Analyst, Coordination of Benefits

Dallas, IA - USA

Yearly Salary: $ 25 - 33

Posted on: 5 hours ago

Vacancies: 1 Vacancy

Job Summary

Hi were Oscar. Were 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 ourselvesone 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. #LI-Remote

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 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 and find both belonging and support. Were 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): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.

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 () to make the need for an accommodation known.

California Residents: For information about our collection use and disclosure of applicants personal information as well as applicants rights over their personal information please see our .

Required Experience:

Hi were Oscar. Were 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 co...