Role Description The Department of Revenue Cycle at UT Southwestern Medical Center has a new employment opportunity available for the role of Eligibility Denial Specialist I MSP. This position is responsible for researching basic denied claims based on eligibility to ensure correct payers are billed timely on submitted insurance claims. The duties for this position will consist of but are not limited to the following: - Maintain regular phone communication with patients and insurance companies - Verifying insurance - Updating registration - Working high volume denial inventory - One on one training along with detailed tip sheets - Experience with Parkland Charity processes is preferred Shift: Flex-shift from 0600-5:00pm, 8-hours per day Work From Home (WFH): This is a work from home position. Applicants must live within the Greater DFW area. Additional details related to this will be discussed as part of the interview process. Qualifications - High School Diploma or equivalent - 2 years of medical billing, claims processing, and/or insurance eligibility - May consider medical billing certifications or graduate degrees in lieu of experience Requirements - Review, research and resolve basic denied insurance claims based on eligibility through the billing system, including Medicaid, Medicare, Worker's Compensation, Mental Health payers and third-party payers - Interpret Explanation of Benefits from insurance companies on denied claims - Contact payers via website, phone and/or correspondence regarding claims denied for eligibility - Contact patients and assist with Coordination of Benefits or other coverage denials - Works in up to two professional billing service areas - Updates registration and demographic information in at least two hospital billing service areas - Review and resolve any Visit Filing order changes - Functions as a liaison between clinical departments and third-party payers - Completes special projects as requested - Identifies problems and inconsistencies by using management reports; summarizes findings and makes recommendations to resolve billing issues in an effort to maximize collections - Duties performed may include one or more of the following core functions: - Directly interacting with or caring for patients - Directly interacting with or caring for human-subjects research participants - Regularly maintaining, modifying, releasing or similarly affecting patient records (including patient financial records) - Regularly maintaining, modifying, releasing or similarly affecting human-subjects research records - Performs other duties as assigned Benefits - PPO medical plan, available day one at no cost for full-time employee-only coverage - 100% coverage for preventive healthcare - no copay - Paid Time Off, available day one - Retirement Programs through the Teacher Retirement System of Texas (TRS) - Paid Parental Leave Benefit - Wellness programs - Tuition Reimbursement - Public Service Loan Forgiveness (PSLF) Qualified Employer

Role Description Du sprichst polnisch und möchtest deine technische Erfahrung aus der Werkstatt in einem modernen Umfeld einsetzen? In dieser Position nutzt Du dein Know-how als Kfz-Experte und bist gleichzeitig wichtiger Ansprechpartner für unsere Partner und Kunden. - Du bist der erste Ansprechpartner für technische Garantiefälle – telefonisch und schriftlich. - Mit deinem technischen Verständnis prüfst du die Plausibilität von Schadenmeldungen und übernimmst die eigenverantwortliche Anspruchsprüfung. - Du bearbeitest und überwachst automatisierte Datenimporte für Polen im Garantieumfeld, stellst die Datenqualität sicher und sorgst damit für einen reibungslosen Ablauf im Hintergrund. - Du steuerst unsere externen Partner, wie Gutachter, und sorgst dafür, dass alles reibungslos abläuft. - Mit deinem Sinn für Details überwachst du die Einhaltung vertraglicher Regelungen und stellst eine transparente Kostenkontrolle sicher. - Ob Autohäuser, Hersteller, Sachverständiger oder Garantienehmer – Du hältst alle Beteiligten stets auf dem Laufenden und bist ein verlässlicher Ansprechpartner. Qualifications - Abgeschlossene KFZ-technische Ausbildung, z.B. als Mechatroniker oder Techniker. - Berufserfahrung im serviceorientierten Umfeld – z.B. als Serviceberater. - Strukturiertes und eigenständiges Arbeiten mit hohem Anspruch an die Qualität der Arbeit. - Freude am Umgang mit Menschen und Verhandlungsgeschick. - Sehr gute Polnischkenntnisse ergänzt durch Deutsch. Requirements - Leidenschaft für Technik. - Serviceorientierung. - Selbstständigkeit und Qualitätsbewusstsein. - Kommunikations- und Verhandlungsgeschick. - Sprachkenntnisse in Polnisch und Deutsch. Benefits - Individuell auf dich abgestimmtes Onboarding. - Sicherheit durch die Anbindung an die Zurich. - Wertschätzendes Arbeitsumfeld und gegenseitige Unterstützung. - Zielgerichtete Weiterbildungsmöglichkeiten zur persönlichen und fachlichen Entwicklung. - Flexible Arbeitszeiten, Homeoffice und zusätzliche freie Tage an Weihnachten und Silvester. - Zusatzkrankenversicherung, Essenszuschuss, Mitarbeiterveranstaltungen und zahlreiche betriebliche Zusatzleistungen.

