Operations Analyst, Plan Loading
Oscar Health
Salary undisclosed
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Description
Hi, we're Oscar. We're hiring a Operations Analyst, Plan Loading to join our Claims and Benefits 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:
The Analyst, Configuration supports incoming projects and work designed to improve the consistency, accuracy, and efficiency of Oscar processes through system configuration. Through collaboration with stakeholders in the organization and gaining an understanding of Oscar's platform capabilities, this role ensures information is loaded accurately and efficiently.
You will report into the Senior Operations Manager, Benefit Coinfiguration.
Work Location: This position is fully remote and open to candidates residing in the U.S., excluding Alaska; Delaware; Hawaii; Louisiana; Montana; North Dakota; Oklahoma; West Virginia; Wyoming; and U.S. Territories. Daily work is completed from your home office, with occasional travel required for team meetings and company events. #LI-Remote
Pay Transparency: The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $62,100 - $81,506.25 per year. The base pay for this role in all other locations is: $55,890 - $73,335.63 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
- Strong understanding of 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
- Leverage 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.
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 (accommodations@hioscar.com) to make the need for an accommodation known.
California Residents: For information about our collection, use, and disclosure of applicants’ personal information as well as applicants’ rights over their personal information, please see our Privacy Policy.
Benefits
- health insurance
- 401(k)
- parental leave
- disability insurance
- sick leave
About this role
Oscar's Claims and Benefits Configuration Team is looking for an Operations Analyst to manage the accurate loading and configuration of health plan data into their core systems. You'd spend your days performing detail-oriented work with high accuracy standards, building SQL queries, analyzing large datasets, and identifying opportunities to streamline configuration workflows. The role requires translating technical findings into clear communications for non-technical stakeholders while ensuring compliance with QA/QC protocols and flagging any data gaps or irregularities.
This position suits someone with at least a year of hands-on experience in health plan benefits (deductibles, cost-sharing structures, etc.) and proven ability to manipulate and analyze data using Excel or similar tools. Proficiency in Microsoft Office or Google Docs suite is essential. SQL experience and familiarity with medical coding concepts like CPT and ICD-10 are valued but not required. You'll report to a Senior Operations Manager and work fully remote from home, with occasional travel for team meetings.
The base pay ranges from $55,890 to $73,335.63 annually depending on location, with higher ranges in California, Connecticut, New Jersey, New York, and Washington. Full-time benefits include medical, dental, and vision coverage, 11 paid holidays, paid sick time, parental leave, 401(k) participation, and unlimited vacation.
How this employer is doing
solid
- Financial News
- Expanding
In the news
Oscar Health Plans Major Obamacare Expansion Over Next Three Years, Forbes
Pay for this role
The employer didn't post a pay range for this role. That usually means pay is set in negotiation, which favors whoever arrives with numbers. Check ranges on comparable Operations Analyst, Plan Loading postings in your area, and analyze any offer before you accept it.
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