Senior Analyst, Credentialing Quality & Data Operations
New
O
Oscar HealthHealth Insurance
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.Full-TimeSenior
SalaryThe base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $68,724 - $90,200.25 per year. The base pay for this role in all other locations is: $61,851.60 - $81,180.23 per year.
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Job Details
- Experience
- 3+ years of relevant experience in healthcare operations, credentialing, quality assurance or audit, provider data, data analysis, or a related field. 1+ years of identifing risks or data issues, perform root-cause analysis, and driving work to resolution.
- Required Skills
- Data AnalysisMicrosoft ExcelQuality AssuranceGoogle SheetsProcess improvement
Requirements
- 3+ years of relevant experience in healthcare operations, credentialing, quality assurance, audit, provider data, or data analysis.
- 1+ years of experience identifying risks, performing root-cause analysis, and driving work to resolution.
- Intermediate proficiency with Excel or Google Sheets, including data validation and analysis.
- Experience conducting healthcare credentialing quality audits and documentation.
- Experience analyzing operational datasets and building reports or dashboards.
- Ability to learn credentialing concepts and data.
- Knowledge of practitioner and facility credentialing, including primary-source verification and regulatory requirements.
Responsibilities
- Perform complex operational work across credentialing, provider data, quality assurance, and analytics.
- Evaluate practitioner and facility credentialing records, workflows, and system data for accuracy and compliance.
- Plan and execute risk-based or routine quality audits, including sampling, documentation, and error pattern identification.
- Analyze complex datasets to measure quality, productivity, and operational performance using analytical tools.
- Build, maintain, and validate reports, dashboards, and monitoring controls to reconcile information.
- Conduct root-cause analysis and translate findings into process improvements and measurable recommendations.
- Serve as a subject-matter expert on credentialing requirements including primary-source verification and committee preparation.
- Support remediation of complex issues and track action plans through to closure.
- Coach team members and share subject-matter guidance.
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