About the role
The Special Investigations Unit team detects and investigates unusual activity in claims and enrollment data. The analyst examines data, manages investigations from start to finish, and produces reports to meet savings targets. This role also involves improving internal processes to prevent fraud, waste, and abuse.
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.