Claims Quality Analyst

Summary

Join Oscar's Claims Quality team as an Analyst and support process improvement and issue resolution in our claim environment. You will conduct root-cause analysis and contribute to end-to-end process improvement initiatives. This role reports to the Claims Quality Associate and offers a blended work culture with options for remote work or in-office presence in NYC, Tempe, or Los Angeles. The position requires experience in claims processing, data analysis, and project work. Competitive hourly pay, along with comprehensive benefits, including medical, dental, vision, paid time off, 401(k), life and disability insurance, and wellness benefits, are offered.

Requirements

• 2+ years of experience with end-to-end claims processing or auditing within healthcare operations
• 2+ years of experience working with large data sets using excel or a database language
• 1+ years experience project work

Responsibilities

• Analyze, investigate and approve claims data
• Support leadership to scope, size, prioritize items and deliver solutions
• Utilize data analysis skills and tools to develop accurate, quantitative analyses of claims issues
• Mediate errors with key stakeholders
• Compliance with all applicable laws and regulations
• Other duties as assigned

Preferred Qualifications

• Some coding experience or database language exposure
• 2+ years of related work experience in analytics or operations

Benefits

• Medical, dental, and vision benefits
• 11 paid holidays
• Paid sick time
• Paid parental leave
• 401(k) plan participation
• Life and disability insurance
• Paid wellness time and reimbursements