Senior Quality Data Analyst, Claims at Oscar Health In Other

Senior Quality Data Analyst, Claims
Oscar Health // health insurance

Hi, we're Oscar. We're hiring a Senior Quality Data Analyst to join our Claims Quality 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

The Senior Quality Data Analyst is responsible for analyzing, organizing, & managing claims related data to optimize business processes & drive efficiency. You will work closely with various departments to identify data-related challenges & develop strategies to improve claims quality & operations. You will also ensures accurate & timely delivery of required reporting.

You will report to the Senior Manager, Claims Reporting.

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.

If you live within commutable distance to our New York City office (in Hudson Square), our Tempe office (off the 101 at University Dr), or our Los Angeles office (in Marina Del Rey), you will be expected to come into the office at least two days each week. Otherwise, this is a remote / work-from-home role.

You must reside in one of the following states: Alabama, Arizona, California, Colorado, Connecticut, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, or Washington, D.C. Note, this list of states is subject to change. #LI-Remote

Pay Transparency:

The base pay for this role in the states of California, Connecticut, New Jersey, New York, & Washington is: $93,600 - $122,850 per year. The base pay for this role in all other locations is: $84,240 - $110,565 per year. You are also eligible for employee benefits, participation in Oscars unlimited vacation program & annual performance bonuses.

Responsibilities

Collaborate with cross-functional teams to identify healthcare data-related challenges & develop comprehensive solutions.
Produce required data deliverables & provide technical & analytical support for Oscars Operations
Develop & implement healthcare data management strategies to ensure ongoing data integrity & accuracy.
Create custom queries to facilitate ad-hoc requests & utilize data to validate assumptions
Monitor & evaluate data management systems & processes to ensure compliance with regulations & industry standards.
Compliance with all applicable laws & regulations
Other duties as assigned

Qualifications

4+ years of experience within claims operations
3+ years professional experience debugging & solving complex data problems with demonstrated success digging into data to discover root causes & drive solutions
2+ years of experience utilizing strong SQL skills (ability to execute basics such as inner joins, left joins, multiple join conditions, aggregate functions, & subqueries without the use of supporting resources)
2+ years of experience with data management principles & data quality assurance
2+ years of experience designing and/or improving data models, with experience defining requirements, documenting, & partnering with technical teams for execution
2+ years of experience presenting & delivering messages to senior leadership. Strong communication & interpersonal skills to effectively collaborate with cross-functional teams & stakeholders.
Expert in Excel and/or Google Sheets with 3+ years of experience

Bonus Points

A bachelors degree or significant demonstrated success in field
Experience working with provider & facility data
Experience working in operations management or process improvement roles
Programming experience (especially in Python)
Background in health insurance
Experience automating and/or designing data pipelines

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.

California Residents: For information about our collection, use, & disclosure of applicants personal information as well as applicants rights over their personal information, please see our Notice to Job Applicants.