Payment Integrity Analyst – Coordination of Benefits

by twochickswithasidehustle | Feb 25, 2026 | Uncategorized

Lyric is an AI-first, platform-based healthcare technology company, committed to simplifying the business of care by preventing inaccurate payments and reducing overall waste in the healthcare ecosystem, enabling more efficient use of resources to reduce the cost of care for payers, providers, and patients. Lyric, formerly ClaimsXten, is a market leader with 35 years of pre-pay editing expertise, dedicated teams, and top technology. Lyric is proud to be recognized as 2025 Best in KLAS for Pre-Payment Accuracy and Integrity and is HI-TRUST and SOC2 certified, and a recipient of the 2025 CandE Award for Candidate Experience. Interested in shaping the future of healthcare with AI? Explore opportunities at lyric.ai/careers and drive innovation with #YouToThePowerOfAI.

Applicants must already be legally authorized to work in the U.S.  Visa sponsorship/sponsorship assumption and other immigration support are not available for this position.

The Payment Integrity Analyst (COB) supports the Coordination of Benefits (COB) program by investigating and validating other insurance coverage, resolving conflicting eligibility information, and establishing the correct order of liability (primary vs. secondary payer) to prevent and recover improper claim payments. This role performs hands-on casework in a high-volume environment including outreach, documentation, and system updates, while applying analytical skills to interpret claims and eligibility data, identify trends, and recommend process improvements that improve accuracy for the COB program.

ESSENTIAL JOB RESPONSIBILITIES

Investigation and verification

• Review, prioritize, and work assigned COB leads (automated and manual) to determine required verification steps and next actions.
• Investigate and validate coverage details (payer, plan type, subscriber relationship, policy indicators, effective/termination dates) using internal systems, payer portals, EOBs/claim responses, and other approved data sources.
• Apply COB rules and guidelines, including CMS and NAIC guidance as applicable, to determine the correct order of liability and document the rationale for the primacy determination.

Outreach, documentation, and system updates

• Contact insurance carriers, employers, clearinghouses, providers, and other third parties as needed to confirm or clarify coverage information and obtain supporting evidence.
• Create clear, detailed, and accurate case notes that capture verification steps, evidence, and outcomes in internal tools to support audits and downstream recovery/reprocessing.
• Update eligibility/COB records and coordination rules based on verified information and confirm updates are applied correctly to reduce downstream adjudication errors and abrasion.

Payment integrity support & Operational excellence

• Provide validated COB outcomes that support downstream payment integrity activities (recovery, reprocessing, adjustments) with minimal rework.
• Prepare and evaluate documentation needed for inquiries, disputes, and appeals related to determinations, as assigned.
• Meet or exceed established productivity, turnaround time, and quality/audit standards while managing a high-volume case queue.

Analytical contribution

• Track outcomes and error categories, identify root causes of recurring COB issues and false positives, and recommend opportunities to streamline research, improve data quality, and reduce incorrect payments.
• Use Excel and other tools to support ad hoc analysis (e.g., trend review, inventory quality checks, and performance insights); partner with stakeholders to clarify requirements and improve workflows.
• Reconcile discrepancies across sources (eligibility feeds, member/group data, claim history, and third-party responses) and drive cases to a clear, audit-ready determination.

REQUIRED QUALIFICATIONS

• Bachelor’s Degree and/or one (1) year of related healthcare experience (e.g., COB/TPL, eligibility, claims operations, billing, recovery, or payment integrity).
• Minimum of one (1) year of experience performing COB investigations and/or payment integrity casework, including independent ownership of moderate-to-complex inventories.
• Minimum of one (1) year of experience performing data analytics with large data sets
• Minimum of one (1) year of experience using working knowledge of coordination of benefits rules, primary/secondary payer logic, coverage hierarchy, and order-of-liability concepts; understanding of CMS and NAIC guidance as applicable..
• Comfortable navigating multiple systems, portals, and payer interfaces.
• Ability to maintain confidentiality and comply with HIPAA and data security standards.

