You will be responsible for supporting payment integrity disputes and issue resolution in the Oscar claim environment for both the Oscar Insurance business
Job Summary
You will be responsible for supporting payment integrity disputes and issue resolution in the Oscar claim environment for both the Oscar Insurance business.
You will leverage a deep understanding of Oscar's claim infrastructure, workflows, workflow tooling, platform logic, data models, etc., to work cross-functionally and understand and translate friction from stakeholders into actionable opportunities for improvement.
This is a remote position, open to candidates who reside in: Atlanta, Georgia; Chicago, Illinois; Dallas, Texas; Louisville, Kentucky; Minneapolis, Minnesota; Philadelphia, Pennsylvania; Salt Lake City, Utah.
Matching Summary
You will be responsible for supporting payment integrity disputes and issue resolution in the Oscar claim environment for both the Oscar Insurance business.
Salary
Base: $64,832 - $85,092 per year; Bonus/Equity: Annual performance bonuses; Benefits: Medical, dental, vision, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, paid wellness time and reimbursements
Skills & Requirements
Must-have
Payment integrity disputes experience
Claims processing and auditing
Medical coding expertise
Reimbursement methodologies
Deriving business insights from datasets
Improving business workflows and processes
Nice-to-have
Technical role experience
Process improvement role experience
Working with large datasets
Professional healthcare claims organization
Knowledge management and training
Process Improvement or Lean Six Sigma training
Key Requirements
4+ years claims processing, coding, auditing or health care operations