Senior Analyst Claims Production

Hi were Oscar. Were hiring a Senior Analyst to join our Claims Production team.

Oscar is the first health insurance company built around a full stack technology platform and 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 supporting process improvement and complex claims issue resolution in the Oscar claim environment for both the Oscar Insurance business and Oscar clients. The Senior Analyst Claims Production role organizes scopes triages investigates and/or executes on solutions and process improvements. This is accomplished by leveraging a deep understanding of how to work crossfunctionally to understand and translate friction from stakeholders into actionable opportunities for improvement.

You will report to the Associate Director Claims Production.

Work Location:

Oscar is a blended work culture where everyone regardless of work type or location feels connected to their teammates our culture and 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 / workfromhome role.

You must reside in one of the following states: Alabama Arizona Arkansas California Colorado Connecticut Florida Georgia IllinoisIndiana 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. #LIRemote

Pay Transparency:

The base pay for this role in the states of California Connecticut New Jersey New York and Washington is: $60000 $78750 per year. The base pay for this role in all other locations is: $54000 $70875 per year. You are also eligible for employee benefits participation in Oscars unlimited vacation program and annual performance bonuses.

Responsibilities

• Ingest information from internal and external partners regarding adverse claim outcomes; collaborate with partners to scope size prioritize items and deliver solutions of complex claims issues.
• Translate observations findings and analysis results into detailedoften technicalbusiness requirements; submit to and collaborate with internal partners to effectuate change.
• Use insights from partner submissions data mining process monitoring etc. work with the team to proactively identify thematic areas of opportunity to solve problems.
• Perpetuate a culture of transparency and collaboration by keeping stakeholders well informed of progress status changes blockers completion etc.; field questions as appropriate.
• Support Oscar run state objectives by providing speedy research root cause analysis training etc. whenever issues are escalated and assigned by leadership.
• Coordinate projects and processes to help ensure key milestones and service levels are met
• Partner with leadership to strategize implement and manage arrangements aimed at lowering overall cost or improving outcomes
• Partner with crossfunctional teams to ensure action plans align with continuous improvement goals and participate in collaboration with peers and crossfunctional stakeholders
• Support the management stewardship and analysis of data to support compliant and performant business operations
• Provide recommendations that ensure financial discipline and quality
• Support identifying and implementing process improvement initiatives as well as mindset shifts to optimize operational efficiency and achieve performance targets
• Compliance with all applicable laws and regulations
• Other duties as assigned

Qualifications

• A bachelors degree or 4 years of commensurate health plan experience
• 3 years experience in healthcare claims organization
• 3 years experience working with large data sets using excel or a database language and rootcause analysis
• 3 years experience deriving business insights from datasets and solving problems
• 3 years experience improving business workflows and processes
• 3 years experience collaborating with internal and/or external stakeholders
• 1 years experience in operations or quality analytics

Bonus Points

• Knowledge management training or content development in operational settings
• Process Improvement or Lean Six Sigma training andsExperience using BigQuery or Looker Studio