Job Description
Hi, we're Oscar. We're hiring a Manager, SIU Coding Audit Post-Pay to join our SIU team.
Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.
About the role
The Manager, Special Investigations Unit Coding Auditor executes on Oscar’s anti-fraud programs by meeting operational and financial targets while following legal and regulatory obligations. By leading a team who independently audits claims, you will set and work on audit strategy while supporting and charting growth paths for direct reports’ personal development. The Coding Audit Manager fosters engagement across all partners, and creates policies, procedures and educational documentation to support an excellent Fraud Waste and Abuse (FWA) program. We ask that you have an understanding of managing direct and delegated FWA functions to align with operational needs.
You ...
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)
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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