About the role
The Special Investigations Unit team analyzes claims and enrollment data to identify and investigate aberrant behavior. The Senior Analyst investigates potential fraud, waste, and abuse, managing cases from identification to resolution and reporting on findings.
Our summary of the posting; the original is on the Oscar Health careers page.
What the posting requires
- Required
- US work authorization
- Insurance claims investigation
- Fraud statutes
- Professional investigation
- Regulations
- Law enforcement
- Federal guidelines
- anti-FWA
- Preferred
- Health insurance
- HIPAA
- Claims processing
- Data privacy
- Billing
- Data security
These tags are our reading of the posting. They can miss something; the original posting is the reference.