Senior Quality Data Analyst, Claims

Hi, we're Oscar. We're hiring a Senior Quality Data Analyst to join our Claims Quality 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 ourselves—one that behaves like a doctor in the family.

About the role

The Senior Quality Data Analyst is responsible for analyzing, organizing, and managing claims related data to optimize business processes and drive efficiency. You will work closely with various departments to identify data-related challenges and develop strategies to improve claims quality and operations. You will also ensures accurate & timely delivery of required reporting.

You will report to the Senior Manager, Claims Reporting.

Work Location: 

Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission. 

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. #LI-Remote

Pay Transparency:

The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $93,600 - $122,850 per year. The base pay for this role in all other locations is: $84,240 - $110,565 per year. You are also eligible for employee benefits, participation in Oscar’s unlimited vacation program and annual performance bonuses.

Responsibilities

• Collaborate with cross-functional teams to identify healthcare data-related challenges and develop comprehensive solutions.
• Produce required data deliverables and provide technical & analytical support for Oscar’s Operations
• Develop and implement healthcare data management strategies to ensure ongoing data integrity and accuracy. 
• Create custom queries to facilitate ad-hoc requests and utilize data to validate assumptions
• Monitor and evaluate data management systems and processes to ensure compliance with regulations and industry standards.
• Compliance with all applicable laws and regulations
• Other duties as assigned

Qualifications

• 4+ years of experience within claims operations 
• 3+ years professional experience debugging and solving complex data problems with demonstrated success digging into data to discover root causes and drive solutions
• 2+ years of experience utilizing strong SQL skills (ability to execute basics such as inner joins, left joins, multiple join conditions, aggregate functions, and subqueries without the use of supporting resources)
• 2+ years of experience with data management principles and data quality assurance
• 2+ years of experience designing and/or improving data models, with experience defining requirements, documenting, and partnering with technical teams for execution
• 2+ years of experience presenting and delivering messages to senior leadership. Strong communication and interpersonal skills to effectively collaborate with cross-functional teams and stakeholders.
• Expert in Excel and/or Google Sheets with 3+ years of experience

Bonus Points

• A bachelor’s degree or significant demonstrated success in field
• Experience working with provider and facility data
• Experience working in operations management or process improvement roles
• Programming experience (especially in Python)
• Background in health insurance
• Experience automating and/or designing data pipelines

This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here. 

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.

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 (accommodations@hioscar.com) to make the need for an accommodation known.

California Residents: For information about our collection, use, and disclosure of applicants’ personal information as well as applicants’ rights over their personal information, please see our Notice to Job Applicants.