Operations Analyst, Plan Loading

Oscar Health•Tempe, AZ

4h•Hybrid

About The Position

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. Work Location: This position is based in our Tempe, Arizona 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: $55,890 - $73,355 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, and annual performance bonuses.

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