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    Garner Health
    Posted about 1 year ago

    Senior Product Manager, Claims Processing

    $185,000 - $210,000 per year
    US | Remote

    Job Description

    Garner's mission is to transform the healthcare economy, delivering high quality and affordable care for all. By helping employers restructure their healthcare benefit to provide clear incentives and data-driven insights, we direct employees to higher quality and lower cost healthcare providers. The result is that patients get better health outcomes while doctors are rewarded for practicing well, not performing more procedures. We are backed by top-tier venture capital firms, are growing rapidly and looking to expand our team.

    At the core of our product is a financial incentive: we incentivize patients to visit top-performing providers by reimbursing them for their out-of-pocket expenses when they do. The Claims Processing team owns Garner’s core claims system, and is responsible for ingesting and adjudicating member claims quickly, accurately, and at scale. 

    What you’ll do

    You’ll be given wide-ranging responsibility to build and shape our claims ecosystem, including our claims adjudication system, operational tools, and data products.

    You’ll work on projects like: designing algorithms to accurately adjudicate complex ...

    The Real Dill ☘️

    Ever wondered what other patients thought about a doctor you were thinking of seeing for a condition? This is, in a nutshell, the challenge Garner Health is trying to solve. It makes a lot of sense - in the age of in-network and out-of-network plan complexities and employee-sponsored insurance plans, switching clinicians with a job or life change is pretty commonplace. What's interesting, however, is that Garner Health isn't crowdsourcing reviews - rather, they are using medical claims data to settle on a review of a clinician, comparing prescribed procedures to best-in-practice guidelines. Pretty clever, and an interesting way to add objectivity to the doctor-finding process. (May 2024)

    JL

    Jon Lee, PT, DPT, OCS, FAAOMPT, MBA

    Pickle co-founder

    About Garner Health

    Reviews for doctors in your area and plan

    🚀

    MissionTo bring transformative practices in healthcare economics by incentivizing both patients and medical professionals.

    🌟

    Wow FactorClaims over 40% of employers it contracts with use Garner Health to find a doctor

    Company benefits

    • ⛷️ Unlimited PTO
    • 🐣 Maternity/paternity leave
    • 🔐 Health insurance

    Pickle is not affiliated with listed companies unless otherwise noted.

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