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Job Description Job Description: Global Patent Solutions, LLC (GPS) has grown to become one of the nation's leading intellectual property (IP) research and consulting firms. In addition to supporting the nation's leading technology companies and IP law firms, GPS is a premier provider of IP-related services to the United States Patent & Trademark Office (USPTO). Our ongoing success and growth is creating the need for us to expand our Team. Specifically, we are presently seeking motivated Investigative Analysts to work with us performing investigative research services in support of a contract with the Trademark Office at the USPTO. The Trademark Office has experienced a historic surge of new trademark filings over the past year, and they have also seen an increase in suspicious trademark application submissions ranging from inaccurate to fraudulent. As part of their response to these challenges, the USPTO is engaging support from GPS to provide a solution. This is an opportunity to leverage your experience and background to assist the USPTO's efforts to protect the integrity and accuracy of the trademark registry and keep the system effective for everyone. In addition to the immediate opportunity this position affords today, the knowledge you will gain, and the skills employed while performing this job, will position you well for future IP career opportunities. Come grow with us! Responsibilities: The individual in this role will need to be able to work independently and manage multiple concurrent priorities, with minimal oversight. It is expected that the individual, once trained, will be able to prioritize their own work to ensure all quality and timeliness commitments are met to the full satisfaction of our customer (the USPTO). Specific accountabilities include: • Reviewing incident reports, such as fraud and other law violations, strategizing on effective ways to minimize losses and prevent misconduct reoccurrence, • Collecting evidence, including documents and interviews to support their claims and record their findings, • Working with attorneys, and other USPTO personnel to research and investigate improper trademark filing activities and to provide analysis related to research, investigations, and trends in such activities, • Performing computer-based analysis of data for investigative cases relating to trademark application/registration filing activities, including the use of electronic databases, spreadsheets, desktop publishing, word processing, statistical applications and specialized software applications to manage, analyze, and present data, research findings, and investigative information, • Gathering, organizing, and analyzing facts and evidence from trademark application/registration records, internally-generated reports, public records, and other available sources relating to improper trademark filing activities, • Drafting, reviewing, and delivering reports related to research, investigations, and trends in improper filing activities, and maintaining associated records, • Developing, advising on, and implementing investigative strategies to identify, mitigate, reduce, or eliminate improper trademark application/registration filing activities Overarching Expectations: • Quality: For GPS, quality is at the pinnacle of the work we perform. Employees must share in our belief and commitment of providing the highest quality of work., • Timeliness: Meeting agreed upon deadlines will be vital to success., • Continuous Improvement: Employees must be committed to continuous improvement, availing themselves of training and educational resources provided by GPS, the USPTO, and/or otherwise publicly available., • Independent Self-Starter: The individual in this role will need to be able to work independently and manage multiple concurrent priorities, with minimal oversight. It is expected that the individual, once trained, will be able to prioritize their own work to ensure all quality and timeliness commitments are met to the full satisfaction of our customer (the USPTO)., • Teamwork:Lead by example. Exemplify the positive attributes necessary to create and maintain a culture committed to high performance and support for both individual and collective team-member success. Experience: GPS is seeking support personnel who have knowledge and experience in U.S. Trademark prosecution. • At a minimum, personnel should have at least 6 years of relevant experience and familiarization with the statutes, regulations, and processes governing Trademarks, including the Trademark Act, the Trademark Rules of Practice, and the TMEP., • Must be a US Citizen or have been in the US for at least 2 years., • Minimum of 6 years job experience, • Bachelor's Degree required, • Must be a U.S. citizen or reside in the U.S for the most recent two years as a work-eligible legal resident. (Employment will be subject to security clearance.), • Excellent time management skills to properly plan and complete all work on-time., • Proficiency with computer databases, online research tools, spreadsheets and word processing software, • Detail-oriented, with excellent written and oral communication skills, • Exceptional research and analytical skills, • Ability to investigate facts and laws of cases, search public records and other resources to prepare cases and determine causes of action

