Oscar Health→
Operations Analyst, Plan Loading at Oscar Health in Remote
Entry LevelRemoteFull-timeRemote$56k–$73k/yr
Skills
health plan benefit conceptssql proficiencydata analysismicrosoft office proficiencymedical coding knowledge
Job Description
Summary: Oscar is a health insurance company focused on serving its members through a technology platform. The Operations Analyst, Plan Loading will support projects aimed at improving the accuracy and efficiency of processes through system configuration, collaborating with various stakeholders to ensure accurate information loading.
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
Required Qualifications:
- 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
Preferred Qualifications:
- 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
Required Skills: Health plan benefit concepts, SQL proficiency
Important Skills: Data analysis, Microsoft Office proficiency
Nice-to-Have Skills: Medical coding knowledge
Benefits: Employee benefits, Participation in Oscar's unlimited vacation program, Annual performance bonuses, 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
Benefits
Employee benefits
Participation in Oscar's unlimited vacation program
Annual performance bonuses
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