PREFERRED QUALIFICATIONS

• Bachelors degree in business or healthcare/related field
• Knowledge of claim adjudication workflows and payment rules. Familiarity with eligibility data and outreach processes in the healthcare industry for coordination of benefits.
• Experience with SQL
• Experience within high-volume, SLA-driven operations teams.
• Creative thinker with an entrepreneurial spirit

***The US base salary range for this full-time position is:$23.65 – $35.48

The specific salary offered to a candidate may be influenced by a variety of factors including but not limited to the candidate’s relevant experience, education, and work location. Please note that the compensation details listed in US role postings reflect the base salary only, and does not reflect the value of the total rewards compensation. ***

Lyric is an Equal Opportunity Employer that strives to create an inclusive environment, empower employees and embrace collaborative success.

Market Development Associate

by twochickswithasidehustle | Feb 25, 2026 | Uncategorized

About Givebacks, Inc.

Givebacks is a mission-driven software company rethinking how K–12 school communities manage payments and fundraising. We build simple, transparent tools that bring districts, parent organizations, and families together in one unified platform—cutting through complexity so schools can spend less time on admin work and more time supporting students. We’re a growing, ambitious team focused on building thoughtfully, moving quickly, and creating meaningful impact in school communities.

We are seeking a driven and research-oriented Market Development Associate to support district-level revenue growth through targeted, state-specific go-to-market execution. This role is a critical pipeline-generating partner to Sales and Marketing, responsible for building research-backed outreach strategies, executing outbound campaigns, and supporting conference-driven demand generation.

The ideal candidate is a high-urgency, self-directed operator who thrives on research, execution, and continuous improvement. This role is well-suited for someone early in their sales or go-to-market career who wants clear expectations, measurable impact, and exposure to strategic sales motions in a fast-growing EdTech company.

What You’ll Do:

Market & State-Level Strategy

• Conduct deep research into state-specific K–12 policies, procedures, and operational nuances related to fundraisers, boosters, and school districts.
• Build, document, and maintain comprehensive state-by-state sales strategies within HubSpot.
• Prioritize and sequence state outreach based on opportunity size, readiness, and ease of entry.
• Partner with Marketing to align messaging and campaigns with state-level insights.

Pipeline Generation & Prospecting

• Research district and school-level decision-makers and accurately import contact data into HubSpot.
• Add a minimum of 1,700 new school buildings into the pipeline by driving qualified discovery meetings.
• Execute outbound email and call sequences with consistency, urgency, and attention to detail.
• Create, document, and share effective outreach sequences and best practices with the broader sales team.

Meeting Booking & CRM Excellence

• Meet or exceed monthly and quarterly targets for booked and attended discovery meetings.
• Maintain weekly activity benchmarks across calls, emails, and sequence completion.
• Ensure best-in-class CRM hygiene, including accurate activity tracking, pipeline stages, and contact data.

Conference & Campaign Support

• Drive pre- and post-conference execution, including list uploads, lead sheets, and AE briefings.
• Provide Account Executives with relevant prospect intelligence, including state-specific context and lead status.
• Execute timely, strategic post-event follow-up and integrate learnings into ongoing campaigns.

Ideal Candidate Profile:

• Enterpriser: A proactive self-starter with ownership mentality and bias toward action.
• High Sense of Urgency: Operates quickly without sacrificing accuracy or quality.
• Detail-Oriented Operator: Maintains high standards for research, execution, and CRM hygiene.
• Adaptable & Flexible: Comfortable pivoting tactics as strategies evolve.
• Persistent & Tenacious: Demonstrates grit and resilience in outbound prospecting.
• Customer-Centric Thinker: Seeks to understand district needs and align value accordingly.
• Strong Communicator: Clear, concise written and verbal communicator.
• Creative Problem Solver: Finds new and effective ways to engage prospects.
• Self-Leader: Manages time, priorities, and goals with minimal oversight.

Requirements:

• 1–3 years of experience in sales development, market development, or outbound prospecting (SaaS or EdTech preferred).
• Experience working in a CRM environment (HubSpot strongly preferred).
• Strong research, organizational, and time-management skills.
• Comfort with high-volume outbound activity and performance-based goals.
• Familiarity with the K–12 education market is a plus but not required.

Benefits:

• Unlimited Paid Time Off
• Flextime Options
• Remote Work Options
• Paid Holidays
• Employee Stock Options
• Paid Parental and Family Medical Leave
• Full Employee Medical, Dental, and Vision Coverage
• Flexible Spending Account
• 401(k) Plan

Givebacks is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.

