A Senior Software Engineer will build applications and interfaces for health care, ensure code quality, and lead technical projects. Collaborate with teams and improve technology practices.

Lead technical efforts to build and maintain applications, mentor engineers, manage complex projects, and improve technology quality in healthcare.

As a Staff Software Engineer, you will lead the design and enhancements of claims and payment systems, ensure technical project execution, mentor teams, and improve software quality and maintainability.

The Senior Software Engineer will lead technical projects in cloud infrastructure, mentoring teams, improving DevOps practices, and ensuring system resilience.

The Senior Data Scientist will utilize ML and AI methodologies to develop models that address complex business problems in risk adjustment, analyze healthcare datasets, and collaborate with stakeholders to ensure successful model implementation.

As a Data Scientist II at Oscar, you'll drive data science projects, develop models, collaborate with cross-functional teams, and ensure quality outputs with minimal oversight.

The Data Scientist I will develop and maintain data pipelines, analyze datasets, and collaborate with cross-functional teams to improve business decision-making.

The Lead Data Scientist will drive modeling and analytics for claims systems, partnering with leaders to enhance system performance using advanced data techniques.

The Staff Product Manager will define AI-related product strategies, lead initiatives across functions, and mentor peers while collaborating with engineering and design teams.

Perform line-by-line reviews of high-dollar facility itemized bills and claims (UB-04), identify billing/coding errors, validate codes (CPT, HCPCS, ICD-10, MS-DRG), compare charges to contracts and policies, document findings and recommended adjustments, refine audit processes, provide SME guidance and training, and collaborate cross-functionally to remediate payment integrity issues.

The WFM Specialist will optimize scheduling and staffing to meet business requirements, monitor service levels, and communicate adjustments to stakeholders.

Support end-to-end member data and payer eligibility to ensure accurate claims processing. Conduct payer/provider outreach for overpaid claims, make outbound provider calls, document recovery activities, escalate disputes, and assist leadership with scoping and prioritization.

Manage and negotiate national ancillary provider contracts, support network growth and recruitment, analyze provider performance and financials, resolve provider issues, implement contracting strategy and workflows, mentor junior staff, and ensure regulatory compliance while meeting SLAs and travel requirements.

Manage and negotiate contracts with hospitals and large ancillary providers to build a high-performing network. Analyze provider performance and financial data, support national network strategy, ensure regulatory compliance, collaborate with provider services, and meet SLAs and cost-saving objectives.

Perform end-to-end claims coding audits and repayment quality reviews using CPT/HCPCS/ICD-10 guidelines; document findings, create reference guides, support provider communications, train teammates, and drive process improvements for payment integrity.

Partner with cross-functional teams to analyze large healthcare datasets, build models and dashboards, and surface insights to reduce medical waste. Scope, run, and present analyses, monitor performance metrics, and support initiatives to improve financial and utilization outcomes.

Support SIU anti-fraud initiatives by auditing medical records and claims, performing quality checks of coding reviews, interpreting dashboards, documenting findings, educating providers and teams, and recommending process improvements to ensure compliance and operational targets.

The Provider Network Associate supports provider network accessibility and quality through recruitment, engagement, and collaboration with internal and external partners.

The Associate supports process improvement and issue resolution in the claims environment, ensuring accurate and timely claims payments. They leverage industry knowledge to identify issues and collaborate with stakeholders for enhancements.

The Senior Analyst, Payment Integrity will improve processes and resolve claim issues, leveraging health insurance knowledge and stakeholder collaboration.