Operations Analyst, Plan Loading

Job Description

Job Description

Hi, we're Oscar. We're hiring a Operations Analyst, Plan Loading to join our Benefit Configuration team.

Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.

About the role:

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.

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

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

Bonus points:

• 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

This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.

At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.

Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.

Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.

Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team ([email protected]) to make the need for an accommodation known.

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