Data Management Specialist

by twochickswithasidehustle | Feb 23, 2026 | Uncategorized

What We’re Looking For

This position is responsible for supporting the Advancement Services department’s efforts of establishing and developing a comprehensive data management plan.

A high school diploma and less than one year of relevant work experience are required. A bachelor’s degree and two years of relevant experience are preferred. 

Additional experience or education will be considered in lieu of one another.

The successful candidate will exhibit the following skills, abilities and other characteristics:

• Bring innovative ideas to the workplace
• Be proficient in Microsoft Excel
• Ability to learn quickly and feel comfortable with new, changing technologies
• Interact and work well with others
• High attention to detail and the ability to effectively multi-task in a deadline-driven atmosphere

A hybrid work arrangement will be considered on a case-by-case basis.

Applicants must currently be authorized to work in the United States on a Full-Time basis.

What You Will Do

• Prepare CSV and Excel files for batch import into the CRM
• Manage the UD_Records email inbox 
• Manage the Alumni and Friends Directory requests and updates
• Communicate with constituents and help troubleshoot
• Review data integrity reports and address issues as needed
• Take a proactive role in identifying and addressing data issues and deficiencies in collaboration with the Data Management team
• Assist with updating and reviewing documentation and procedures to further define and optimize standardized internal processes
• Serve as proofreader
• Perform all other duties as assigned to support Baylor’s mission
• Ability to comply with University policies
• Maintain regular and punctual attendance

What You Can Expect

As part of the Baylor family, eligible employees receive a comprehensive benefits package that includes medical, dental, and vision insurance, generous time off, tuition remission, and outstanding automatic retirement contributions. Baylor has a comprehensive benefits plan that supports you and your family’s wellbeing and allows you to be a part of the life of a vibrant and active college campus.  To learn more, go to Baylor Benefits & Advantages.

Explore & Engage

Learn more about Baylor and our strategic vision, Baylor in Deeds.  Also, explore our great hometown of Waco and the many opportunities to engage locally.  If you are new to Central Texas, This is Waco!  

About Us

Baylor University, a private not-for-profit university affiliated with the Baptist General Convention of Texas, is committed to compliance with all applicable anti-discrimination laws, including those regarding age, race, color, sex, national origin, military service, genetic information, and disability. Baylor complies with statutory Affirmative Action/Equal Opportunity requirements. Baylor’s full official Notice of Non-Discrimination may be read online.

AI Solutions Specialist-Remote Opportunity

by twochickswithasidehustle | Feb 23, 2026 | Uncategorized

Answer Financial is an Allstate company with 25+ years in the industry and one of the nation’s largest and longest running personal lines insurance agencies. We are 100% remote – work from home company.

The AI Solutions Specialist designs, implements, and optimizes AI solutions to solve business problems, collaborating across teams and acting as an SME. Responsibilities include solution design, stakeholder collaboration, technical implementation, performance optimization, data analysis, governance, and tool administration and staying up to date with AI/ML advancements.

Essential Job Duties/Responsibilities:

• Solution Design: Evaluate and recommend the appropriate Generative AI or Agentic AI tools for each use case. Translate business and technical requirements into detailed workflows and process diagrams for AI solutions.
• Stakeholder Collaboration: Work with cross-functional teams, including Engineering, Security, Telephony, Sales, Reporting and Data Science teams to define solution requirements and achieve goals.
• Technical Implementation: Oversee the deployment and management of AI models and tools, ensuring their smooth operation in production environments.
• Performance Optimization: Oversee the evaluation, fine-tuning, and optimization of AI models and infrastructure for optimal performance and scalability.
• Data Analysis: Oversee the analysis and processing of large datasets from AI models and support data-driven decision-making. Utilize data visualization tools such as PowerBI to report on performance of AI implementations.
• Governance: Coordinate with compliance and data security teams to ensure a framework of processes, policies, and practices consistently guide the reasonable, ethical, and safe development of AI systems.
• Tool Administration: Manage and administer AI-related tools, platforms, and technologies, including cloud services and low-code platforms.
• Customer Support: Provide user enablement and support for AI tools and platforms to promote adoption and efficient use.
• Staying Current: Keep up to date with the latest advancements, technologies, and trends in AI and machine learning.

