Sr. Analyst, Authorization Services Design & Configuration
New
O
OscarHealth insurance
This is a remote position, open to candidates who reside in: Atlanta, Georgia.Full-TimeSenior
SalaryThe base pay for this role is: $75,348 - $98,894 per year.
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Job Details
- Experience
- 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; 1+ year working knowledge of within the healthcare industry (payer or provider).
- Required Skills
- SQLMicrosoft ExcelGoogle SheetsBigQuery
Requirements
- Have 2+ years of experience in system configuration, business rules management, or technical workflow design.
- Have 2+ years of experience in a technical or operational role involving root-cause analysis and data troubleshooting.
- Bring intermediate to advanced proficiency in Excel or Google Sheets, including VLOOKUPs, pivot tables, and data manipulation.
- Have experience assessing end-to-end process impacts in complex technical environments.
- Have 1+ year of working knowledge of the healthcare industry, payer or provider.
- Communicate technical system logic to non-technical partners.
- Prior authorization or insurance operations experience is a bonus.
- 2+ years of proficiency in SQL, BigQuery, or similar database languages is a bonus.
- Experience with project management and communication tools such as JIRA, Linear, and Slack is a bonus.
- Experience working with large datasets, data verification, and data management is a bonus.
Responsibilities
- Manage configuration and maintenance of authorization workflows, rulesets, and automations within the UM platform.
- Translate business requirements into technical specifications and ensure business rules and logic are accurately represented, tested, and implemented.
- Investigate and resolve escalations by performing root cause analysis on system behavior and configuration gaps.
- Identify friction points in the authorization process and document opportunities for workflow improvement and automation.
- Educate Product, Clinical, and Regulatory teams on the UM system and how configuration impacts operations.
- Develop testing protocols and implement test scenarios to validate system behavior and configuration accuracy.
- Lead corrective activities when system behavior deviates from expectations.
- Manage assigned caseloads and project tasks through dashboard management and prioritization.
- Maintain documentation of business rules, technical specifications, and workflow designs.
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