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    Oscar Health
    Posted about 2 years ago

    Senior Director, Payment Integrity (Edits)

    $173,000 - $227,000 per year

    Job Description

    Hi, we're Oscar. We're hiring a Senior Director, Payment Integrity (Edits) to join our Payment Integrity team.

    About the role

    As the Senior Director of Payment Integrity, this role is responsible for continuous improvement and compliance of pre-payment claims services and solutions, with focus on editing and FWA. Responsible for establishing a best in class standard for pre-payment payment integrity operational performance at Oscar. You will build the department function and drive quantitative and qualitative excellence across pre-payment services.

    You will report into Vice President of Payment Integrity. You will be management level: Senior Director

    This is a work-from-home/remote role. You must reside in one of the following states: Arizona, California, Colorado, Connecticut, Florida, Georgia, Illinois, Iowa, Maryland, Massachusetts, Michigan, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, Tennessee, Texas, Utah, Virginia, Washington, or Washington, D.C. Note, this list of states is subject to change.

    The base pay for this role in the states of California, Connecticut, New Jersey, New ...

    The Real Dill ☘️

    Oscar Health might be one of the biggest insurance "startups" you might not have heard about in clinic - they IPO'd in 2021 on the New York Stock Exchange and hired insurance giant Aetna's ex-CEO in 2023. Primarily insuring rural, underserved markets, Oscar Health is still loss-making, but is making 2024's goal of profitability known. There's definitely a need in this space for quality insurance options for rural and underserved communities - here's to hoping Oscar Health changes the game for millions of Americans. (November 2023)

    JL

    Jon Lee, PT, DPT, OCS, FAAOMPT, MBA

    Pickle co-founder

    About Oscar Health

    Health insurance company built around a full stack technology platform

    🚀

    MissionTo make a healthier life accessible and affordable for all

    🌟

    Wow FactorGrowing its HolaOscar program for Hispanic & Latino communities, reporting a 72 net promoter score, about 184% above the industry average

    Pickle is not affiliated with listed companies unless otherwise noted.

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