Senior Analyst, Configuration & Claims Ops (Hybrid NYC)

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

Benefits offered by this job

Unlimited vacation

Annual performance bonuses

Medical benefits

Dental benefits

Vision benefits

401(k) plan

Job summary

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

Qualifications

• 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

Responsibilities

• 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.

Skills

Health plan benefit concepts

SQL

Claims processing experience

Python

Jira

Tools

Jira

Job description

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