Analyst, Payment Integrity (Data Mining)

Oscar Health•New York City, NY

11h•$28 - $37•Hybrid

About The Position

Hi, we're Oscar. We're hiring an Analyst, Data Mining to join our Payment Integrity team. Oscar is the first health insurance company built around a full stack technology platform and a relentless 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 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. You will report into the Senior Manager, Payment Integrity Work Location: 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. #LI-Hybrid Pay Transparency: The base pay for this role is: $28.26 - $37.10 per hour. You are also eligible for employee benefits and monthly vacation accrual at a rate of 15 days per year

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