Senior Analyst, Configuration

Oscar Health, Inc.; New York (NY); Hybrid; USD 75,000 - 99,000; Full time

Job summary

Oscar Health, Inc. in New York City is seeking a Senior Analyst to join our Claims and Benefits Team. The role emphasizes improving platform configuration accuracy and process efficiency through a strong grasp of configuration capabilities and cross-functional collaboration.

You will report to the Manager, Configuration Operations, and work a hybrid schedule with three in-office days. The position involves documenting workflows, handling escalations, and driving operational improvements while

Qualifications

• 2+ years of health plan benefit concepts experience.
• 1+ year of SQL experience.
• 1+ year of claims processing experience.
• 1+ year experience with Jira.
• Experience with Microsoft Word, Excel and PowerPoint or Google Docs Editors.
• 1+ year Python experience.
• Experience working in health insurance/claims.

Responsibilities

• Analyze and summarize process behavior to expedite design/solutioning.
• Translate configuration enabling internal teams to resolve escalations.
• Process 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 tickets or other pathways.
• Maintain/configure contract settings and document workflow updates.
• Ensure compliance with applicable laws and regulations.
• Other duties as assigned.
• Approve work-in-progress contact configuration inquiries.
• Assist with documentation and implementation of workflow updates.

Skills

Health plan concepts

SQL

Claims processing

Python

Tools

Jira

Microsoft Word/Excel/PowerPoint

Google Docs Editors

Job description

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
• 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
• 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.

California Residents

For information about our collection, use, and disclosure of applicants’ personal information as well as applicants’ rights over their personal information, please see our Privacy Policy .

Oscar Health is authorized to do business in many, but not all, states. If you are not located in or willing to relocate to a state where Oscar is registered, you will not be eligible for employment. The approved states for this role are listed in the job posting.

Voluntary Self-Identification

For government reporting purposes, we ask candidates to respond to the below self-identification survey.Completion of the form is entirely voluntary. Whatever your decision, it will not be considered in the hiringprocess or thereafter. Any information that you do provide will be recorded and maintained in aconfidential file.

As set forth in Oscar Health’s Equal Employment Opportunity policy,we do not discriminate on the basis of any protected group status under any applicable law.

If you believe you belong to any of the categories of protected veterans listed below, please indicate by making the appropriate selection.As a government contractor subject to the Vietnam Era Veterans Readjustment Assistance Act (VEVRAA), we request this information in order to measurethe effectiveness of the outreach and positive recruitment efforts we undertake pursuant to VEVRAA. Classification of protected categoriesis as follows:

A "disabled veteran" is one of the following: a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or a person who was discharged or released from active duty because of a service-connected disability.

A "recently separated veteran" means any veteran during the three-year period beginning on the date of such veteran's discharge or release from active duty in the U.S. military, ground, naval, or air service.

An "active duty wartime or campaign badge veteran" means a veteran who served on active duty in the U.S. military, ground, naval or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense.

An "Armed forces service medal veteran" means a veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985.