Payment Policy Associate - Remote

Overview

The Payment Policy Associate manages and executes all payment policy activities, including organizing, scoping, investigating, and resolving payment policy issues, while working remotely.

In Short

• Join the Payment Integrity Team at Oscar.
• Manage payment policy activities and resolve issues.
• Analyze data to identify claims payment issues.
• Document coding rules and draft reimbursement policies.
• Respond to inquiries regarding policies and edits.
• Provide training and education on regulations.
• Work independently to drive projects to completion.
• Collaborate with internal partners for change implementation.
• Ensure compliance with laws and regulations.
• Participate in Oscar's unlimited vacation program and performance bonuses.

Requirements

• Bachelor’s degree or 4+ years of relevant experience.
• 4+ years in claims processing, coding, or health care operations.
• Medical coding certification (CPC, COC, CCS, RHIT, RHIA).
• Experience with reimbursement methodologies.
• Ability to work independently on projects.

Benefits

• Eligible for employee benefits including medical, dental, and vision.
• 11 paid holidays and paid sick time.
• Paid parental leave and 401(k) plan participation.
• Life and disability insurance.
• Paid wellness time and reimbursements.