Oscar Health · 1 day ago
Associate, Payment Integrity (Data Mining)
Phoenix, AZ
Full-time
Hybrid
Mid Level
$87K/yr - $114K/yr
3+ years expOscar Health is a health insurance company focused on serving its members through a technology platform. The Associate, Data Mining will ensure the smooth operation of payment integrity data mining programs and serve as a subject matter expert while facilitating vendor and internal programs.
Health CareHealth InsuranceInsuranceInsurTech
Responsibilities
Provide subject matter expertise and in-depth understanding of data mining workflows and program rules
Identify payment integrity solution issues that require action and provide steps needed to remediate the issue
Identify claims with post-payment errors and facilitate processes to recover payments and ensure future payment accuracy
Represent data mining payment integrity solutions in payment policy discussions and when necessary, document new policies or modifications to existing policies
Provide training and education to team members when necessary
Serve as a subject matter expert using internal and external tools in order to complete audits and provide guidance to team members
Serve as an in-house expert on data structure and visualization for various stakeholders in service operations
Facilitate quality review and validation of data mining concepts and overpayment identifications
Compliance with all applicable laws and regulations
Other duties as assigned
Qualification
Required
3+ years of experience in claims processing, auditing or health care operations
3+ years of experience in building or supporting data mining payment integrity solutions
Proven ability to work independently to drive projects to completion
Some coding experience or database language exposure
Preferred
Bachelor's degree
3+ years of related work experience in analytics or operations
Experience with claims pricing algorithms and/or software
Experience using SQL
Benefits
Medical, dental, and vision benefits
11 paid holidays
Paid sick time
Paid parental leave
401(k) plan participation
Life and disability insurance
Paid wellness time and reimbursements
Company
Oscar Health
Oscar is a health insurance company that offers individual and family plans, medicare advantages, and small group products.
1001-5000 employees
H1B Sponsorship
Oscar Health has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (19)
2024 (24)
2023 (22)
2022 (36)
2021 (13)
Funding
Current Stage
Public CompanyTotal Funding
$1.99BKey Investors
Tiger Global ManagementAlphabetFounders Fund
2025-09-16Post Ipo Debt· $355M
2021-03-03IPO
2020-12-17Private Equity· $140M
Leadership Team
Mark Bertolini
Chief Executive Officer
Steven B. Kelmar
Executive Vice President & COS
Recent News
2026-01-17
2026-01-16
2026-01-16
Company data provided by crunchbase