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Salary: USD 55,890 - 81,506.25 / annual
Oscar Health is seeking an Operations Analyst, Plan Loading to join the Claims and Benefits Configuration Team. Oscar is a technology-driven health insurance company founded in 2012, built on a full-stack platform with a focus on member service and operational excellence.
In this role, you will support incoming projects designed to improve consistency, accuracy, and efficiency of Oscar's processes through system configuration. You will collaborate with stakeholders across the organization to understand platform capabilities and ensure information is loaded accurately and efficiently into core systems.
Key responsibilities include:
- Performing detail-oriented work with high accuracy and adherence to QA/QC protocols
- Understanding configuration designs, builds, and workflows to identify improvement opportunities
- Analyzing aggregated configuration data to identify required updates and measure impact on operations
- Loading configuration data into core systems accurately and timely
- Leveraging internal tools and technical processes, including database querying and benefit/reimbursement configuration concepts
- Building SQL queries and translating technical analyses into clear communications for non-technical audiences
- Identifying and reporting data infrastructure gaps, deficiencies, or irregularities
- Ensuring compliance with applicable laws and regulations
You will report to the Senior Operations Manager, Benefit Configuration. This is a fully remote position open to US residents, excluding Alaska, Delaware, Hawaii, Louisiana, Montana, North Dakota, Oklahoma, West Virginia, Wyoming, and US Territories. Occasional travel may be required for team meetings and company events.
Requirements:
- 1+ years of working knowledge of health plan benefit concepts (deductibles, cost sharing, etc.)
- 1+ years of proficiency in Microsoft Word, Excel, PowerPoint, or comparable Google Docs Editors suite programs
- 1+ years of experience manipulating and analyzing large data sets using Excel or similar database language to solve business problems
Bonus qualifications:
- Bachelor's degree or 4 years of commensurate experience
- Working knowledge of medical coding concepts (CPT, HCPCS, ICD-10)
- SQL proficiency
