Operations Analyst, Plan Loading

This is a fully remote position, open to applicants in Arizona, +5 more states.

📋 Description

• Assist with incoming projects and initiatives aimed at enhancing the consistency, accuracy, and efficiency of Oscar's processes through system configuration.

• Partner with organizational stakeholders to gain insights into the capabilities of Oscar's platform.

• Ensure that information is inputted accurately and efficiently.

• Report directly to the Senior Operations Manager of Benefit Configuration.

• Conduct detail-oriented tasks with a strong emphasis on accuracy and compliance with QA/QC standards.

• Utilize knowledge of design, build, and configuration workflows to pinpoint opportunities for workflow enhancements.

• Evaluate aggregated configuration data to identify necessary updates and assess their impact on internal operations and current configuration.

• Accurately and promptly load configuration data into the core system.

• Utilize internal tools and technical processes, including database querying and benefit or reimbursement configuration concepts.

• Construct SQL queries and convert technical analyses into comprehensible communications for non-technical audiences.

• Identify and report gaps, deficiencies, and irregularities in data or data infrastructure.

• Adhere to all relevant laws and regulations.

• Carry out other assigned duties as needed.

⛳️ Requirements

• A minimum of 1 year of practical knowledge regarding health plan benefit concepts (e.g., deductibles and other forms of cost-sharing).

• At least 1 year of proficiency in Microsoft Word, Excel, and PowerPoint, or similar applications within the Google Docs Editors suite (e.g., Google Docs, Google Sheets, Google Slides).

• Over 1 year of experience in manipulating and analyzing large data sets using Excel or a similar database language to address business challenges.

• Possession of a bachelor's degree or 4 years of equivalent experience.

• Familiarity with medical coding concepts (e.g., CPT, HCPCs, and ICD-10 coding).

• Proficiency in SQL.

• Candidates must reside in the U.S., excluding Alaska, Delaware, Hawaii, Louisiana, Montana, North Dakota, Oklahoma, West Virginia, Wyoming, and U.S. Territories.

🏝️ Benefits

• Employee benefits.

• Unlimited vacation program.

• Annual performance bonuses.

• Medical benefits.

• Dental benefits.

• Vision benefits.

• 11 paid holidays.

• Paid sick time.

• Paid parental leave.

• Participation in a 401(k) plan.

• Life and disability insurance.

• Paid wellness time and reimbursements.

• Occasional travel for team meetings and company events.