Title: Senior Claims & Insurance Analyst Job Description: Job ID: 7978464667 Status: Full-Time Regular/Temporary: Regular Shift: Day Job Work Arrangement: Hybrid Facility: Corporate Legal Department: Captives Legal Location: 600 Grant St, Pittsburgh, PA Union Position: No Salary Range: $ 34.98-60.52 USD UPMC Corporate Legal is hiring a Senior Claims and Insurance Analyst to join our team at the US Steel Tower! This role will work Monday through Friday during standard business hours. The Analyst will have the ability to work a hybrid schedule with onsite requirements and work from home. This role manages complex claims involving primary and excess insurance coverages, significant litigation, and extensive liability; monitors claims work on complicated claims; assumes responsibility for reviewing claims for settlement potential; managing the litigation services provided by all subcontracted defense attorneys; and conducts comprehensive audits of litigated files. Do you have prior experience with auto and or property claims? If so, this could be the next step in your career. Apply today! Responsibilities: - Identify and negotiate cost effective claim resolutions/settlements up to designated financial authority or prepare for review/approval by President. - Complete special projects and contribute to daily Risk Management Initiatives as directed by the President or Director. - Serve as the representative of UPMC Corporate & Captive in regard to communicating all legal aspects of claims activity between UPMC and the various commercial insurers and their respective defense firms. - Assist the Director of Corporate & Captive Insurance (Director) with administrating all commercial lines of coverage, including all claims activities associated with the various UPMC commercial policies. - Assist the President and Director of annual policy review of each individual insurance policy written through UPMC Captive Insurance Program. - Prepare and issue all reservation of rights letters on behalf of UPMC Captive Insurance Program, including submitting and coordinating all necessary documentation to commercial carriers of potential and filed lawsuits. - Review daily correspondence to maintain comprehensive claims database with settlements, dismissals, demands, financial reserves and trial dates. - Work with the President, Captive Insurance Program & Counsel (President) to evaluate and coordinate in-house and external counsel assignments for each case. - Analyze complex, technically challenging, and/or sensitive employee related and third party claims that are submitted for coverage under one of, but not limited to, UPMC Captive policies; Directors & Officers Liability, including Employment Practice Liability, Managed Care Errors & Omissions, General Liability and Professional (malpractice) liability. - Prepare all legal correspondence to all program insured(s) and attorneys. - Field a wide variety of phone calls/emails from insureds regarding insurance coverage and claims questions and what to expect during the legal discovery process. - Coordinate and prepare all necessary information for review by President. - Maintain excellent professional relationships with clients, internal as well as external. - Manage the litigation services provided by all subcontracted defense attorneys and conduct comprehensive audits of litigated claim files. - Monitor excess insurance coverages and reserves on a continuous basis. - Provide direction to claims staff (insurance brokers and carriers) to ensure compliance with Claims Service Standards as well as continuously refining and improving claims handling procedures for UPMC’s Corporate & Captive Insurance Program. - Work with President to develop, assign, and carefully monitor reserves for each claim. - Coordinate and conduct regular claim reviews with internal and external staff/clients/defense attorneys. Qualifications: - Associate’s degree in business, Communications, or a related field and five years of claims management experience dealing with indemnity claims - OR bachelor’s degree in business, Communications, or a related field and three years of claims management experience dealing with indemnity claims. - Extensive technical knowledge of claims management and settlements required. - Excellent negotiating skills. - Excellent interpersonal skills. - Leadership abilities. - Excellent written and verbal communication skills. - Ability to communicate clearly via telephone. - Good personal computer skills. Licensure, Certifications, and Clearances: - Act 34 UPMC is an Equal Opportunity Employer/Disability/Veteran

