Analyst, Coordination of Benefits

📋 Description

• Analyze and confirm dual coverage exists for Oscar membership.
• Investigate and validate proper payment of medical and pharmacy claims.
• Support COB leadership to scope, size, prioritize COB items.
• Use data analysis to develop quantitative analyses of payment issues.
• Complete quality reviews of COB vendor findings.
• Ensure compliance with applicable laws and regulations.

🎯 Requirements

• 2+ years of experience in Payment Integrity.
• 1+ year in claims processing, auditing or healthcare operations.
• 2+ years of experience with large data sets using Excel or a database language.

🎁 Benefits

• Fully remote role; potential hybrid in the future.
• Medical, dental, and vision benefits.
• 401(k) plan participation; life and disability insurance.
• 11 paid holidays, paid sick time, and paid parental leave.
• Paid wellness time and reimbursements.