Jobs at Oscar Health

Perform end-to-end claims coding audits and repayment quality reviews using CPT/HCPCS/ICD-10 guidelines; document findings, create reference guides, support provider communications, train teammates, and drive process improvements for payment integrity.

Partner with cross-functional teams to analyze large healthcare datasets, build models and dashboards, and surface insights to reduce medical waste. Scope, run, and present analyses, monitor performance metrics, and support initiatives to improve financial and utilization outcomes.

Support SIU anti-fraud initiatives by auditing medical records and claims, performing quality checks of coding reviews, interpreting dashboards, documenting findings, educating providers and teams, and recommending process improvements to ensure compliance and operational targets.

The Manager of Strategic Value & Investment Analysis will oversee financial impacts of UM initiatives, build financial models, and collaborate with various teams to track ROI and support decision-making.

The UM Program Operations Manager is responsible for executing high-impact programs, ensuring compliance, managing updates to Prior Authorization lists, and overseeing team performance.

The Sales Executive will drive sales by identifying and qualifying leads, educate prospects on ICHRA, and set up meetings for enrollment.

The Provider Network Associate supports network accessibility, recruitment, and education functions while collaborating with internal and external partners to meet growth and quality targets.

The Senior Analyst will support payment integrity disputes, investigate solutions, collaborate cross-functionally, and improve processes in claims operations.

The Associate supports process improvement and issue resolution in the claims environment, ensuring accurate and timely claims payments. They leverage industry knowledge to identify issues and collaborate with stakeholders for enhancements.

The Senior Specialist audits medical records and claims to assess FWA trends in healthcare, communicating findings, and training team members.

The Senior Analyst will improve processes and resolve issues related to payment integrity and claims for Oscar Insurance, leveraging knowledge to drive actionable improvements.

Manage and negotiate contracts with hospitals and large ancillary providers to build a high-performing network. Analyze provider performance and financial data, support national network strategy, ensure regulatory compliance, collaborate with provider services, and meet SLAs and cost-saving objectives.