[Hiring] Analyst Payment Integrity REMOTE USA
Position: Analyst Payment Integrity
Date Posted: September 16, 2025
Industry: Health Insurance / Payment Integrity
Employment Type: Full Time
Experience: 2+ years in Payment Integrity; 1+ year in claims processing, auditing, or healthcare operations
Qualification: Estimated Qualification like Bachelor Degree holder, Diploma/Degree/Certificate
Salary: $24.58–$35.84 per hour (varies by location)
Location: United States, REMOTE
Company: Oscar Health
Description:
About the Role
Oscar Health is seeking an Analyst to join our Payment Integrity team. This position focuses on investigating, analyzing, and verifying the proper payment of medical and pharmacy claims, with particular emphasis on Coordination of Benefits. The role reports to the Senior Manager of Payment Integrity and contributes to ensuring accurate and compliant payment processes.
Work Location
Oscar supports a blended work environment. Employees within commutable distance to the New York City, Tempe, or Los Angeles offices are expected to work on-site at least two days per week. Otherwise, this is a fully remote position within eligible states.
Key Responsibilities
- Analyze and investigate whether dual coverage exists for Oscar members.
- Support leadership in scoping, sizing, prioritizing, and delivering Coordination of Benefits solutions.
- Use data analysis tools to create precise, quantitative analyses of payment issues.
- Conduct quality reviews of Coordination of Benefits vendor findings.
- Ensure compliance with applicable laws and regulations.
- Perform other duties as assigned.
Qualifications
- Minimum 2 years of experience in Payment Integrity.
- At least 1 year of experience in claims processing, auditing, or healthcare operations.
- Proficiency with large data sets using Excel or database tools.
Preferred / Bonus Skills
- Experience using SQL.
- 2+ years of related work in Coordination of Benefits.
Benefits & Pay Transparency
- Employees are eligible for medical, dental, and vision benefits.
- 11 paid holidays, paid sick time, and paid parental leave.
- 401(k) plan participation, life and disability insurance.
- Paid wellness time and reimbursements.
- Vacation accrual at a rate of 15 days per year.
- Final offer amounts within the listed base pay are determined by skills, education, and experience.
Equal Opportunity & Accommodations
Oscar Health is an Equal Opportunity Employer, cultivating an inclusive environment for employees to be authentic and supported. Applicants requiring reasonable accommodations during the hiring process should contact the Oscar Benefits Team at accommodations@hioscar.com.
Additional Notes
- Candidates must reside in one of the eligible states listed by Oscar.
- Follow Oscar’s AI Guidelines during the interview process.
- California residents have additional rights regarding personal information as outlined in the Notice to Job Applicants.
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