Senior Authorization Systems Architect

name; Tempe (AZ); Hybrid; USD 68,000 - 89,000; Full time

Benefits offered by this job

Unlimited vacation

Medical benefits

Dental benefits

Vision benefits

401(k) plan

Life and disability insurance

Paid holidays

Parental leave

Wellness time

Reimbursements

Job summary

Oscar Health seeks a Sr. Analyst, Authorization Services Design & Configuration to architect medical management workflows in the UM platform. You will translate requirements into automated logic and educate cross-functional partners on system decisions, contributing to care guidance.

You will join a team in Tempe, AZ with a hybrid schedule (3 in-office days/week, Thursdays mandatory). The role emphasizes systems thinking and collaboration across Product, Clinical, and Regulatory groups.

Qualifications

• 2+ years of experience in system configuration, business rules management, or technical workflow design.
• 2+ years of experience in a technical/operational role involving root-cause analysis and data troubleshooting.
• Intermediate to Advanced proficiency in Excel/Google Sheets (vlookups, pivot tables, and data manipulation).
• Experience assessing and comprehending end-to-end process impacts in complex technical environments.
• Strong communication skills with the ability to explain technical system logic to non-technical partners.
• 1+ year working knowledge of within the healthcare industry (payer or provider).

Responsibilities

• Manage the configuration and maintenance of authorization workflows, rulesets, and automations within the UM platform.
• Translate business requirements into precise technical specifications, ensuring that business rules and logic are accurately represented, tested, and implemented.
• Investigate and resolve escalations by performing root cause analysis on system behavior and configuration gaps.
• Identify "friction points" in the authorization process and document opportunities for workflow improvement and automation.
• Be the primary subject matter expert for the UM system, educating other teams on how configuration impacts operations and supports our needs.
• Develop testing protocols and implement test scenarios to validate expected system behavior and configuration accuracy.
• Lead corrective activities when system behavior deviates from expectations.
• Manage assigned caseloads and project tasks through dashboard management and prioritization.
• Maintain clear, comprehensive documentation of all business rules, technical specs, and workflow designs.

Skills

System configuration

Root-cause analysis

Excel/Sheets

Communication

Healthcare knowledge

Tools

SQL

BigQuery

JIRA

Linear

Slack

Job description

Oscar Health seeks a Sr. Analyst, Authorization Services Design & Configuration to architect medical management workflows in the UM platform. You will translate requirements into automated logic and educate cross-functional partners on system decisions, contributing to care guidance.

You will join a team in Tempe, AZ with a hybrid schedule (3 in-office days/week, Thursdays mandatory). The role emphasizes systems thinking and collaboration across Product, Clinical, and Regulatory groups.