Remote Data Mining Manager: Savings & Recovery Lead

Oscar Health; United States; On-site; USD 101,000 - 132,000; Full time

Benefits offered by this job

Unlimited vacation

Annual performance bonuses

Employee benefits

Job summary

Oscar Health is seeking a Manager of Data Mining to lead a team of auditors in the post-payment payment integrity space. The role reports to the Associate Director, Payment Integrity and is fully remote, with eligibility for benefits and bonuses.

The ideal candidate will have 4+ years in healthcare operations and 2+ years of leadership, plus experience designing and improving business workflows. Collaboration with tech/data science teams to identify savings and recovery opportunities is

Qualifications

• Bachelor’s degree or 4+ years of commensurate experience.
• 4+ years 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

Team leadership

Workflow design

Cross-functional collaboration

Mentoring

Education

Bachelor’s degree or 4+ years of commensurate experience

Tools

SQL

Job description

Oscar Health is seeking a Manager of Data Mining to lead a team of auditors in the post-payment payment integrity space. The role reports to the Associate Director, Payment Integrity and is fully remote, with eligibility for benefits and bonuses.

The ideal candidate will have 4+ years in healthcare operations and 2+ years of leadership, plus experience designing and improving business workflows. Collaboration with tech/data science teams to identify savings and recovery opportunities is