Senior Analyst, Payment Integrity Disputes

Hi, we're Oscar . We're hiring a Senior Analyst, Payment Integrity Disputesto join our Disputes 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 be responsible for supporting payment integrity disputes and issue resolution in the Oscar claim environment for both the Oscar Insurance business.

You will scope, triage, investigate and execute on solutions and process improvements. You will leverage a deep understanding of Oscar 's claim infrastructure, workflows, workflow tooling, platform logic, data models, etc.

, to work cross-functionally and understand and translate friction from stakeholders into actionable opportunities for improvement. You will report into the Manager, Payment Integrity (Pre-Pay).

Work Location

This is a remote position, open to candidates who reside in: Atlanta, Georgia; Chicago, Illinois; Dallas, Texas; Louisville, Kentucky; Minneapolis, Minnesota; Philadelphia, Pennsylvania; Salt Lake City, Utah. You will be fully remote; however, our approach to work may adapt over time.

Future models could potentially involve a hybrid presence at the hub office associated with your metro area. Pay Transparency: The base pay for this role is: $64,832 - $85,092 per year. You are also eligible for employee benefits, participation in Oscar 's unlimited vacation program and annual performance bonuses.

Responsibilities

Contribute as a subject matter expert for Oscar reimbursement policies, payment integrity disputes, internal claims processing edits and external vendor edits. Respond to internal and external inquiries and disputes regarding policies and edits. Research industry standard coding rules, summarize and provide input into reimbursement policy language and scope. Use knowledge gained through