Remote Senior Analyst - Credentialing Quality & Data Ops

Oscar Health, Inc.; United States; Remote; USD 62,000 - 80,000; Full time

Benefits offered by this job

Annual performance bonuses

Unlimited vacation program

Benefits: medical, dental, vision

Job summary

Oscar Health, Inc. is hiring a Senior Analyst to support credentialing quality and data operations across audits, analytics, and provider data. The role emphasizes accuracy, regulatory readiness, and continuous improvement, reporting to the Senior Manager of Provider Operations Credentialing.

This fully remote position serves candidates in most US states (with exclusions) and includes base pay, benefits, unlimited vacation, and performance bonuses.

Qualifications

• 3+ years of relevant experience in healthcare operations, credentialing, quality assurance or audit, provider data, data analysis, or a related field.
• 1+ years of identifying risks or data issues, perform root-cause analysis, and driving work to resolution.
• Intermediate proficiency with Excel or Google Sheets, including data validation, reconciliation, analysis, and clear presentation of findings.
• Experience conducting healthcare credentialing quality audits, documentation, and corrective-action follow-up
• Experience analyzing operational datasets and building reports or dashboards; credentialing concepts are learnable
• Knowledge of practitioner and facility credentialing (including primary-source verification and regulatory requirements)

Responsibilities

• Perform complex operational work across credentialing, provider data, quality assurance, and analytics following applicable requirements, policies, procedures, and SLAs.
• Evaluate credentialing records, workflows, source docs, and system data for accuracy and compliance.
• Plan and complete risk-based or routine quality audits; document evidence and communicate findings.
• Analyze datasets using spreadsheets, reporting tools, queries to measure quality and performance.
• Build, maintain, and validate reports, dashboards, metrics, and monitoring controls; investigate data anomalies.
• Perform root-cause analysis and translate results into corrective actions and improvements.
• Be a credentialing resource on practitioner and facility requirements and data dependencies.
• Support remediation of complex quality or credentialing issues; track action plans to closure.
• Coach team members and share subject-matter guidance.
• Manage assigned projects, analyses, audits, escalations, and caseloads independently.
• Other duties as assigned.

Skills

Healthcare operations

Data analysis

Excel/Sheets

Tools

SQL

BigQuery

Job description

Oscar Health, Inc. is hiring a Senior Analyst to support credentialing quality and data operations across audits, analytics, and provider data. The role emphasizes accuracy, regulatory readiness, and continuous improvement, reporting to the Senior Manager of Provider Operations Credentialing.

This fully remote position serves candidates in most US states (with exclusions) and includes base pay, benefits, unlimited vacation, and performance bonuses.