Remote Operations Analyst — Plan Loading & Data Config

Oscar Health; United States; Remote; USD 56,000 - 73,000; Full time

Job summary

Oscar Health, a fully remote health insurer, is seeking an Operations Analyst, Plan Loading to join the Claims and Benefits Configuration Team. The role focuses on accurate system configuration, data loading, and cross-functional collaboration to improve workflow efficiency. You will report to the Senior Operations Manager, Benefit Configuration.

The position is remote across the U.S. (with state-based pay ranges) and may involve occasional travel for team meetings and events.

Qualifications

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

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

Skills

Data analysis

Attention to detail

Stakeholder collaboration

Communication

Education

Bachelor's degree or equivalent

Tools

SQL

Excel

Google Docs

Word

PowerPoint

Job description

Oscar Health, a fully remote health insurer, is seeking an Operations Analyst, Plan Loading to join the Claims and Benefits Configuration Team. The role focuses on accurate system configuration, data loading, and cross-functional collaboration to improve workflow efficiency. You will report to the Senior Operations Manager, Benefit Configuration.

The position is remote across the U.S. (with state-based pay ranges) and may involve occasional travel for team meetings and events.