Operations Analyst, Plan Loading
New
O
OscarHealth 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-TimeJunior
SalaryThe 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.
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Job Details
- Experience
- 1+ years of working knowledge of health plan benefit concepts; 1+ years of proficiency in Microsoft Word, Excel and PowerPoint and/or comparable programs within the Google Docs Editors suite; 1+ years of experience manipulating and analyzing large data sets using Excel or a similar database language to solve business problems.
- Required Skills
- SQLData AnalysisMicrosoft ExcelPowerPointGoogle Sheets
Requirements
- Have 1+ years of working knowledge of health plan benefit concepts, such as deductibles and other forms of cost sharing.
- Have 1+ years of proficiency in Microsoft Word, Excel, and PowerPoint, or comparable programs in the Google Docs Editors suite.
- Have 1+ years of experience manipulating and analyzing large data sets using Excel or a similar database language to solve business problems.
- Bonus: Hold a bachelor's degree or have four years of commensurate experience.
- Bonus: Have working knowledge of medical coding concepts, such as CPT, HCPCs, and ICD-10 coding.
- Bonus: Have proficiency in SQL.
Responsibilities
- Perform detailed work accurately and adhere to QA/QC protocols.
- Apply knowledge of designs, builds, and configuration workflows to identify opportunities for workflow improvements.
- Analyze aggregated configuration data to identify required updates and measure their impact on internal operations and existing configuration.
- Load configuration data into the core system accurately and in a timely manner.
- Use internal tools and technical processes, including database querying and benefit or reimbursement configuration concepts.
- Build SQL queries and communicate technical analyses clearly to nontechnical audiences.
- Identify and report data or data-infrastructure gaps, deficiencies, and irregularities.
- Comply with applicable laws and regulations.
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