Oscar
Award-winning recruitment consultancy; delivering talent across Tech, Digital, Life-Sciences, Energy & Construction
Analyst, Coordination of Benefits
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