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Senior Analyst, Credentialing Quality & Data Operations

🕒 Setembro 18

🌵 Arizona, California, +4 estados a mais – Remoto

infoinfo

💵 $61.851 - $81.180 / ano

⏰ Tempo Integral

🟠 Sênior

⚙️ Operações

🗣️🇺🇸🇬🇧 Inglês obrigatório

De onde vem esta vaga

Publicada na página de carreiras da Oscar Health, não em um site de vagas

Vista pela primeira vez pelo Remote Rocketship Setembro 18

Ainda aberta no site da Oscar Health. Verificada 10 horas atrás.

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Oscar Health

1001 - 5000 funcionários

Fundada em 2012

⚕️ Seguro de Saúde

🏥 Saúde

💰 $355.000.000 Post-IPO Debt - Oscar Health em 2025-09

Healthcare Insurance • Healthcare

Oscar é uma agência de recrutamento STEM de classe mundial que oferece soluções de talentos líderes do setor. A empresa opera em seis marcas, conectando talentos de ponta com empresas em vários setores, incluindo tecnologia, construção, ciências da vida e energia renovável. Com escritórios ao redor do mundo, Oscar é reconhecida como uma das cinco melhores empresas para se trabalhar e está comprometida em oferecer excelência em serviços de recrutamento.

Descrição

• Perform complex operational work across credentialing, provider data, quality assurance, and analytics • Evaluate practitioner and facility credentialing records, workflows, source documentation, and system data for accuracy, completeness, timeliness, consistency, and compliance • Plan and complete risk-based or routine quality audits; select samples, document evidence, score results, identify error patterns, and communicate findings • Analyze complex datasets using spreadsheets, reporting tools, database queries, or other analytical methods • Build, maintain, and validate reports, dashboards, metrics, and monitoring controls • Investigate data anomalies and reconcile information across sources of truth • Perform root-cause analysis and translate audit results, data trends, and operational insights into corrective and preventive actions, process improvements, and recommendations • Serve as a credentialing resource on practitioner and facility requirements, including initial credentialing, recredentialing, verification, file review, committee preparation, delegated activities, and provider data dependencies • Support remediation of complex quality, data, or credentialing issues; track action plans through closure and validate corrective actions • Coach team members and share subject-matter guidance • Manage assigned projects, analyses, audits, escalations, and caseloads independently • Report to the Senior Manager of Provider Operations Credentialing • Perform other duties as assigned

🎯 Requisitos

• 3+ years of relevant experience in healthcare operations, credentialing, quality assurance or audit, provider data, data analysis, or a related field • 1+ years of identifying risks or data issues, performing root-cause analysis, and driving work to resolution • Intermediate proficiency with Excel or Google Sheets, including data validation, reconciliation, analysis, and clear presentation of findings • Experience conducting healthcare credentialing quality audits, documentation, and corrective-action follow-up • Experience analyzing operational datasets and building reports or dashboards • Ability to learn credentialing concepts and data • Knowledge of practitioner and facility credentialing, including primary-source verification and regulatory requirements • Must reside in the U.S., excluding Alaska, Delaware, Hawaii, Louisiana, Montana, North Dakota, Oklahoma, West Virginia, Wyoming, and U.S. Territories

🏖️ Benefícios

• Employee benefits • Unlimited vacation program • Annual performance bonuses • Medical benefits • Dental benefits • Vision benefits • 11 paid holidays • Paid sick time • Paid parental leave • 401(k) plan participation • Life insurance • Disability insurance • Paid wellness time • Wellness reimbursements • Occasional travel for team meetings and company events

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Desenvolvido por Lior Neu-ner. Adoraria receber seu feedback — entre em contato por DM ou pelo e-mail support@remoterocketship.com
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