Senior Analyst, Payment Integrity

Oscar Health

New York, United States
Base: $72,036 - $94,547 py; bonus/equity: annual p...
On-site
Oscar claim infrastructure
Claims processing edits
Reimbursement policies
This role is responsible for supporting process improvement and issue resolution in the Oscar claim environment for both the Oscar Insurance business and +Oscar clients

Job Summary

  • This role is responsible for supporting process improvement and issue resolution in the Oscar claim environment for both the Oscar Insurance business and +Oscar clients.
  • You will report into the Sr. Manager, Payment Integrity and will contribute as a subject matter expert for Oscar reimbursement policies, payment integrity internal claims processing edits and external vendor edits.
  • 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.

Matching Summary

This role is responsible for supporting process improvement and issue resolution in the Oscar claim environment for both the Oscar Insurance business and +Oscar clients.

Salary

Base: $72,036 - $94,547 per year; Bonus/Equity: annual performance bonuses; Benefits: employee benefits

Skills & Requirements

Must-have

  • Oscar claim infrastructure
  • claims processing edits
  • reimbursement policies
  • medical coding
  • business insights from datasets

Nice-to-have

  • culture of transparency and collaboration
  • proactively identify thematic areas
  • stakeholders well informed

Key Requirements

  • 3+ years of experience in claims processing
  • 3+ years experience in medical coding
  • Medical coding certification
  • Experience with reimbursement methodologies
  • 2+ years experience deriving business insights
  • 1+ years experience improving business workflows
  • 1+ years experience collaborating with stakeholders

Work Rights

Not specified

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