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Salary: USD 100,602 - 132,040 / annual
Oscar Health is seeking a Manager of Data Mining to lead a team within the Payment Integrity department. This role oversees data mining auditors and vendor management in the post-payment integrity space, reporting to the Associate Director of Payment Integrity.
Key responsibilities include:
- Leading daily operations of the data mining team, delegating work strategically to internal auditors and external partners
- Overseeing quality control for data mining vendor submissions to ensure accuracy and alignment with program standards
- Developing team workflows and guidelines that produce consistent, measurable outcomes
- Training, teaching, and mentoring team members to improve proficiency and effectiveness
- Partnering with Oscar's technology and data science teams to establish algorithms for savings and recovery identification
- Ensuring compliance with applicable laws and regulations
The role is fully remote, open to candidates residing in Atlanta, Chicago, Dallas, Louisville, Minneapolis, Philadelphia, or Salt Lake City. Oscar notes that future work models could potentially involve hybrid presence at hub offices.
Required qualifications:
- Bachelor's degree or 4+ years of commensurate experience
- 4+ years of healthcare operations experience
- 2+ years of experience leading and developing a team
- 2+ years of experience designing, implementing, and improving business workflows
Bonus qualifications include 2+ years of payment integrity experience at a health plan or vendor, healthcare claims adjudication experience, SQL skills, and medical coding certifications (CPC, COC, CCS, RHIT, RHIA).
Oscar is a technology-driven health insurance company founded in 2012, focused on serving members with a full-stack platform and doctor-like care approach.
