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Oscar Health // health insurance
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Hi, we're Oscar. We're hiring a Operations Associate, Claims Platform to join our Configuration team.

Oscar is the first health insurance company built around a full stack technology platform & a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselvesone that behaves like a doctor in the family.

About the role

This role is responsible for designing, optimizing & implementing processes & improvements for configuring Oscar's claims adjudication platform. This role works cross-functionally to identify, scope, build, test & implement solutions, with a focus on creating efficiency & scale through technology & automation.

You will report to the Operations Manager, Edits Configuration.

Work Location:

Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture & our mission.

This is a hybrid role in our New York City office. You will work part of the time in the office & part of the time remote / work-from-home. #LI-Hybrid

Pay Transparency:

The base pay for this role is: $98,400 - $129,150 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program & annual performance bonuses.

Responsibilities

  • Leads & cross collaborates on iterative problem definition & technical design & scoping to build solutions with the end-user in mind
  • Work cross functionally to gather & translate business requirements such as clinical & medical policies into technical requirements for implementation
  • Utilizes data to independently drive business decisions, impact cross-functional strategy & develop KPIs to measure the effectiveness of payment integrity initiatives
  • Proactively identify risks; responds to & resolves issues/errors/escalations through data-driven investigation to produce insights for short, medium, & long-term technology-enabled solutions
  • Distills the requirements of new product & market expansions & designs automated workflows to reduce manual work requirements within claims operations
  • Works with other team members to resolve issues, develop training, & create technical tooling to enable others
  • Compliance with all applicable laws & regulations
  • Other duties as assigned

Qualifications

  • A bachelor's degree or 4+ years commensurate experience
  • 3+ years experience in operations, health insurance, data analysis, engineering and/or consulting
  • 3+ years experience using data software such as Excel, SQL or Python
  • 3+ years experience in analytics & ability to derive insights from complex, broad datasets
  • 1+ years experience designing & improving workflows as well as standing up accompanying operating & technical procedures

Bonus points

  • Process Improvement or Lean Six Sigma training
  • Experience with healthcare payment policies
  • Experience using SQL

This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here

At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves & find both belonging & support. We're on a mission to change health care -- an experience made whole by our unique backgrounds & perspectives..

Pay Transparency: 

Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, & experience.

Full-time employees are eligible for benefits including: medical, dental, & vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life & disability insurance, & paid wellness time & reimbursements.

Reasonable Accommodation:

Oscar applicants are considered solely based on their qualifications, without regard to applicants disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known.

 
 
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