Remote Senior Credentialing Quality & Data Ops Analyst

oscar; United States; Remote; USD 62,000 - 80,000; Full time

Benefits offered by this job

Benefits package

Unlimited vacation

Annual performance bonus

Job summary

Oscar is hiring a Senior Analyst to join our Credentialing Quality & Data Operations Team. The role focuses on ensuring credentialing accuracy, quality, compliance, and continuous improvement across provider operations.

This fully remote position is open to US residents (excluding specific states). Base pay ranges from $61,851 to $80,000 per year, with benefits, unlimited vacation, and annual performance bonuses available.

Qualifications

• 3+ years of 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; extensive credentialing knowledge is not required, though the ability to learn credentialing concepts and data is essential.
• 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 service-level expectations.
• Evaluate practitioner and facility credentialing records, workflows, source documentation, and system data for accuracy, completeness, timeliness, consistency, and compliance.
• Plan and complete risk-based or routine quality audits; select samples, document evidence, score results, identify error patterns, and communicate clear, supportable findings.
• Analyze complex datasets using spreadsheets, reporting tools, database queries, or other analytical methods to measure quality, productivity, timeliness, inventory, and operational performance.
• Build, maintain, and validate reports, dashboards, metrics, and monitoring controls; investigate data anomalies and reconcile information across sources of truth.
• Perform root-cause analysis and translate audit results, data trends, and operational insights into corrective and preventive actions, process improvements, and measurable recommendations.
• Be a credentialing resource on practitioner and facility requirements, including initial credentialing, recredentialing, verification, file review, committee preparation, delegated activities, and related provider data dependencies.
• Support remediation of complex quality, data, or credentialing issues; track action plans through closure and validate that corrective actions are effective and sustained.
• Coach team members and share subject-matter guidance.
• Manage assigned projects, analyses, audits, escalations, and caseloads independently while meeting quality, documentation, and timeliness expectations.
• Other duties as assigned.

Skills

Healthcare operations

Credentialing quality audits

Excel / Google Sheets

Data analysis / dashboards

Primary-source verification

Regulatory knowledge

Tools

SQL / BigQuery

BI / Visualization tools

Job description

Oscar is hiring a Senior Analyst to join our Credentialing Quality & Data Operations Team. The role focuses on ensuring credentialing accuracy, quality, compliance, and continuous improvement across provider operations.

This fully remote position is open to US residents (excluding specific states). Base pay ranges from $61,851 to $80,000 per year, with benefits, unlimited vacation, and annual performance bonuses available.