Oscar is an AI operations analyst that watches every location 24/7, catching revenue leaks, labor inefficiencies, and compliance risks, then delivering the alerts, reports, and action plans your team needs to fix them fast. Backed by Techstars.
About the role
You will be the architect of our medical management operations. You will design the workflows and business rules within our Utilization Management (UM) system to ensure seamless authorization processing. You will translate complex requirements into automated logic. You will handle internal escalations to identify causes and remediation pathways. As a subject matter expert, you will act to educate cross-functional partners on how our systems guide care decisions. Found on 1752vc Careers, the job board for startup and VC roles.
What they're looking for
- 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)
More about this role
Hi, we're Oscar. We're hiring a Sr. Analyst, Authorization Services Design & Configuration to join our 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.
You will be the architect of our medical management operations. You will design the workflows and business rules within our Utilization Management (UM) system to ensure seamless authorization processing. You will translate complex requirements into automated logic. You will handle internal escalations to identify causes and remediation pathways. As a subject matter expert, you will act to educate cross-functional partners on how our systems guide care decisions.
We are looking for a systems thinker with a collaborative mindset who enjoys solving complex, systems level problems.
You will report into the Associate Director, UM Optimization.
Work Location: This position is based in our Tempe, AZ office, requiring a hybrid work schedule with 3 days of in-office work per week. Thursdays are a required...
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