Role Description Koniag IT Systems, LLC, a Koniag Government Services company, is seeking an experienced ICAM Application Developer specializing in Okta and SailPoint to join a dynamic team supporting identity and access management initiatives within a federal government environment. The ideal candidate is a hands-on developer with a strong background in ICAM frameworks, identity lifecycle management, and secure application integration. This individual is passionate about cybersecurity and identity management, bringing technical depth and a commitment to continuous learning to solve complex, real-world challenges. The ICAM Application Developer will perform hands-on development work within customer applications to implement Identity, Credential, and Access Management (ICAM) libraries, solutions, and integrations. This individual will work closely with security architects, system administrators, and government stakeholders to deliver secure, scalable, and compliant identity management capabilities. - Perform hands-on coding within customer applications to implement ICAM libraries, SDKs, and APIs leveraging Okta and SailPoint platforms. - Write, test, and maintain source code for software applications across various programming languages, adhering to modern industry standards and best practices. - Develop and maintain integrations between Okta and SailPoint and enterprise applications, ensuring seamless identity lifecycle management and access governance. - Configure and customize Okta workflows, policies, and application integrations to meet customer requirements. - Develop and maintain SailPoint IdentityNow or IdentityIQ configurations, rules, and workflows to support provisioning, de-provisioning, and access certification processes. - Implement and support Single Sign-On (SSO), Multi-Factor Authentication (MFA), and federation protocols including SAML, OAuth 2.0, and OpenID Connect (OIDC). - Conduct unit testing, integration testing, and debugging of ICAM-related application code and configurations. - Collaborate with cross-functional teams including security engineers, system architects, and business analysts to gather requirements and translate them into technical solutions. - Support the integration of ICAM solutions with legacy systems and modern cloud-based platforms. - Create and maintain technical documentation including design documents, integration guides, and standard operating procedures. - Participate in code reviews, contributing to and enforcing coding best practices and security standards. - Operate within an Agile software development environment while meeting government project milestones and deliverables. - Monitor, troubleshoot, and resolve issues related to identity, authentication, and access management systems. Qualifications - Bachelor's degree in Computer Science, Information Technology, Cybersecurity, or a related field from an accredited college or university. - 5+ years of experience in software application development. - 3+ years of hands-on experience implementing and developing within Okta and/or SailPoint platforms. Requirements - Active Secret Clearance required. - Hands-on experience performing application-level coding to implement ICAM libraries and integrations within Okta and/or SailPoint platforms. - Proficiency in one or more programming languages such as Java, Python, JavaScript, or C#. - Strong understanding and practical experience implementing SSO, MFA, and federation standards including SAML 2.0, OAuth 2.0, and OpenID Connect (OIDC). - Experience developing and maintaining SailPoint workflows, rules, and provisioning configurations within IdentityNow or IdentityIQ. - Experience configuring Okta application integrations, lifecycle management policies, and Okta Workflows. - Ability to write, test, debug, and maintain high-quality, secure source code across multiple programming languages. - Familiarity with REST and SOAP web services and API-based integrations. - Experience with identity lifecycle management concepts including provisioning, de-provisioning, role-based access control (RBAC), and access certifications. - Strong analytical and troubleshooting skills with the ability to diagnose and resolve complex identity and access management issues. - Exceptional communication skills in English – both written and oral – with the ability to effectively communicate with technical and non-technical stakeholders. - Ability to work both independently and collaboratively in a team environment. - Ability to create and maintain clear, comprehensive technical documentation. - Familiarity with Agile Development Methodology, especially Scrum. - Active Secret Clearance. Desired Skills and Competencies - Okta Certified Developer and/or Okta Certified Administrator certification. - SailPoint Certified IdentityNow Engineer and/or SailPoint Certified IdentityIQ Engineer certification. - Experience working in a federal government IT environment. - Familiarity with NIST 800-63 Digital Identity Guidelines and federal ICAM frameworks. - Experience integrating ICAM solutions with Active Directory and LDAP directories. - Knowledge of Zero Trust Architecture (ZTA) principles and their application within identity management. - Experience with DevSecOps pipelines and source control tools such as Git. - Experience with cloud platforms such as AWS, Azure, or Google Cloud in the context of identity management. - Familiarity with Privileged Access Management (PAM) solutions. Benefits - Competitive compensation. - Extraordinary benefits package including health, dental, and vision insurance. - 401K with company matching. - Flexible spending accounts. - Paid holidays. - Three weeks paid time off.