Remote Process improvement Jobs • Auditing

The Senior Specialist, Payment Policy is responsible for supporting payment policy activities by investigating payment policy issues, leveraging understanding of Oscar's claim infrastructure, processing, and payment integrity to effectively improve and enhance payment policies. You will respond to inquiries, research industry coding rules, translate business requirements and identify opportunities to solve problems.

The Audits & Quality Improvement (QI) Coordinator I of review choice demonstration (RCD) is responsible for the end of episode billing and reimbursement functions, working closely with the audits and QI team and other back office staff to ensure billing submissions are completed timely and accurately.