Analyst, Coordination of Benefits

<p>Hi, we're Oscar. We're hiring a Analyst, Coordination of Benefits to join our Payment Integrity team.</p> <p>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.</p> <p><strong>About the role:</strong></p> <p>You will be responsible for supporting Coordination of Benefits efforts for Payment Integrity. You will be responsible for investigating and verifying proper payment of Oscar medical and pharmacy claims.</p> <p>You will report into the Senior Manager, Payment Integrity.</p> <p><strong>Work Location: </strong>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. #LI-Remote</p> <p><strong>Pay Transparency: </strong>The base pay for this role is: $25.44 - $33.39 per year. You are also eligible for employee benefits and monthly vacation accrual at a rate of 15 days per year.</p> <p><strong>Responsibilities:</strong></p> <ul> <li>Analyze, investigate and confirm if dual coverage exists for Oscar membership</li> <li>Support leadership to scope, size, prioritize items and deliver Coordination of Benefits solutions</li> <li>Utilize data analysis skills and tools to develop accurate, quantitative analyses of payment issues</li> <li>Complete quality reviews of coordination of benefits vendor findings</li> <li>Compliance with all applicable laws and regulations</li> <li>Other duties as assigned</li> </ul> <p><strong>Requirements:</strong></p> <ul> <li>2+ years of experience in Payment Integrity</li> <li>1+ years in claims processing, auditing or health care operations</li> <li>2+ years of experience working with large data sets using excel or a database language</li> </ul> <p><strong>Bonus points:</strong></p> <ul> <li>Some experience using SQL</li> <li>2+ years of related work experience in Coordination of Benefits</li> </ul><div class="content-conclusion"><p><span style="font-weight: 400;">This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud</span><a href="http://hioscar.com/careers/recruitment-fraud-alert"><span style="font-weight: 400;"> </span><span style="font-weight: 400;">here</span></a><span style="font-weight: 400;">. </span></p> <p><span style="font-weight: 400;">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.</span></p> <p><strong>Pay Transparency: </strong><span style="font-weight: 400;">Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. </span><span style="font-weight: 400;">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.</span></p> <p><span style="font-weight: 400;"><strong>Artificial Intelligence (AI): </strong>Our <a href="http://hioscar.com/careers/ai-guidelines" target="_blank">AI Guidelines</a> outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.</span></p> <p><strong>Reasonable Accommodation: </strong><span style="font-we ... (truncated, view full listing at source)