FreshRemote.Work

Senior Analyst, Claims Platform Configuration

Remote

Hi, we're Oscar. We're hiring a Senior Analyst to join our Claims Platform Configuration 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 ourselvesā€”one that behaves like a doctor in the family.

About the role

The Senior Analyst, Claims Platform 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 to the Manager, Claims Platform Configuration.

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 Dr), 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.

You must reside in one of the following states: Alabama, Arizona, California, Colorado, Connecticut, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, or Washington, D.C. Note, this list of states is subject to change.

Pay Transparency:

The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $76,800 - $100,800 per year. The base pay for this role in all other locations is: $69,120 - $90,720 per year. You are also eligible for employee benefits, participation in Oscarā€™s unlimited vacation program and annual performance bonuses.

Responsibilities

  • Analyze and summarize claims process behavior in order to expedite the design/solutioning process
  • Translate configuration, enabling internal teams to resolve escalationsĀ 
  • Process incoming Jira tickets to support member escalation resolution
  • Write first-draft requirements for ad-hoc legal updatesĀ 
  • Identify and pilot opportunities to improve operational efficiencyĀ Ā 
  • Triage and manage workflows of ingested itemsĀ 
  • Investigate escalations via incoming tickets or informal pathways
  • Conduct necessary maintenance work ā€¦
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Job Profile

Restrictions

Arizona California Colorado Connecticut Florida Georgia Illinois In-office requirement for local residents Iowa Kentucky Maine Maryland Massachusetts Michigan Minnesota Missouri Must reside in one of the following states Must reside in specified states Nevada New Hampshire New Jersey New Mexico New York North Carolina Ohio Oregon Pennsylvania Rhode Island South Carolina Tennessee Texas Utah Vermont Virginia Washington

Benefits/Perks

11 paid holidays Annual performance bonuses Dental Disability Insurance Employee benefits Life and Disability insurance Medical Medical, dental, and vision benefits Paid holidays Paid parental leave Paid sick time Paid wellness time Paid wellness time and reimbursements Performance bonuses Unlimited Vacation Unlimited vacation program Vision Vision Benefits

Tasks
  • Compliance
  • Compliance with all applicable laws and regulations
  • Conduct maintenance
  • Identify efficiency opportunities
  • Investigate escalations
  • Manage workflows
  • Other duties as assigned
  • Process Jira tickets
  • Resolve escalations
  • Translate configuration
  • Write requirements
Skills

C Claims processing Compliance Data Management Design Escalations Excel Google Docs Google Sheets Google Slides Healthcare Healthcare claims adjudication Health Insurance Jira Microsoft Excel Microsoft PowerPoint Microsoft Word PowerPoint SQL Technology Technology Platform Triage Word

Experience

1 years

Education

Business