Analyst, Coordination of Benefits

Hi, we're Oscar. We're hiring a Analyst, Coordination of Benefits to join our Payment Integrity team.

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

About The Role

You will be responsible for supporting Coordination of Benefits efforts for Payment Integrity. You will be responsible for investigating and verifying proper payment of Oscar medical and pharmacy claims.

You will report into the Senior Manager, Payment Integrity.

Work Location

This is a remote position, open to candidates who reside in: Atlanta, Georgia; Chicago, Illinois; Dallas, Texas; Louisville, Kentucky; Minneapolis, Minnesota; Philadelphia, Pennsylvania; Salt Lake City, Utah. You will be fully remote; however, our approach to work may adapt over time. Future models could potentially involve a hybrid presence at the hub office associated with your metro area.

Pay Transparency

The base pay for this role is: $25.44 - $33.39 per year. You are also eligible for employee benefits and monthly vacation accrual at a rate of 15 days per year.

Responsibilities

Analyze, investigate and confirm if dual coverage exists for Oscar membership

Support leadership to scope, size, prioritize items and deliver Coordination of Benefits solutions

Utilize data analysis skills and tools to develop accurate, quantitative analyses of payment issues

Complete quality reviews of coordination of benefits vendor findings

Compliance with all applicable laws and regulations

Other duties as assigned

Requirements

2+ years of experience in Payment Integrity

1+ years in claims processing, auditing or health care operations

2+ years of experience working with large data sets using excel or a database language

Bonus Points

Some experience using SQL

2+ years of related work experience in Coordination of Benefits

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

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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 and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.

Pay Transparency

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

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.

Artificial Intelligence (ai)

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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.

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