Job Description Hi, we're Oscar. We're hiring a Senior Analyst, UM Regulatory Operations to join our UM Regulatory Operations team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family. About the role: You will support the design, optimization, and implementation of processes and improvements to operations in support of achieving organizational goals. You will be responsible to support implementations for regulatory requirements, compliance initiatives, UM audits, and other projects, as needed. You will report into the Senior Manager, UM Regulatory Operations. Work Location: This is a remote position, open to candidates who reside in: Georgia, Illinois, Texas, Kentucky, Minnesota, Pennsylvania, Utah.You will be fully remote; however, our approach to work may adapt over time. Future models could potentially involve a hybrid presence at the hub office associated with your metro area. #LI-Remote Pay Transparency: The base pay for this role is: $67,813 - $89,004 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, and annual performance bonuses. Responsibilities: • Coordinate projects and processes to help support key regulatory and compliance milestones and deliverables, • Partner with leadership to implement regulations, support key state filings, and other projects, • Partner with cross-functional teams to ensure action plans and process improvements align with project goals, and participate in collaboration with peers and cross-functional stakeholders, • Support audit exams (NCQA, MHPAEA, State), • Help identify risks; respond to and resolve compliance gaps through regulatory implementation and in response to audits and Corrective Action Plans, • Compliance with all applicable laws and regulations, • 1+ years of experience in healthcare audits, or accreditations supporting NCQA and/or regulatory compliance, • 1+ years of professional experience in utilization management, healthcare operations and/or compliance, or a related field, • 1+ years of experience in Adobe Acrobat, and Google Suite or Microsoft Office (Sheets/Excel, Docs/Word, Slides/Powerpoint, etc), • 1+ years of experience supporting state audits and exams, • ACA marketplace, utilization management, healthcare quality and compliance, or provider data experience, • Training or experience applying Continuous Process Improvement or Lean Six Sigma principles, • Experience with project coordination or management in a matrixed organization At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives. Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements. Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts. Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team () to make the need for an accommodation known. California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.

Job Description About Carvana At Carvana, we're changing the way people buy and sell cars. With an ambitious vision and a fundamentally different approach designed to be fun, fast, and fair, Carvana became the fastest-growing automotive retailer in history. We expanded nationally, went public on the New York Stock Exchange, sold our 1 millionth car, and reached the Fortune 500, all in just eight years. Today, with 4 million retail customers and counting, Carvana is both the fastest-growing and the most profitable public automotive retailer, and we're just getting started. We continue to raise the bar for our customers as we tackle the enormous opportunity still ahead in the largest consumer vertical. Working here means being part of a team that embraces change, celebrates creative problem solving, and always strives to be better. At Carvana, you'll have the opportunity to take on meaningful challenges, learn quickly, and help shape the future of automotive retail. If you're driven to grow and make an impact as part of a collaborative team, you'll fit right in. Learn more about what it's like to work here from the people that already do. About the team and position As an Analyst on one of our dynamic strategy teams, you'll dive into a role where data shapes the future of car buying. Our teams use cutting-edge analytics and strategic insights to help us more efficiently make improvements to our customer experience. For example, your work might focus on recommendations for how we allocate our marketing budget, uncovering patterns to enhance our fraud detection models, determining the prices we bid on vehicles at auctions, or assessing the impact of product enhancements on our website or mobile app. You'll work with vast data sets from diverse sources, turning them into actionable strategies that drive (get it?) our business forward. Whether it's optimizing operations, enhancing customer experiences, or exploring new market opportunities, you'll get to use your analytical skills to make business decisions and will be given the autonomy to share your insights. What you'll be doing • Translating data into consumable, actionable narratives; regularly consulting with stakeholders including senior leadership, sharing results and strategic recommendations., • Working closely with Product, Engineering, Strategic Partnerships, and Operations to assess performance and identify and prioritize opportunities., • Exploring and segmenting data to identify and explain key drivers; design and build models, dashboards, and visualizations to support Product teams., • Designing split tests, interpreting results, and communicating the broader implications., • Taking ownership of the product track, enabling and empowering the constantly evolving customer experience that makes us leaders in our field., • Bachelor's degree in Statistics, Economics, Math, Computer Science, Computational Math, Econometrics, Engineering, or similar field from an accredited undergraduate