Business Data Analyst

New York, NY

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Posted 2 weeks ago

Hi, we're Oscar. We’re hiring a Business Data Analyst to join our Risk Adjustment team in our New York office. 

Oscar is a technology-driven, consumer-focused health insurance startup founded in 2012 and headquartered in New York City. Our goal is to make health insurance simple, transparent, and human. We need your help to do so.

About the role:

In this role, you will assist in key operations for a core Oscar insurance function called Value Capture. Under the Value Capture umbrella exists Risk Adjustment and Quality which are the only operations that can affect Oscar’s bottom line after we’ve set premium rates. You’ll build and refine workflows, tracking progress to meet critical CMS deadlines. You’ll help manage data for health systems, vendor partners, and internal stakeholders. You’ll identify inefficiencies and recommend tactical program improvements. This position requires you to be data and operationally savvy.

Your role will be focused on supporting core value capture operations. You’ll work cross functionally with the Network, Data, Actuarial, and Population health teams on both medical record retrieval and member engagement. From analyzing provider data and abstracting patient information from a medical record to optimizing member outreach, you’ll be a key partner in delivering actionable insights.

You will report into the Senior Manager, Risk Adjustment. 

Responsibilities:

  • You’ll build dashboards to monitor progress of Value Capture programs and escalate issues with key stakeholders.
  • You’ll design and operationalize member engagement campaigns and monitor their success
  • You’ll triage chart retrieval issues from vendors and build tools/workflows to assist in obtaining charts.
  • You’ll review current retrieval processes and audit procedures to get ready for Risk Adjustment Data Validation (RADV).
  • You’ll report on RA and Quality programs to other areas of the organization, both financial and operational in nature.
  • You’ll assist, on an ongoing basis, the development of policies and procedures for Value Capture programs under the Affordable Care Act and Medicare.
  • You’ll think creatively about what’s possible for Value Capture programs and Oscar’s analytics and reporting tools/infrastructure. 

Requirements:

  • 2+ Years experience working in SQL 
  • BA/BS Degree 
  • Use data analysis to come up with creative solutions to complex problems and produce tangible results
  • Enjoy experimenting and iterating on ways to solve a problem and building programs from the ground up 
  • Be able to put together a project plan and work throughout the company to hold teams accountable and drive results
  • A passion for understanding complex issues with a data driven approach

Bonus points:

  • Background in healthcare, tech or risk adjustment
  • Knowledge of RA or Quality measures

Life at Oscar: 

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.

We encourage our members to care for their whole selves, and we encourage our employees to do the same with comprehensive medical benefits, generous paid-time off, paid parental leave, retirement plans, company social events, stocked kitchens, wellness programs, and volunteer opportunities.

Reasonable Accommodation:

Oscar applicants are considered solely based on their qualifications, without regard to applicant’s disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known.

Pay Transparency Policy:

Oscar ensures that you won't be discharged or discriminated against based on whether you've inquired about, discussed, or disclosed your pay. Read the full policy here.

Job tags: Healthcare .NET SQL