Senior Analyst, Claims Optimization
Remote
Hi, we're Oscar. We're hiring a Senior Analyst, Claims Optimization to join our Claims Operations team.
Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselvesāone that behaves like a doctor in the family.
About the role
This role is responsible for supporting process improvement and issue resolution in the Oscar claim environment for both the Oscar Insurance business and +Oscar clients. The Senior Analyst, Claims Optimization role organizes, scopes, triages, investigates and/or executes on solutions and process improvements. This is accomplished by leveraging a deep understanding of Oscarās claim infrastructure, workflows, workflow tooling, platform logic, data models, etc., to work cross-functionally to understand and translate friction from stakeholders into actionable opportunities for improvement.Ā
You will report to the Manager, Claims Optimization.
Work Location:Ā
Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission.Ā
If you live within commutable distance to our New York City office ( in Hudson Square), our Tempe office (off the 101 at University Ave), or our Los Angeles office (in Marina Del Rey), you will be expected to come into the office at least two days each week. Otherwise, this is a remote / work-from-home role.Ā Ā
You must reside in one of the following states: Alabama, Arizona, California, Colorado, Connecticut, Florida, Georgia, Illinois, Iowa, Kentucky, Maryland, Massachusetts, Michigan, Minnesota, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, Tennessee, Texas, Utah, Vermont, Virginia, Washington, or Washington, D.C. Note, this list of states is subject to change. #LI-Remote
Pay Transparency:
The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $72,800 - $95,550 per year. The base pay for this role in all other locations is: $65,520 - $85,995 per year. You are also eligible for employee benefits, participation in Oscarās unlimited vacation program and annual performance bonuses.
Responsibilities
- Ingest information from internal partners to improve processes within claims; collaborate with partners to scope, size, prioritize items and deliver solutions.
- Utilize data analysis skills and tools to develop accurate, quantitative analyses of issues.
- ā¦
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11 paid holidays Annual performance bonuses Employee benefits Life and Disability insurance Medical, dental, and vision benefits Paid holidays Paid parental leave Paid sick time Paid wellness time and reimbursements Performance bonuses Unlimited Vacation Unlimited vacation program
Tasks- Compliance
- Data Analysis
- Other duties as assigned
Collaboration Compliance Data analysis Data Mining Engineering Excel Infrastructure Leadership Lean Six Sigma Operations Process Improvement Root Cause Analysis SQL Workflow Optimization
Education Certifications TimezonesAmerica/Anchorage America/Chicago America/Denver America/Los_Angeles America/New_York Pacific/Honolulu UTC-10 UTC-5 UTC-6 UTC-7 UTC-8 UTC-9