Insurance Operations Engineer, Data

Job Description

Hi, we're Oscar. We're hiring an Operations Engineer to join our Insurance Operations team in our New York City 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:

You will work within Oscar's Operations Automation organization to build upon Oscar's infrastructure and underlying data, playing an important role in the transition to next-generation technology platforms. As a data steward, you will design the data and rules that determine business operations supporting member enrollments, clinical functions, and claims payment systems, and setting up data quality systems and guardrails to ensure functions' ongoing quality and success.

You'll work with the Insurance Operations Automation team, Data and Engineering. We'll expect you to understand complex healthcare data in many dimensions, design and distill it, and explain it in simple, structured terms to several audiences and levels.

You will report to the Senior Operations Manager.

Responsibilities:

During the first 6 weeks you have:

• Developed a thoughtful understanding of the operations ecosystem (including the underlying technology) and its current strengths, weaknesses, and gaps.
• Internalized the coding languages and data structures used in both older health industry systems and the next generation tech platform that Oscar is building.
• Begun to form a working relationship with all partners.

During the first 6 months you have:

• Independently understand, use, and teach operational data and tools in your domain to ensure downstream partner success.
• Performed complex analysis in your domain.
• Become an expert on member, provider, and claims data models used in health insurance operations.
• Partnered with the Claims Engineering and Data teams to structure and operationalize the next generation of health insurance operations.

On an ongoing basis you will:

• Build and oversee Claims, Member, Clinical and Provider data technical projects
• Distill the requirements of new product and market expansions and design data models for multiple use cases to reduce manual work requirements.
• Support the Claims, Member, Provider, and Clinical operations teams to resolve provider and member escalations through issue investigation, training, and technical tooling

Requirements:

• A bachelor's degree or equivalent work experience
• 3+ years experience in a technical role (QA analyst, PM, operations analyst, finance, consulting, industrial engineering)
• Experience working with complex financial data
• Experience using tools (e.g. SQL/Python) to answer your questions and build your solutions
• Experience distilling complex concepts and workflows into clear content for all kinds of audiences
• Experience following through on ideas for improvement, including a hand in implementation

Bonus points:

• An academic and professional background in coding, math, statistics, or data science
• Knowledge and passion of healthcare or health insurance
• Knowledge management, training, or content development experience
• Startup experience

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 ([email protected]) 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 .