Hi, we’re Oscar. We’re hiring a Senior Analyst to join our Utilization Management Design & Configuration team.

Oscar is the first health insurance company built around a full stack technology platform and a 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 Senior Analyst, Configuration supports the business by improving the consistency, accuracy, and efficiency of platforms, systems and processes. Through understanding of the platform configuration capabilities, you will help ensure that processes are designed efficiently and configured accurately.

You will report to the Senior Manager UM Design & Configuration.

Work Location:

Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission.

If you live within commutable distance to our New York City office (in Hudson Square), our Tempe office (off the 101 at University Dr), or our Los Angeles office (in Marina Del Rey), you will come into the office at least two days each week. Otherwise, this is a remote / work-from-home role.

You must reside in one of the following states: Alabama, Arizona, California, Colorado, Connecticut, Florida, Georgia, Illinois, Iowa, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, or Washington, D.C. Note, this list of states is subject to change. #LI-Remote

Pay Transparency:

The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $76,800 - $100,800 per year. The base pay for this role in all other locations is: $69,120 - $90,720 per year. You are also eligible for employee benefits, participation in Oscar’s unlimited vacation program and annual performance bonuses.

Responsibilities

• Analyze and summarize process behavior to expedite the design/solutioning process
• Communicate how the Clinical system works (i.e. the configuration) to  internal teams to address inquiries
• Resolve bug reports through education or escalation to development teams
•  Support Clinical operations by designing and documenting platform-supported processes and automations based on regulatory or business requirements
• Identify and pilot opportunities to improve operational efficiency
• Conduct necessary maintenance work and take on ad-hoc projects associated with authorization or referral  configuration.
• Other duties as assigned

Qualifications

• 1+ year working knowledge of health plan benefit concepts (e.g., deductibles, copays and other forms of cost sharing, etc.).
• 1+ year Proficient in Microsoft Word, Excel and PowerPoint and/or comparable programs within the Google Docs Editors suite

Bonus Points

• Experience working in health insurance industry/claims
• SQL proficiency
• Experience working with Jira