Senior Analyst, Special Investigations Unit Clinical Investigator
Benefits
Unlimited PTO
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About the Role:
- Perform comprehensive pre-payment and post-payment reviews of medical records.
- Analyze provider behavior to identify billing schemes like cloning, upcoding, and unbundling.
Qualifications:
- Active RN license and 3+ years of direct patient care experience.
- 2+ years in medical review or utilization management with forensic expertise.
Work Environment:
- Remote position open to specific states, with potential hybrid if near NYC or Tempe.
- Thursdays required for team meetings; other days flexible.
Compensation & Benefits:
- Base pay varies by location: $67,813-$89,004 for most, $75,348-$98,894 for NY/NJ.
- Eligible for benefits, unlimited PTO, and annual bonuses.
Oscar
Oscar is a health insurance company built on a full stack technology platform, focused on serving members like a doctor in the family. Founded in 2012, it is a forward-thinking company that values diversity and innovation, with a culture of fostering belonging and support.