Operations Analyst, Plan Loading
About The Position
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: You will support incoming projects and work designed to improve the consistency, accuracy, and efficiency of Oscar processes through system configuration. You will collaborate with stakeholders in the organization and gains an understanding of Oscar's platform capabilities to ensure that it loads information accurately and efficiently. You will report into the Senior Operations Manager, Benefit Configuration.
Requirements
- 1+ years of working knowledge of health plan benefit concepts (e.g., deductibles and other forms of cost sharing, etc.).
- 1+ years of proficiency in Microsoft Word, Excel and PowerPoint and/or comparable programs within the Google Docs Editors suite (e.g., Google Docs, Google Sheets, Google Slides).
- 1+ years of experience manipulating and analyzing large data sets using excel or a similar database language to solve business problems
Nice To Haves
- A bachelor's degree or 4 years commensurate experience
- Working knowledge of medical coding concepts (e.g., CPT, HCPCs and ICD-10 coding)
- Proficiency in SQL
Responsibilities
- Perform detailed oriented work with a high level of accuracy and adherence to all QA/QC protocols
- Experience with designs, builds, and configuration workflows and utilize this knowledge to develop insights into opportunities for workflow improvements.
- Understand aggregated configuration data to identify updates required and to measure the impact of any changes on internal operations and existing configuration
- Load configuration data into the core system accurately and in a timely manner
- Use internal tools and technical processes, in particular database querying and benefit or reimbursement configuration concepts.
- Build SQL queries and translate technical analyses into easily digestible communications to a nontechnical audience
- Identify and report on any data/data infrastructure gaps, deficiencies, or irregularities
- Compliance with all applicable laws and regulations
- Other duties as assigned
Benefits
- employee benefits
- participation in Oscar's unlimited vacation program
- annual performance bonuses
- 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
