Senior Analyst, Payment Integrity Disputes

Oscar Health

Tempe, Arizona, United States
Base: $64,832 - $85,092 py; bonus/equity: annual p...
On-site
Payment integrity disputes experience
Claims processing and auditing
Medical coding expertise
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 position is based in our Tempe, Arizona office, requiring a hybrid work schedule with 3 days of in-office work per week.

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, 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

Skills & Requirements

Must-have

  • Payment integrity disputes experience
  • Claims processing and auditing
  • Medical coding expertise
  • Reimbursement methodologies knowledge
  • Deriving business insights from datasets
  • Improving business workflows and processes

Nice-to-have

  • Technical role experience
  • Process improvement role experience
  • Working with large data sets
  • Professional healthcare claims organization
  • Knowledge management and training
  • Process Improvement or Lean Six Sigma training

Key Requirements

  • 4+ years of experience in claims processing, coding, auditing or health care operations
  • 3+ years experience in medical coding
  • Medical coding certification through AAPC (CPC, COC) or AHIMA (CCS, RHIT, RHIA)
  • 2+ years experience deriving business insights from datasets and solving problems
  • 1+ years experience improving business workflows and processes
  • 1+ years experience collaborating with internal and external stakeholders

Work Rights

Not specified

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