Associate, Inquiries and Investigations
Required skills
- Excel
- SQL
- project management
- workflow design
- operating procedures
- technical procedures
- payer
- provider healthcare contracting
- provider network management
- healthcare operations
Nice to have
- Lean
- Six Sigma
- Theory of Constraints
- ACA marketplace
- claims
- healthcare quality
Role summary
Oscar is seeking an Associate, Inquiries and Investigations for its Provider Data Operations team in Tempe, Arizona. This hybrid role focuses on resolving data process challenges, enhancing directory accuracy, and leading implementations and data corrections. Responsibilities include managing projects, analyzing data to inform solutions, investigating risks and escalations, and mentoring team members. The position requires 3+ years of experience in healthcare operations or related fields, 2+ years in data analytics tools like Excel and SQL, and 2+ years in project management and workflow design. A Bachelor's degree is preferred, along with experience in process improvement methodologies and specific healthcare domains.
Hi, we're Oscar. We're hiring an Associate, Inquiries and Investigations to join our Provider Data Operations team.
Oscar is the first health insurance company built around a full stack technology platform and a relentless 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 Associate, Inquiries and Investigations is responsible for working cross-functionally with business and technical Oscar stakeholders to solve data process challenges and represent departmental interests in company-wide strategic initiatives. The position leads implementations and data corrections to enhance processes that directly impact directory accuracy and filing submissions. Primary focus is placed on investigating and resolving complex escalations/inquiries through production release, while driving comprehensive process documentation, maintaining project plans, and implementing risk mitigation strategies to ensure quality and financial discipline.
You will report into the Senior Manager, Provider Data Operations.
Work Location: This position is based in our Tempe, Arizona office, requiring a hybrid work schedule with 3 days of in-office work per week. Thursdays are a required in-office day for team meetings and events, while your other two office days are flexible to suit your schedule. #LI-Hybrid
Pay Transparency: The base pay for this role is: $87,188 - $114,434 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.
Responsibilities:
Requirements:
Bonus points:
This is an authentic Oscar Health job opportunity.
At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.
Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.
Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.
Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant’s disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known.
California Residents: For information about our collection, use, and disclosure of applicants’ personal information as well as applicants’ rights over their personal information, please see our Privacy Policy.
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