Operations Analyst, Plan Loading

Oscar Health, Inc.; Phoenix (AZ); Remote; USD 56,000 - 73,000; Full time

Benefits offered by this job

Unlimited vacation

Annual performance bonus

Medical, dental, vision benefits

Job summary

Oscar Health, Inc. is hiring an Operations Analyst, Plan Loading to join our Claims and Benefits Configuration Team. This fully remote role supports loading configuration data accurately, building SQL queries, and driving workflow improvements across health plan benefits.

The position requires 1+ years working with health plan concepts, data analysis, and Excel/Sheets skills, with bonuses for SQL proficiency. Eligible for comprehensive benefits and an unlimited vacation program.

Qualifications

• Experience with loading and configuration in system platforms.
• Proficient in Excel or Google Sheets for large data sets.
• Understanding health plan benefits concepts and terminology.

Responsibilities

• Load configuration data into the core system accurately and timely.
• Build SQL queries and translate analyses for nontechnical audiences.
• Identify data gaps and report on irregularities affecting operations.
• Ensure QA/QC protocols are followed and regulatory compliance is met.
• Collaborate with stakeholders to improve workflows and configurations.

Skills

Health plan concepts

Data analysis

SQL queries

Education

Bachelor's degree or 4 years commensurate experience

Tools

SQL

Job description

Hi, we're Oscar. We're hiring an Operations Analyst, Plan Loading to join our Claims and Benefits Configuration 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 ourselves—one that behaves like a doctor in the family.

About the role

The Analyst, Configuration supports incoming projects and work designed to improve the consistency, accuracy, and efficiency of Oscar processes through system configuration. Through collaboration with stakeholders in the organization and gaining an understanding of Oscar's platform capabilities, this role ensures information is loaded accurately and efficiently.

Work Location

This position is fully remote and open to candidates residing in the U.S., excluding Alaska; Delaware; Hawaii; Louisiana; Montana; North Dakota; Oklahoma; West Virginia; Wyoming; and U.S. Territories. Daily work is completed from your home office, with occasional travel required for team meetings and company events.

Pay Transparency

The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $62,100 - $81,506.25 per year. The base pay for this role in all other locations is: $55,890 - $73,335.63 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities

• Perform detailed oriented work with a high level of accuracy and adherence to all QA/QC protocols
• Strong understanding of designs, builds, and configuration workflows and utilize this knowledge to develop insights into opportunities for workflow improvements.
• Understand aggregated configuration data to identify updates required and to measure the impact of any changes on internal operations and existing configuration
• Load configuration data into the core system accurately and in a timely manner
• Leverage internal tools and technical processes, in particular database querying and benefit or reimbursement configuration concepts.
• Build SQL queries and translate technical analyses into easily digestible communications to a nontechnical audience
• Identify and report on any data/data infrastructure gaps, deficiencies, or irregularities
• Compliance with all applicable laws and regulations
• Other duties as assigned

Requirements

• 1+ years of working knowledge of health plan benefit concepts (e.g., deductibles and other forms of cost sharing, etc.).
• 1+ years of proficiency in Microsoft Word, Excel and PowerPoint and/or comparable programs within the Google Docs Editors suite (e.g., Google Docs, Google Sheets, Google Slides).
• 1+ years of experience manipulating and analyzing large data sets using excel or a similar database language to solve business problems

Bonus points

• A bachelor's degree or 4 years commensurate experience
• Working knowledge of medical coding concepts (e.g., CPT, HCPCs and ICD-10 coding)
• Proficiency in SQL

This is an authentic Oscar Health job opportunity.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. We're 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 applicant's 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.

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