COB Specialist, Payment Integrity

📋 Description

• Contribute as a subject matter expert for Oscars COB reimbursement policies
• Respond to internal and external inquiries and disputes regarding COB policies
• Use knowledge gained through research and claims review to ideate COB opportunities. Translate into
• Ingest information from internal and external partners regarding adverse claim outcomes
• Use insights from partner submissions, process monitoring, etc., work with the team to proactively
• Perpetuate a culture of transparency and collaboration by keeping stakeholders well informed of

🎯 Requirements

• A bachelor's degree or 4+ years of commensurate experience
• 4+ years of experience in payment integrity, ideally coordination of benefits
• Experience with coordination of benefits reimbursement methodologies, provider contract concepts
• 2+ years experience deriving business insights from datasets and solving problems
• 1+ years experience improving business workflows and processes
• 1+ years experience collaborating with internal and/or external stakeholders

🎁 Benefits

• Base pay: $64,832 - $85,092 per year
• Employee benefits including medical, dental, vision insurance
• 11 paid holidays
• Paid sick time
• Paid parental leave
• 401(k) plan participation