Senior Analyst, Configuration

Oscar; New York (NY); Híbrido; USD 75 000 - 99 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Unlimited vacation

Annual performance bonuses

Medical benefits

Dental benefits

Vision benefits

401(k) plan

Resumo da oferta

Oscar Health is hiring a Senior Analyst to join our Claims and Benefits Team in New York City. The role focuses on improving platform configuration, accuracy, and efficiency across processes.

You will work with Jira tickets, analyze process behavior, and support escalations to expedite design and solutioning. Based in New York City with a hybrid schedule (3 days in office), you will report to the Manager, Configuration Operations and contribute to ongoing workflow updates while complying with

Qualificações

• 2+ years working knowledge of health plan benefit concepts (e.g., deductibles, copays and other forms of cost sharing).
• 1+ year of SQL experience
• 1+ years claims processing experience

Responsabilidades

• Analyze and summarize process behavior to expedite design/solutioning.
• Translate configuration enabling internal teams to resolve escalations.
• Process incoming Jira tickets to support member escalation resolution.
• Identify and pilot opportunities to improve operational efficiency.
• Triage and manage workflows of ingested items.
• Investigate escalations via incoming tickets or informal pathways.
• Conduct maintenance work and ad-hoc projects related to Contract configuration.
• Ensure compliance with all applicable laws and regulations.

Conhecimentos

Health plan benefit concepts

SQL

Claims processing experience

Python

Jira

Ferramentas

Jira

Descrição da oferta de emprego

Hi, we're Oscar. We're hiring a Senior Analyst to join our Claims and Benefits 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 Senior Analyst, Configuration supports the business by improving the consistency, accuracy, and efficiency of platforms, systems and processes. Through understanding of the platform configuration capabilities, this role helps ensure that processes are configured accurately.

You will report into the Manager, Configuration Operations.

Work Location: This position is based in our New York City office, requiring a hybrid work schedule with 3 days of in-office work per week. Thursdays are a required in-office day for team meetings and events, while your other two office days are flexible to suit your schedule. #LI-Hybrid

Pay Transparency: The base pay for this role is: $75,348 - $98,894 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, and annual performance bonuses.

Responsibilities:

• Analyze and summarize process behavior in order to expedite the design/solutioning process
• Translate configuration enabling internal teams to resolve escalations
• Process incoming Jira tickets to support member escalation resolution
• Identify and pilot opportunities to improve operational efficiency
• Triage and manage workflows of ingested items
• Investigate escalations via incoming tickets or informal pathways
• Conduct necessary maintenance work and take on ad-hoc projects associated with Contract configuration
• Compliance with all applicable laws and regulations
• Other duties as assigned
• Approve work-in-progress contact configuration inquiries to ensure configuration is possible
• Assist with the continued documentation and implementation of workflow updates and processes

Requirements:

• 2+ years working knowledge of health plan benefit concepts (e.g., deductibles, copays and other forms of cost sharing, etc.)
• 1+ year of SQL experience
• 1+ years claims processing experience

Bonus points:

• 1+ year Proficient 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+ year experience in Jira
• Experience working in health insurance industry/claims
• Experience working with Jira
• SQL proficiency
• Python Experience

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 ([e-mail]) to make the need for an accommodation known.

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