Hi, we're Oscar. We're hiring an Associate to join our Payment Integrity 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

This role is responsible for supporting process improvement and issue resolution in the Oscar claim environment for both the Oscar Insurance business and Payment Integrity vendors. The Associate, Payment Integrity is responsible for ensuring claims are paid accurately and timely by analyzing data and auditing existing policies and edits. This is accomplished by leveraging a deep understanding of Oscar’s claim infrastructure, payment policies, edit logic, vendor specifications, regulatory guidelines etc., to work cross-functionally to understand and identify opportunities for improvement.  The Associate provides thought leadership for Payment Integrity process and workflows that impact claims edits and logic, and works ...