leading legal programs, ensuring compliance, and representing Oscar before regulatory bodies. The individual will also oversee team management and talent development.

As an Operations Associate for Claims Design at Oscar, you'll design and optimize processes for claims adjudication. Key responsibilities include collaborating to build efficient solutions, utilizing data for strategic decisions, and ensuring compliance with regulations. You will leverage technology for automation and support operational teams in a dynamic environment.

The Operations Data Analyst will support various business teams by analyzing data to facilitate informed decision-making, creating and maintaining analytical dashboards, and collaborating with colleagues to identify and monitor improvements. Responsibilities include presenting findings to both technical and non-technical stakeholders to reduce inefficiencies and enhance healthcare quality for members.