Data Mining Manager – Payment Integrity Lead

Namely; Tempe (AZ); Hybrid; USD 101,000 - 132,000; Full time

Job summary

Oscar Health is seeking a Manager, Data Mining to lead the Payment Integrity team in Tempe. You will guide a team of auditors, oversee data mining vendor management, and drive savings and recovery targets in post-payment processes.

This role reports to the Associate Director, Payment Integrity and requires a hybrid schedule with 3 in-office days per week, including Thursdays for team meetings and events. Qualifications include 4+ years in healthcare operations and prior leadership experience;

Qualifications

• Bachelor’s degree or 4+ years of commensurate experience.
• 4+ years of experience in healthcare operations.
• 2+ years experience leading and developing a team.
• 2+ years experience designing, implementing and improving business workflows.

Responsibilities

• Oversee the quality control process for data mining vendor submissions, ensuring accuracy and alignment with program standards.
• Lead the daily operations of the data mining team, including the strategic delegation of work to both internal auditors and external partners.
• Develop team workflows and guidelines that produce consistent and measurable outcomes.
• Train, teach and mentor team members to become more proficient and effective.
• Partner with Oscar's technology and/or data science teams to establish algorithms for savings and recovery identifications.
• Compliance with all applicable laws and regulations.
• Other duties as assigned.

Skills

Leadership

Team mentoring

Workflow design

Data-driven decision making

Education

Bachelor's degree or 4+ years experience

Tools

SQL

Job description

Oscar Health is seeking a Manager, Data Mining to lead the Payment Integrity team in Tempe. You will guide a team of auditors, oversee data mining vendor management, and drive savings and recovery targets in post-payment processes.

This role reports to the Associate Director, Payment Integrity and requires a hybrid schedule with 3 in-office days per week, including Thursdays for team meetings and events. Qualifications include 4+ years in healthcare operations and prior leadership experience;