Associate, Payment Integrity

Who you are

You are an entry-level professional eager to support process improvement and issue resolution within the claims environment. You have a keen interest in understanding complex systems and workflows, and you are ready to leverage your analytical skills to ensure claims are paid accurately and timely. You thrive in collaborative settings and enjoy working cross-functionally to translate stakeholder feedback into actionable improvements. You are detail-oriented and committed to maintaining high-quality standards in your work. You are adaptable and open to learning about the intricacies of health insurance and claims processing. You understand the importance of providing thought leadership in your role and are excited to contribute to the Payment Integrity process.

What you'll do

In this role, you will be responsible for supporting the Payment Integrity Team by ensuring that claims are processed accurately and efficiently. You will work closely with cross-functional partners to identify areas for improvement in the claims process and help implement changes that enhance the overall quality of service. You will leverage your understanding of Oscar's claim infrastructure and workflows to address issues and streamline operations. Your role will involve analyzing data models and workflow tooling to identify friction points and propose solutions. You will report to the Sr. Manager, Payment Integrity, and collaborate with various stakeholders to drive process improvements. You will also participate in meetings and discussions aimed at enhancing the claims payment process, ensuring that all changes align with Oscar's commitment to quality and member satisfaction.

What we offer

Oscar offers a fully remote work environment, allowing you to work from the comfort of your home while being part of a dynamic team. You will have the opportunity to grow your skills in a supportive environment that values collaboration and innovation. As part of the Payment Integrity Team, you will play a crucial role in shaping the future of health insurance and improving the experience for Oscar's members. We encourage you to apply even if your experience doesn't match every requirement, as we value diverse perspectives and backgrounds. Join us in our mission to create a health insurance company that truly serves its members.