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.
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
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: $72,036 - $94,547 per year; Bonus/Equity: Annual performance bonuses; Benefits: Medical, dental, vision, 11 paid holidays, paid sick time, paid parental leave, 401(k), 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 knowledge
Data analysis for business insights
Cross-functional stakeholder collaboration
Nice-to-have
Technical role experience
Process improvement methodologies
Large dataset analysis
Knowledge management and training
Key Requirements
4+ years claims processing, coding, auditing or health care operations
3+ years medical coding
Medical coding certification (AAPC or AHIMA)
2+ years deriving business insights from datasets
1+ years improving business workflows and processes
1+ years collaborating with internal and external stakeholders