Experience:

• Programming Languages: Proficiency in programming languages such as Python, R, or Java.
• AI/ML Frameworks & Tools: Strong knowledge of top players such as OpenAI, Gemini, Llama, AWS and Microsoft Copilot.
• Cloud Platforms: Familiarity with cloud platforms such as AWS and Azure for AI deployment and large-scale systems.
• Project Management: Familiarity with agile development tools such as JIRA
• Problem-Solving: Excellent analytical, logical, and creative problem-solving skills.
• Communication: Strong communication and stakeholder management skills to collaborate effectively.
• Business Acumen: Ability to understand customer needs, build business cases, and align AI solutions with business goals.
• Responsible AI: Understanding of ethical considerations, fairness, and transparency in AI development.

Compensation:

Compensation offered for this role is 75,100.00-130,200.00 annually and is based on experience and qualifications.

Candidates must possess authorization to work in the United States, as it is not our practice to sponsor individuals for work visas. Answer Financial is an equal opportunity employer.

EAP Coordinator (Remote U.S.)

by twochickswithasidehustle | Feb 23, 2026 | Uncategorized

Job Description

Company Overview

Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact.

Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes – making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector.
Job Summary and Responsibilities

Acentra Health is looking for an EAP Coordinator (Remote U.S.) to join our growing team.

Job Summary:

• The purpose of this position is to play a pivotal role in ensuring the seamless delivery of nonclinical components within EAP services. The EAP Coordinator ensures a seamless experience for both clients and providers, contributing to the overall effectiveness and efficiency of EAP service delivery by minimizing obstacles through tasks such as client outreach, satisfaction surveys, and resolution of connection issues.

Responsibilities:

• Conduct outreach calls to ensure client connection with services on scheduled follow-up dates, complete telephonic surveys per protocol, and execute necessary steps to link clients with desired services.
• Respond promptly to EAP Consultant’s requests for client appointment setting, conducting real-time responses.
• Coordinate outreach to network providers to determine availability for new clients, communicate essential information to providers, and confirm appointments with clients.
• Address inquiries about client benefits, procedures, paperwork, payment, and other matters.
• Collaborate with the Provider Relations department to resolve provider inquiries, retrieve and follow up on voicemail inquiries based on established workflows, and assist with recruitment and other network reports as needed.
• Issue payment vouchers to network providers in alignment with Acentra Health’s policies and procedures and contractual directives.
• Maintain precise client records in the database by entering all calls, case updates, requests, and referrals accepted by clients in accordance with Acentra Health’s policy.
• Enter referrals provided to clients by Acentra Health partners into the database as part of a customer service e-mail distribution list.
• Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules.

The above list of responsibilities is not intended to be all-inclusive and may be expanded to include other education- and experience-related duties that management may deem necessary from time to time.

** Work Schedule 9:30 AM to 6:00 PM Eastern – Monday – Friday **
Qualifications

Required Qualifications/Experience:

• High School Diploma OR GED equivalent.
• 2+ years of call center experience (preferably with EAP or healthcare experience).
• 2+ years of excellent written and verbal communication skills.
• 2+ years of experience with an aptitude for problem-solving, exercising judgment, and making independent decisions.
• 1+ years of excellent customer service experience working in a call center.
• Proficient in typing and data entry with accuracy.
• Demonstrated proficiency with Microsoft Word, Outlook (Intermediate/Advanced), and Microsoft Teams, Excel and PowerPoint (Intermediate).
• Exceptional telephone customer service skills.
• Excellent interpersonal skills for effective collaboration within a team.
• Capable of reading and interpreting benefits and account information related to customized products.

Preferred Qualifications/Experience:

• Bachelor’s degree (or higher level of education) (e.g., psychology, social work, communications, human services, or social sciences).
• 2+ years of experience being self-motivated with the ability to remain focused in a fast-paced environment.
• Ability to efficiently manage multiple tasks simultaneously and meet deadlines.
• Bilingual proficiency in Spanish and English.
• Salesforce experience.

#LI-SD1

Why us?

We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes.

We do this through our people.

You will have meaningful work that genuinely improves people’s lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career.

Thank You!

We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may be of interest. Best of luck in your search!

~ The Acentra Health Talent Acquisition Team

Visit us at Acentra Health 

EEO AA M/F/Vet/Disability

Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law.

Benefits

Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, security, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more.

Compensation

The pay range for this position is listed below. 

“Based on our compensation philosophy, an applicant’s position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level.”
Pay Range

USD $21.54 – USD $22.00 /Hr.