Senior Analyst, Authorization Services Design & Configuration

🔥 18 hours ago

🤠 Texas – Remote

🤠 Texas – Remote

💵 $67.8k - $89k / year

⏰ Full Time

🟠 Senior

🧐 Analyst

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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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

• Manage the configuration and maintenance of authorization workflows, rulesets, and automations within the UM platform • Translate business requirements into precise technical specifications, ensuring business rules and logic are accurately represented, tested, and implemented • Investigate and resolve escalations by performing root cause analysis on system behavior and configuration gaps • Identify friction points in the authorization process and document opportunities for workflow improvement and automation • Serve as the primary subject matter expert for the UM system, educating Product, Clinical, and Regulatory teams • Develop testing protocols and implement test scenarios to validate system behavior and configuration accuracy • Lead corrective activities when system behavior deviates from expectations • Manage assigned caseloads and project tasks through dashboard management and prioritization • Maintain documentation of business rules, technical specifications, and workflow designs • Perform other responsibilities as assigned

🎯 Requirements

• 2+ years of experience in system configuration, business rules management, or technical workflow design • 2+ years of experience in a technical/operational role involving root-cause analysis and data troubleshooting • Intermediate to Advanced proficiency in Excel/Google Sheets (vlookups, pivot tables, and data manipulation) • Experience assessing and comprehending end-to-end process impacts in complex technical environments • Strong communication skills with the ability to explain technical system logic to non-technical partners • 1+ year working knowledge of within the healthcare industry (payer or provider) • Prior work experience in Prior Authorizations or Insurance Operations • 2+ years of proficiency in SQL, BigQuery, or similar database languages • Experience using project management and communication tools like JIRA, Linear, and Slack • Experience working with large datasets, data verification, and data management

🏖️ 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 insurance • Disability insurance • Paid wellness time • Wellness reimbursements

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