Senior Analyst, Configuration
Hi, we're Oscar. We're hiring a Senior Analyst, Configuration to join our Claims Configuration team.
Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.
About the role:
You will support the business by improving the consistency, accuracy, and efficiency of platforms, systems and processes. This role helps ensure that it configures in-network contracts accurately through understanding of the platform configuration capabilities.
You will report into the Manager, Configuration Operations.
Work Location: This is a remote position, open to candidates who reside in: Georgia. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events. #LI-Remote
Pay Transparency: The base pay for this role is: $67,813 - $89,004 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, and annual performance bonuses.
Responsibilities:
- Analyze and summarize process behavior to expedite the design/solutioning process
- Translate configuration enabling internal teams to resolve escalations
- Process incoming Jira tickets to support provider escalation resolution
- Identify and pilot opportunities to improve operational efficiency
- Triage and manage workflows of ingested items
- Investigate escalations via incoming tickets or informal pathways
- Conduct necessary maintenance work and take on ad-hoc projects associated with in-network configuration.
- Compliance with all applicable laws and regulations
- Other duties as assigned
Requirements:
- 2+ years working knowledge of pricing methodologies and contract configuration
- 1 + years of SQL experience
- 2+ years Proficient in Microsoft Word, Excel and PowerPoint and/or comparable programs within the Google Docs Editors suite (e.g., Google Docs, Google Sheets, Google Slides).
- 1+ year experience working in health insurance industry/claims configuration
Bonus points:
- Experience working with Jira
This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.
At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.
Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.
Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.
Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant’s disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known.
California Residents: For information about our collection, use, and disclosure of applicants’ personal information as well as applicants’ rights over their personal information, please see our Privacy Policy.
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Oscar Health is an American health insurance company headquartered in New York City. Through telemedicine, healthcare-focused technology interfaces, and clear claims pricing systems, the company focuses on the health insurance market.
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