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Senior Analyst, Benefits Configuration
Senior Analyst, Benefits Configuration-November 2024
New York
Nov 21, 2024
ABOUT OSCAR HEALTH
Oscar is a technology-focused health insurance company.
1,001 - 5,000 employees
Healthcare, Insurance
VIEW COMPANY PROFILE >>
About Senior Analyst, Benefits Configuration

  Hi, we're Oscar. We're hiring a Senior Analyst, Benefits Configuration to join our Plans & Benefit Configuration team.

  Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.

  About the role

  The Senior Analyst, Benefits Configuration supports the business by improving the consistency, accuracy, and efficiency of the Oscar claims platform, as well as other supportive systems and processes. This role helps to ensure that business and regulatory requirements are configured accurately within the capabilities of the Oscar claims platform.

  You will report to the Operations Manager, Process Design & Strategy.

  Work Location: 

  Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission. 

  If you live within commutable distance to our New York City office ( in Hudson Square), our Tempe office (off the 101 at University Ave), or our Los Angeles office (in Marina Del Rey), you will be expected to come into the office at least two days each week. Otherwise, this is a remote / work-from-home role.  

  You must reside in one of the following states: Alabama, Arizona, California, Colorado, Connecticut, Florida, Georgia, Illinois, Kentucky, Maryland, Massachusetts, Michigan, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, Tennessee, Texas, Utah, Virginia, Washington, or Washington, D.C. Note, this list of states is subject to change. #LI-Remote

  Pay Transparency:

  The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $76,800 - $100,800 per year. The base pay for this role in all other locations is: $69,120 - $90,720 per year. You are also eligible for employee benefits, participation in Oscar’s unlimited vacation program and annual performance bonuses.

  Responsibilities

  Analyze and summarize business/legal needs in order to expedite the design/solutioning process Translate benefits configuration logic in order to enable internal teams to resolve escalations  Process incoming Jira tickets to support member escalation resolution Write first-draft requirements for ad-hoc legal updates  Identify and pilot opportunities to improve operational efficiency   Triage and manage workflows of ingested items  Investigate escalations via incoming tickets or informal pathways Conduct necessary maintenance work and take on ad-hoc projects associated with benefits configuration.  Compliance with all applicable laws and regulations Other duties as assigned

  Qualifications

  1+ year working knowledge of health plan benefit concepts (e.g., deductibles, copays and other forms of cost sharing, etc.). 1+ year Proficient in Microsoft Word, Excel and PowerPoint and/or comparable programs within the Google Docs Editors suite (e.g., Google Docs, Google Sheets, Google Slides).  SQL proficiency

  Bonus Points

  Experience working in health insurance industry/claims Experience working with Jira

  This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here. 

  At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives..

  Pay Transparency: 

  Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience.

  Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.

  Reasonable Accommodation:

  Oscar applicants are considered solely based on their qualifications, without regard to applicant’s disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team ([email protected]) to make the need for an accommodation known.

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