Operations Analyst, Plan Loading

Job not on LinkedIn

🔥 1 minute ago

🌵 Arizona, California, +4 more states – Remote

🌵 Arizona – Remote 🏄 California – Remote 🦌 Connecticut – Remote 🏖️ New Jersey – Remote 🗽 New York – Remote ☕ Washington – Remote

💵 $55.9k - $73.3k / year

⏰ Full Time

🟢 Junior

⚙️ Operations

🚫👨‍🎓 No degree required

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Oscar Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2012

⚕️ Healthcare Insurance

🏥 Healthcare

💰 $355M Post-IPO Debt - Oscar Health on 2025-09

Healthcare Insurance • Healthcare

Oscar Health is a technology-driven health insurance company that provides individual, family, and small-group health plans in multiple U. S. states. Oscar combines traditional insurance underwriting with digital-first services — a consumer-facing app, 24/7 virtual urgent care, prescription delivery (including $3 meds in many plans), and dedicated Care Teams — and also operates Oscar Primary Care in some markets. The company emphasizes accessible, affordable, high-quality care and uses AI to improve member experience and care delivery. Insurance policies are underwritten by Oscar's state insurance subsidiaries and the company offers both HMO and other plan types across its markets.

📋 Description

• Support incoming projects and work designed to improve the consistency, accuracy, and efficiency of Oscar processes through system configuration • Collaborate with organizational stakeholders and develop an understanding of Oscar's platform capabilities • Ensure information is loaded accurately and efficiently • Report to the Senior Operations Manager, Benefit Configuration • Perform detail-oriented work with a high level of accuracy and adherence to QA/QC protocols • Use knowledge of design, build, and configuration workflows to identify opportunities for workflow improvements • Analyze aggregated configuration data to identify required updates and measure impacts on internal operations and existing configuration • Load configuration data into the core system accurately and in a timely manner • Leverage internal tools and technical processes, including database querying and benefit or reimbursement configuration concepts • Build SQL queries and translate technical analyses into digestible communications for nontechnical audiences • Identify and report data or data-infrastructure gaps, deficiencies, and irregularities • Comply with all applicable laws and regulations • Perform other duties as assigned

🎯 Requirements

• 1+ years of working knowledge of health plan benefit concepts (e.g., deductibles and other forms of cost sharing, etc.) • 1+ years of proficiency in Microsoft Word, Excel and PowerPoint and/or comparable programs within the Google Docs Editors suite (e.g., Google Docs, Google Sheets, Google Slides) • 1+ years of experience manipulating and analyzing large data sets using Excel or a similar database language to solve business problems • A bachelor's degree or 4 years commensurate experience • Working knowledge of medical coding concepts (e.g., CPT, HCPCs and ICD-10 coding) • Proficiency in SQL • Candidates must reside in the U.S., excluding Alaska, Delaware, Hawaii, Louisiana, Montana, North Dakota, Oklahoma, West Virginia, Wyoming, and U.S. Territories

🏖️ Benefits

• 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 and disability insurance • Paid wellness time and reimbursements • Occasional travel for team meetings and company events