Analyst, Payment Integrity - Remote

Overview

The Analyst, Payment Integrity is responsible for supporting Coordination of Benefits efforts for Payment Integrity, investigating and verifying proper payment of medical and pharmacy claims.

In Short

• Analyze, investigate and confirm dual coverage for Oscar membership
• Support leadership in delivering Coordination of Benefits solutions
• Utilize data analysis skills to develop quantitative analyses of payment issues
• Complete quality reviews of vendor findings
• Ensure compliance with laws and regulations
• Other duties as assigned

Requirements

• 2+ years in Payment Integrity
• 1+ years in claims processing, auditing or health care operations
• 2+ years with large data sets using Excel or a database language

Benefits

• Employee benefits including medical, dental, and vision
• 15 days of vacation accrual per year
• Paid sick time and parental leave
• 401(k) plan participation
• Life and disability insurance
• Paid wellness time and reimbursements