Operations Analyst, Plan Loading

Oscar Health•Remote, AZ

2d•$55,890 - $81,506•Remote

About The Position

The Analyst, Configuration supports incoming projects and work designed to improve the consistency, accuracy, and efficiency of Oscar processes through system configuration. By collaborating with organizational stakeholders and learning Oscar’s platform capabilities, the role ensures information is loaded accurately and efficiently. The position reports to the Senior Operations Manager, Benefit Configuration. This is a fully remote role for candidates residing in eligible U.S. locations, excluding Alaska, Delaware, Hawaii, Louisiana, Montana, North Dakota, Oklahoma, West Virginia, Wyoming, and U.S. territories. Work is completed from a home office, with occasional travel required for team meetings and company events. The position offers location-dependent base pay: $62,100–$81,506.25 per year in California, Connecticut, New Jersey, New York, and Washington, and $55,890–$73,335.63 per year in other locations. Employees are also eligible for benefits, Oscar’s unlimited vacation program, and annual performance bonuses.

Requirements

At least 1 year of working knowledge of health plan benefit concepts, such as deductibles and other forms of cost sharing.
At least 1 year of proficiency in Microsoft Word, Excel, and PowerPoint, or comparable Google Docs Editors applications.
At least 1 year 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 of commensurate experience.
Working knowledge of medical coding concepts, such as CPT, HCPCs, and ICD-10 coding.
Proficiency in SQL.

Responsibilities

Perform detail-oriented work with a high level of accuracy and adherence to QA/QC protocols.
Apply knowledge of design, build, and configuration workflows to identify opportunities for workflow improvements.
Understand aggregated configuration data, identify required updates, and measure the impact of 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, particularly database querying and benefit or reimbursement configuration concepts.
Build SQL queries and translate technical analyses into clear communications for nontechnical audiences.
Identify and report data or data-infrastructure gaps, deficiencies, or irregularities.
Comply with all applicable laws and regulations.
Perform other duties as assigned.