Sr. Analyst, Authorization Services Design & Configuration
O
Oscar HealthHealthcare
Atlanta, GeorgiaFull-TimeSenior
Salary67813 - 89004 USD per year
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Job Details
- Experience
- 2+ years
- Required Skills
- Microsoft ExcelGoogle Sheets
Requirements
- 2+ years of experience in system configuration, business rules management, or technical workflow design.
- 2+ years of experience in a technical/operational role involving root-cause analysis and data troubleshooting.
- Intermediate to Advanced proficiency in Excel/Google Sheets (vlookups, pivot tables, and data manipulation).
- Proven ability to assess and comprehend end-to-end process impacts in complex technical environments.
- Strong communication skills with the ability to explain technical system logic to non-technical stakeholders.
- 1+ year working knowledge of within the healthcare industry (payer or provider).
Responsibilities
- Manage the configuration and maintenance of authorization workflows, rulesets, and automations within the UM platform.
- Translate business requirements into precise technical specifications, ensuring that business rules and logic are accurately represented, tested, and implemented.
- Investigate and resolve cross-functional escalations by performing root cause analysis on system behavior and configuration gaps.
- Proactively identify "friction points" in the authorization process and document formal opportunities for workflow improvement and automation.
- Act as the primary subject matter expert for the UM system, educating internal teams (Product, Clinical, Regulatory) on how configuration impacts operations and supports business needs.
- Develop testing protocols and execute test scenarios to validate expected system behavior and configuration accuracy.
- Manage assigned caseloads and project tasks through effective dashboard management and prioritization.
- Maintain clear, comprehensive documentation of all business rules, technical specs, and workflow designs.
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