Analyst, Payment Integrity (Data Mining)
Oscar Health•New York, NY
•Hybrid
About The Position
The Data Mining Analyst is responsible for reviewing claims data to identify incorrect payments. The analyst supports payment integrity quality control for incorrect payments identified both internally and by vendors. This position is based in our New York City office, requiring a hybrid work schedule with 3 days of in-office work per week. Thursdays are a required in-office day for team meetings and events, while your other two office days are flexible to suit your schedule.
Requirements
- 2+ years of experience in healthcare
- 2+ years of experience working with large claims data sets using excel or a database language
Nice To Haves
- Some coding experience or database language exposure
- 2+ years of related work experience in payment integrity data mining
- Experience using SQL
Responsibilities
- Analyze and investigate claims data
- Support quality review claim and concept findings from internal and external partners regarding adverse claim outcomes.
- Utilize data analysis skills and tools to develop accurate, quantitative analyses of issues.
- Work with the team to identify thematic areas of opportunity to reduce incorrect payments.
- Mediate errors with key stakeholders
- Compliance with all applicable laws and regulations
- Other duties as assigned
Benefits
- medical
- dental
- 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
Mid Level
Education Level
No Education Listed
