[Hiring] Senior Analyst, Provider Data Operations @Oscar Health

Role Description

You will work to solve complex issues or concerns impacting our provider data through end-to-end roster processing. Impact provider experiences and member outcomes positively by maintaining provider data and resolving critical/complex data escalations. Communicate with providers and work collaboratively with other teams to provide efficient resolution by providing world class service.

You will report into the Manager, Provider Credentialing.

Work Location: This is a remote position, open to candidates who reside in Georgia. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events.

Pay Transparency: The base pay for this role is: $61,851 - $81,180 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, and annual performance bonuses.

Responsibilities

• Maintain existing and incoming provider information to ensure accuracy and quality of the network by supporting complex non-standard provider information processing needs.
• Independently surface provider information process and technology issues through proactive identification, measurement, and monitoring of our operations.
• Provide feedback to key stakeholders based on insights to reduce future errors, improve processes, and performance.
• Independently drive and track business decisions, execute provider data queries, and perform root cause identification, analysis, and diagnosis.
• Independently lead with review from your manager, in developing and maintaining standards for data integrity and quality assurance.
• Lead corrective activities of complex issues to clean the source(s) of truth and manage communication processes with other departments regarding data improvements.
• Support employees on the team of all levels through escalation research and resolution.
• Effectively communicate findings and resolutions with providers and internal departments inclusive of collaboration with cross-functional stakeholders.
• Manage queue work and assigned caseload through effective dashboard management while ensuring integrity of information entered into company and external systems.
• Support junior employees in queue management and prioritization.
• Compliance with all applicable laws and regulations.
• Other duties as assigned.

Requirements

• 2+ years of work experience in healthcare and/or operations.
• 2+ years of intermediate Excel/Google Sheet proficiency.
• 2+ years of assessing and comprehending end to end process impact.
• 2+ years experience analyzing datasets and troubleshooting basic data nuances.
• Proficiency in using a credentialing or provider data repository.
• 2+ years of inventory management queue experience.

Bonus Points

• 2+ years of intermediate proficiency in SQL, BigQuery or similar database language experience.
• Prior work experience in tech and/or healthcare.
• Proficiency with non-Microsoft business platforms.
• Experience working with large datasets, data verification, data management, data modeling.
• Experience with healthcare data such as provider and/or claims data.

Benefits

• Medical, dental, and vision benefits.
• 11 paid holidays.
• Paid sick time.
• Paid parental leave.
• 401(k) plan participation.
• Life and disability insurance.
• Paid wellness time and reimbursements.