Events  Deals  Jobs 
    Sign in  
 
 
Oscar Health // health insurance
 
New York City, United States    Posted: Saturday, August 28, 2021
 
   
 
Apply To Job
 
 
JOB DETAILS
 

Hi, we're Oscar. We're hiring a Senior Analyst, Clinical Strategy & Optimization to join our Clinical Review 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 Analyst on the Clinical Strategy & Optimization team supports regulatory compliance & reporting for Oscar's Utilization Management program.

You will support clinical operations processes by identifying areas for potential improvement across several lines of business to ensure compliance with regulatory requirements & development of reports.

You will report to the Senior Manager, Utilization Management Strategy & Operations. This is a hybrid role, & you will work part of the time in the New York office & part of the time working remotely.

Responsibilities

  • Support development & implementation of clear, scalable & dynamic operational processes which support regulatory & audit requirements.
  • Monitor internal processes to ensure compliance with policies, procedures & adherence to regulatory requirements
  • Assist process owners in gathering evidence for regulatory reporting & audits & uploading documentation to relevant platforms
  • Work with process owners to develop & implement internal corrective action plans & monitoring procedures for high-risk processes
  • Investigate case inquiries submitted to Clinical Strategy & Optimization team by Compliance
  • Use internal tools & technical processes to complete database queries & dashboard creation
  • Manage suite of operational & regulatory reporting dashboards for all lines of business
  • Understand relevant policies & workflows
  • Manage relationships with your partners, regulatory authorities & vendors as a representative of Oscar.

Qualifications

  • 3+ years of professional experience
  • Experience in data analytics
  • Advanced Excel skills (can perform complex functions)
  • Proficient in SQL

Bonus points

  • Bachelor's degree or 4 years commensurate experience
  • Insurance/Health Care experience
  • Experience supporting process improvement, designing operational controls, workflow building & project management
  • Experience with regulatory reporting

Life at Oscar

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.

We encourage our members to care for their whole selves, & we encourage our employees to do the same with comprehensive medical benefits, generous paid-time off, paid parental leave, retirement plans, company social events, stocked kitchens, wellness programs, & volunteer opportunities.

Reasonable Accommodation

Oscar applicants are considered solely based on their qualifications, without regard to applicant's 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.

Pay Transparency Policy

Oscar ensures that you won't be discharged or discriminated against based on whether you've inquired about, discussed, or disclosed your pay. Read the full policy here.

COVID-19 vaccine requirements for in-person work: 

To protect the health & safety of our employees, we require any employee conducting in-person work* to be fully vaccinated against COVID-19 by their start date. 

If you are unable to be vaccinated due to medical or protected religious reasons, please reach out to our Benefits team at accommodations@hioscar.com to submit an accommodations request.

*Note: In-person work includes: employees required to work from our offices (either full-time or part-time), employees conducting sales work in the field & employees conducting at-home or in-person visits with members.

 
 
 
Apply To Job
 
 
 
 
 
© 2021 GarysGuide      About    Feedback    Press    Terms