Analyst, Coordination of Benefits
About The Position
You will be responsible for supporting Coordination of Benefits efforts for Payment Integrity. You will be responsible for investigating and verifying proper payment of Oscar medical and pharmacy claims. You will report into the Senior Manager, Payment Integrity. Work Location: This is a remote position, open to candidates who reside in: Atlanta, Georgia; Chicago, Illinois; Dallas, Texas; Louisville, Kentucky; Minneapolis, Minnesota; Philadelphia, Pennsylvania; Salt Lake City, Utah. You will be fully remote; however, our approach to work may adapt over time. Future models could potentially involve a hybrid presence at the hub office associated with your metro area. #LI-Remote
Requirements
- 2+ years of experience in Payment Integrity
- 1+ years in claims processing, auditing or health care operations
- 2+ years of experience working with large data sets using excel or a database language
Nice To Haves
- Some experience using SQL
- 2+ years of related work experience in Coordination of Benefits
Responsibilities
- Analyze, investigate and confirm if dual coverage exists for Oscar membership
- Support leadership to scope, size, prioritize items and deliver Coordination of Benefits solutions
- Utilize data analysis skills and tools to develop accurate, quantitative analyses of payment issues
- Complete quality reviews of coordination of benefits vendor findings
- Compliance with all applicable laws and regulations
- Other duties as assigned
Benefits
- employee benefits
- monthly vacation accrual at a rate of 15 days per year
- medical, dental, and vision benefits
- 11 paid holidays
- paid sick time
- paid parental leave
- 401(k) plan participation
- life and disability insurance
- paid wellness time and reimbursements
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
No Education Listed
