About Texicare

Founded in 2023 as a mission-driven health affiliate of Texas Mutual, Texicare was created by a group of seasoned healthcare professionals, and is headquartered in Austin, Texas. 

Texicare is committed to changing the healthcare landscape by providing small businesses with innovative solutions that increase access to easy-to-use, more affordable, quality health care for Texans and their families. Texicare’s vision is to transform the healthcare ecosystem for the better, helping to create a healthier and happier Texas.  Our healthcare plans were designed to be used, to remove barriers to care, to truly make a difference in people’s lives. 

We’re looking for passionate, mission-driven individuals to join us in creating a healthier and happier Texas.

About the role

As a Provider Data Management Specialist for Texicare, you will work within our Operations organization and collaborate with our Network team and providers to ensure high quality provider data. You will be part of a dynamic and passionate team that is transforming the health insurance industry by offering innovative and affordable products and services to small businesses in Texas.

In this role, you will:

• Support Texicare’s growth and expansion through managing provider data management processes including file preparation, provider roster loads, quality and accuracy assurance, and data analytics

• Compile, maintain, and analyze provider and hospital fee schedules and perform the loading of provider data into the repricing platform

• Translate business requirements into actionable reports by preparing, analyzing, and ensuring data accuracy which support Texicare growth initiatives, state requirements, and/or business needs

• Analyze and reconcile provider rosters, as well as other sources of provider data, when applicable by building functional reports while ensuring data accuracy

• Resolve provider data issues in a timely and professional manner in coordination with internal and external stakeholders

• Manage multiple concurrent reporting initiative with critical deadlines, while working within established processes and identifying improvement opportunities

• Communicate clearly with ownership on all aspects of provider data management with internal partners across Operations, Network, Compliance, and others, as appropriate

• Proactively identify complex problems; identify, propose, and implement solutions in a deadline driven environment

• Continuously validate and monitor key performance indicators (KPIs) related to provider data loading and accuracy, providing regular reports and cross-functional insights to leadership

To be successful in this role, you should have:

• 3-5 years of experience in the health insurance industry

• 3-5 years of experience and knowledge of Provider Data Services systems and other end user applications preferred

• Bachelor’s degree in business, healthcare, operations, project management, or related field or equivalent experience preferred

• Advanced Excel skills

• Excellent verbal and written communication skills

• Ability to work independently and as part of a team

• Ability to work in a remote environment with quarterly travel to corporate headquarters in Austin, TX

Benefits:

• Automatic 4% employer contribution to retirement plan

• 401k plan with 100% match up to 6%

• Flexible time off for vacation, illness, etc.

• Nine paid holidays

• Day one health, Rx, vision, and dental insurance

• Life and disability insurance

• Flexible spending account

• Pet coverage and pet Rx discounts

• Free identity theft protection

• Free 2nd medical opinion service

Texicare is an Equal Employment Opportunity employer.