Analyst, Payment Integrity (Data Mining)

10 minutes ago
Full-time
Junior
Data Science and Analytics
Oscar

Oscar

Oscar is a health insurance company that offers plans for individuals, families, and small businesses. With a focus on humanizing health care through technology, design, and data, Oscar provides easy-to-understand bills, 24/7 access to doctors, and a p...

Insurance
1K-5K
Founded 2012

Description

  • Analyze and investigate claims data to identify incorrect payments.
  • Support quality review of claim and concept findings from internal and external partners.
  • Use data analysis tools to develop accurate quantitative analyses of payment issues.
  • Work with the team to identify thematic opportunities to reduce incorrect payments.
  • Mediate errors with key stakeholders.
  • Ensure compliance with all applicable laws and regulations.
  • Perform other duties as assigned.

Requirements

  • 2+ years of experience in healthcare.
  • 2+ years of experience working with large claims data sets using Excel or a database language.
  • Some coding experience or database language exposure preferred.
  • 2+ years of related work experience in payment integrity data mining preferred.
  • Experience using SQL preferred.
  • Must reside in one of the approved remote work locations: Atlanta, Chicago, Dallas, Louisville, Minneapolis, Philadelphia, or Salt Lake City.

Benefits

  • Base pay of $25.44 - $33.39 per hour.
  • Eligible for employee benefits.
  • Monthly vacation accrual at a rate of 15 days per year.
  • Medical, dental, and vision benefits.
  • 11 paid holidays.
  • Paid sick time, paid parental leave, and paid wellness time.
  • 401(k) plan participation.
  • Life and disability insurance.
  • Paid wellness reimbursements.

Interested in this position?

Apply directly on the company website

Apply Now

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