Senior Analyst, Payment Integrity

Support process improvement and issue resolution in Oscar's claim environment. Organize, scope, prepare, investigate, and execute solutions and improvements. Leverage claim workflows, data models, and platform logic to scope friction. Collaborate cross-functionally to translate friction into opportunities. Report progress and blockers to the Sr. Manager, Payment Integrity. Adhere to applicable laws and regulations. A bachelor's degree or 4+ years of commensurate experience. 3+ years in claims processing, coding, auditing or health care claims operations. 3+ years experience in medical coding within payment integrity. Medical coding certification through AAPC (CPC/COC) or AHIMA (CCS/RHIT/RHIA). 2+ years deriving business insights from datasets. 1+ year improving workflows and collaborating with stakeholders; SQL bonus. Medical, dental, and vision benefits 11 paid holidays Paid sick time Paid parental leave 401(k) plan participation Life and disability insurance