Sr. Analyst, Authorization Services Design & Configuration

Oscar Health•Tempe, AZ

2d•$67,813 - $89,005•Hybrid

About The Position

Oscar is hiring a Sr. Analyst, Authorization Services Design & Configuration to design and maintain workflows and business rules in its Utilization Management (UM) system. The role translates complex business requirements into automated system logic, investigates escalations, identifies root causes and remediation pathways, and helps cross-functional partners understand how system configuration guides care decisions. The position is based in Oscar’s Tempe, Arizona office and follows a hybrid schedule requiring three office days per week. Thursdays are required for team meetings and events; the other two office days are flexible. The role reports to the Associate Director, UM Optimization. Base pay is $67,813–$89,005 per year, with eligibility for employee benefits, 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 with 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 and ensure business rules and logic are accurately represented, tested, and implemented.
Investigate and resolve escalations through root-cause analysis of system behavior and configuration gaps.
Identify friction points in the authorization process and document opportunities for workflow improvement and automation.
Serve as the primary subject matter expert for the UM system and educate Product, Clinical, Regulatory, and other teams about how configuration affects operations and supports business needs.
Develop testing protocols and scenarios to validate expected system behavior and configuration accuracy; lead corrective activities when 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.