Senior Analyst, Payment Integrity

Oscar Health

Atlanta, Georgia, US
Base: $64,832 - $85,092 py; bonus/equity: annual p...
Remote
Oscar claim environment support
Claims processing edits
Reimbursement policy expertise
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 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: $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

  • Oscar claim environment support
  • claims processing edits
  • reimbursement policy expertise
  • payment integrity opportunities
  • cross-functional collaboration

Nice-to-have

  • culture of transparency
  • proactive problem identification
  • stakeholder communication

Key Requirements

  • Bachelor's degree or 4+ years experience
  • 3+ years claims processing experience
  • 3+ years medical coding experience
  • Medical coding certification
  • Reimbursement methodologies experience
  • 2+ years deriving business insights
  • 1+ years improving business workflows
  • 1+ years collaborating with stakeholders

Work Rights

Not specified

Tailored Resume

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