[Remote] Operations Analyst, Plan Loading

Note: The job is a remote job and is open to candidates in USA. Oscar Health is a health insurance company focused on serving its members through a full stack technology platform. The Operations Analyst, Plan Loading will support projects aimed at improving the accuracy and efficiency of processes through system configuration and collaboration with stakeholders.

Responsibilities

• Perform detailed oriented work with a high level of accuracy and adherence to all QA/QC protocols
• Experience with designs, builds, and configuration workflows and utilize this knowledge to develop insights into opportunities for workflow improvements
• Understand aggregated configuration data to identify updates required and to measure the impact of any changes 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, in particular database querying and benefit or reimbursement configuration concepts
• Build SQL queries and translate technical analyses into easily digestible communications to a nontechnical audience
• Identify and report on any data/data infrastructure gaps, deficiencies, or irregularities
• Compliance with all applicable laws and regulations
• Other duties as assigned

Skills

• 1+ years of working knowledge of health plan benefit concepts (e.g., deductibles and other forms of cost sharing, etc.)
• 1+ years of proficiency in Microsoft Word, Excel and PowerPoint and/or comparable programs within the Google Docs Editors suite (e.g., Google Docs, Google Sheets, Google Slides)
• 1+ years of experience manipulating and analyzing large data sets using excel or a similar database language to solve business problems
• A bachelor's degree or 4 years commensurate experience
• Working knowledge of medical coding concepts (e.g., CPT, HCPCs and ICD-10 coding)
• Proficiency in SQL

Benefits

• Employee benefits
• Participation in Oscar's unlimited vacation program
• Annual performance bonuses
• Medical, dental, and vision benefits
• 11 paid holidays
• Paid sick time
• Paid parental leave
• 401(k) plan participation
• Life and disability insurance
• Paid wellness time and reimbursements

Company Overview

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