Sr. Analyst, Authorization Services Design & Configuration

Oscar Health•New York, NY

2d•$67,813 - $89,005•Remote

About The Position

Oscar is hiring a Sr. Analyst, Authorization Services Design & Configuration to design workflows and business rules in its Utilization Management (UM) system and support seamless authorization processing. The role translates complex business requirements into automated logic, investigates internal escalations to identify causes and remediation pathways, and serves as a subject matter expert who educates cross-functional partners on how system configuration guides care decisions. The position reports to the Associate Director, UM Optimization. This is a fully remote position open to candidates residing in Dallas, Texas. Oscar notes that its approach to work may evolve and could potentially involve a hybrid presence at the hub office associated with the employee’s metro area. The base salary is $67,813–$89,005 per year. The role is eligible for employee benefits, participation in Oscar’s unlimited vacation program, and annual performance bonuses.

Requirements

At least 2 years of experience in system configuration, business rules management, or technical workflow design.
At least 2 years of experience in a technical or operational role involving root-cause analysis and data troubleshooting.
Intermediate to advanced proficiency in Excel or Google Sheets, including vlookups, pivot tables, and data manipulation.
Experience assessing and understanding end-to-end process impacts in complex technical environments.
Strong communication skills, including the ability to explain technical system logic to non-technical partners.
At least 1 year of working knowledge of the healthcare industry, payer or provider.

Nice To Haves

Prior work experience in Prior Authorizations or Insurance Operations.
At least 2 years of proficiency in SQL, BigQuery, or similar database languages.
Experience using project management and communication tools such as JIRA, Linear, and Slack.
Experience working with large datasets, data verification, and data management.

Responsibilities

Manage configuration and maintenance of authorization workflows, rulesets, and automations within the UM platform.
Translate business requirements into technical specifications, ensuring business rules and logic are accurately represented, tested, and implemented.
Investigate and resolve escalations by conducting root-cause analysis of system behavior and configuration gaps.
Identify friction points in the authorization process and document formal opportunities for workflow improvement and automation.
Serve as the primary UM system subject matter expert and educate Product, Clinical, Regulatory, and other teams on how configuration affects operations and supports business needs.
Develop testing protocols and implement scenarios to validate expected system behavior and configuration accuracy.
Lead corrective activities when system behavior deviates from expectations.
Manage assigned caseloads and project tasks through dashboard management and prioritization.
Maintain clear, comprehensive documentation of business rules, technical specifications, and workflow designs.
Perform other responsibilities as assigned.