Systems Support and Development Analyst supporting Suffolk County Council’s critical systems for social care and finance. Ensuring system functionality, support, and development in alignment with service needs and national requirements.
About the role
- Senior Analyst focusing on payment integrity disputes at Oscar Health. Responsible for supporting issue resolution and leading process improvements in claims environment.
Responsibilities
- Support payment integrity disputes and issue resolution in the Oscar claim environment
- Scope, triage, investigate and execute on solutions and process improvements
- Leverage understanding of Oscar's claim infrastructure, workflows, workflow tooling, platform logic, data models, etc.
- Work cross-functionally and translate friction from stakeholders into actionable opportunities for improvement
- Report into the Manager, Payment Integrity (Pre-Pay)
Requirements
- Experience in Payment Integrity focused on Disputes and/or appeals
- 4+ years of experience in claims processing, coding, auditing or health care operations
- 3+ years experience in medical coding
- Medical coding certification through AAPC (CPC, COC) or AHIMA (CCS, RHIT, RHIA)
- Experience with reimbursement methodologies, provider contract concepts and common claims processing/resolution practices.
- 2+ years experience deriving business insights from datasets and solving problems
- 1+ years experience improving business workflows and processes
- 1+ years experience collaborating with internal and external stakeholders
Benefits
- Health insurance
- Participation in Oscar's unlimited vacation program
- Annual performance bonuses
- 401(k) plan participation
- Paid parental leave
- Paid sick time
- Paid wellness time and reimbursements
- 11 paid holidays
Job title
Job type
Experience level
Salary
Degree requirement
Location requirements
Analyst in Operations enhancing digital architecture that supports Market Risk and Performance reporting. Collaborate on backend services, AI integration, and operational workflows.
Power BI Developer responsible for developing, maintaining, and enhancing data dashboards and reporting solutions. Requires hands - on expertise in Power BI and SQL while collaborating with stakeholders.
Consolidation Analyst at Greenvolt Power Group ensuring accounting consistency and supporting financial processes across international financial teams.
Junior Strategy Analyst Intern at Ipsos aiding in strategic consulting tasks such as client brief analysis and data collection. Collaborating with project teams and developing innovative strategies for various clients.
Banking Analyst supporting the daily processing of banking transactions for EMEA Finance team. Collaborate with internal teams ensuring month - end accuracy and effective documentation processing.
Commodity Forecasting Analyst at Expana providing insights on global commodity prices and market intelligence. Maintaining forecasts and collaborating across teams to ensure accuracy and consistency.
Treasury Specialist managing daily cash flow, forecasts, and banking relationships. Collaborating across teams for treasury optimization and financial management in an international environment.
Service Desk Analyst providing level 1 IT support at FleetPartners. Ensuring customer satisfaction by troubleshooting and resolving IT issues while maintaining a collaborative environment.
Analyst supporting financial and operational workstreams for Giraffe Bioenergy's innovative clean energy solutions. Collaborating across teams to enhance operational efficiency in a fast - paced environment.