Senior Analyst, Configuration

Oscar Health; Phoenix (AZ); Hybrid; USD 68,000 - 89,000; Full time

Benefits offered by this job

Benefits package

Unlimited vacation program

Annual performance bonuses

Job summary

Oscar Health in Tempe, AZ is seeking a Senior Analyst on the Claims and Benefits Team. The role focuses on improving platform configuration accuracy and efficiency, reporting to the Manager, Configuration Operations.

The position requires 3 days in the Tempe office weekly, with Thursday in-office mandatory for meetings. Base pay ranges from $67,813 to $89,004 per year, with eligibility for benefits, unlimited vacation, and performance bonuses.

Qualifications

• 2+ years working knowledge of health plan benefit concepts.
• 1+ year of SQL experience.
• 1+ year claims processing experience.

Responsibilities

• Analyze and summarize process behavior to expedite design and 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 tickets or informal pathways.
• Maintain and implement workflow updates and contract configuration changes.
• Ensure compliance with applicable laws and regulations.
• Assist with documentation and implementation of workflow updates.

Skills

Health plan benefit concepts

SQL

Claims processing

Tools

Jira

Microsoft Office

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 Tempe, AZ 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.

Pay Transparency

The base pay for this role is: $67,813 - $89,004 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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