Sr. Analyst, Authorization Services Design & Configuration
About The Position
Oscar is hiring a Sr. Analyst, Authorization Services Design & Configuration to design and maintain workflows, business rules, and automations within its Utilization Management (UM) system. The role translates complex business requirements into automated logic, supports seamless authorization processing, investigates internal escalations, and identifies causes and remediation pathways. As a subject matter expert, the analyst educates cross-functional partners about how system configuration guides care decisions and supports operations. This is a fully remote position open to candidates who reside in Dallas, Texas. Oscar notes that its approach to work may evolve, and future models could potentially include a hybrid presence at the hub office associated with the candidate’s metro area. The role reports to the Associate Director, UM Optimization. The stated 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 the 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 by performing root-cause analysis on system behavior and configuration gaps.
- Identify friction points in the authorization process and document opportunities for workflow improvement and automation.
- Serve as the primary UM system subject matter expert, educating Product, Clinical, Regulatory, and other teams about how configuration affects operations and supports organizational needs.
- Develop testing protocols and implement test 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.
Benefits
- Unlimited vacation program
- Annual performance bonuses
- Medical insurance
- Dental insurance
- Vision insurance
- 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
Senior
Education Level
No Education Listed
