Oscar

Award-winning recruitment consultancy; delivering talent across Tech, Digital, Life-Sciences, Energy & Construction

Analyst, Coordination of Benefits

AnalystAnalystFull TimeRemoteTeam 51-200H1B SponsorCompany SiteLinkedIn

Location

Illinois + 5 moreAll locations: Illinois, Kentucky, Minnesota, Pennsylvania, Texas, Utah

Posted

16 days ago

Salary

$25 - $33 / year

2 yrs expEnglishSQL

Job Description

• Support Coordination of Benefits efforts for Payment Integrity • Investigate and verify proper payment of Oscar medical and pharmacy claims • Report into the Senior Manager, Payment Integrity • Analyze, investigate and confirm if dual coverage exists for Oscar membership • Support leadership to scope, size, prioritize items and deliver Coordination of Benefits solutions • Utilize data analysis skills and tools to develop accurate, quantitative analyses of payment issues • Complete quality reviews of coordination of benefits vendor findings • Compliance with all applicable laws and regulations

Job Requirements

  • 2+ years of experience in Payment Integrity
  • 1+ years in claims processing, auditing or health care operations
  • 2+ years of experience working with large data sets using excel or a database language
  • Some experience using SQL (bonus)
  • 2+ years of related work experience in Coordination of Benefits (bonus)

Benefits

  • Health insurance
  • 401(k) plan participation
  • Paid time off
  • 15 days vacation accrual per year
  • Paid parental leave
  • Life and disability insurance
  • Paid wellness time and reimbursements
  • 11 paid holidays

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