Claim Configuration Analyst Jobs in Georgia (NOW HIRING)

Hi, we're Oscar. We're hiring a Coordinator, Behavioral Health Vendor Management to join our Network Contracting team.
Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves-one that behaves like a doctor in the family.
About the role:
The Coordinator, Behavioral Health Vendor Management works closely with stakeholders to support various project/program related tasks of varying sizes, as well as individual work on small scale projects, related to Oscar's delegated vendors.
You will report into the Manager, Behavioral Health.
Work Location: This is a remote position, open to candidates who reside in: Atlanta, Georgia or Dallas, Texas. You will be fully remote; however, our approach to work may adapt over time. Future models could potentially involve a hybrid presence at the hub office associated with your metro area. #LI-Remote
Pay Transparency: The base pay for this role is: $67,813 - $89,004 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.
Responsibilities:

• Oversee program implementation including configuration, testing, and monitoring of all elements of services administered by our vendors/stakeholders.
• Manage inbound escalations, validate the issue, identify root cause, and communicate timely resolution to stakeholders
• Review internal and external audit requests and coordinate with vendors and/or project stakeholders as required.
• Support business alignment and oversight with key stakeholders by providing cross-program support to program leads.
• Compliance with all applicable laws and regulations
• Other duties as assigned

Requirements:

• 2+ years of relevant experience

Bonus points:

• Experience with claim testing and Quality Assurance (QA)
• Experience with ticketing system (such as Jira)
• Experience with payers offering ACA/health exchange insurance
• Experience using analytical tools, including Microsoft Office and Google Suite

This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.
At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.
Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.
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