institution required., • 1-3+ years of experience in analytics or quantitative practices working in data warehouse environments., • Comfort navigating and manipulating large data sets to identify trends and underlying drivers., • Familiarity with Python (or R) preferred., • Strong experience in SQL., • Experience in one or more of these areas:, • A/B testing or experimentation, • Business strategy or consulting, • Statistical analysis using methods like regression., • Ability to thrive (and preference to work) in a dynamic, fast-paced environment with frequently changing goals and deadlines., • Demonstrated intellectual curiosity and interest in solving problems, particularly using data to help answer somewhat nebulous questions (e.g., how consumers make purchasing decisions)., • Excellence in implementation, including attention to detail and strong organizational skills., • Enthusiasm and positive energy to contribute to and thrive in a rapidly growing start-up atmosphere where roles continually adapt as the company evolves., • Full-Time Salary Position with a competitive salary., • Medical, Dental, and Vision benefits., • 401K with company match., • A multitude of perks including student loan payments, discounts on vehicles, benefits for your pets, and much more., • A great wellness program to keep you healthy and happy both physically and mentally., • Access to opportunities to expand your skill set and share your knowledge with others across the organization., • A company culture of promotions from within, with a start-up atmosphere allowing for varied and rapid career development. To be able to do your job at Carvana, there are some basic requirements we want to share with you. Legal Stuff Hiring is contingent on passing a complete background check. This role is eligible for visa sponsorship. Carvana is an equal employment opportunity employer. All applicants receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity or expression, marital status, national origin, age, mental or physical disability, protected veteran status, or genetic information, or any other basis protected by applicable law. Carvana also prohibits harassment of applicants or employees based on any of these protected categories. Please note this job description is not designed to contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

Job Description Hi, we're Oscar. We're hiring a Senior Analyst to join our Authorization Services Design and Configuration team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family. About the role: You will be the architect of our medical management operations. In this role, you will design, configure, and optimize the workflows and business rules within our Utilization Management (UM) system to ensure seamless authorization processing. You will translate complex business requirements into automated logic, handle internal escalations to identify root causes and remediation pathways, and act as a subject matter expert to educate cross-functional partners on how our systems drive care decisions. This is a technical and operational role that requires a systems thinker with a collaborative mindset who enjoys solving complex, systems level problems. You will report into the Associate Director of Authorization Services. Work Location: This position is based in our Tempe, Arizona office, requiring a hybrid work schedule with 3 days of in-office work per week. Thursdays are a required in-office day for team meetings and events, while your other two office days are flexible to suit your schedule. #LI-Hybrid Pay Transparency: The base pay for this role is: $67,813 - $89,004 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, and annual performance bonuses. Responsibilities: • Manage the configuration and maintenance of authorization workflows, rulesets, and automations within the UM platform., • Translate business requirements into precise technical specifications, ensuring that business rules and logic are accurately represented, tested, and implemented., • Investigate and resolve cross-functional escalations by performing root cause analysis on system behavior and configuration gaps., • Proactively identify "friction points" in the authorization process and document formal opportunities for workflow improvement and automation., • Act as the primary subject matter expert for the UM system, educating internal teams (Product, Clinical, Regulatory) on how configuration impacts operations and supports business needs., • Develop testing protocols and execute test scenarios to validate expected system behavior and configuration accuracy. Lead corrective activities when system behavior deviates from expectations., • Manage assigned caseloads and project tasks through effective dashboard management and prioritization., • Maintain clear, comprehensive documentation of all business rules, technical specs, and workflow designs., • 2+ years of experience in system configuration, business rules management, or technical workflow design., • 2+ years of experience in a technical/operational role involving root-cause analysis and data troubleshooting., • Intermediate to Advanced proficiency in Excel/Google Sheets (vlookups, pivot tables, and data manipulation)., • Proven ability to assess and comprehend end-to-end process impacts in complex technical environments., • Strong communication skills with the ability to explain technical system logic to non-technical stakeholders., • Prior work experience in Prior Authorizations or Insurance Operations., • 2+ years of proficiency in SQL, BigQuery, or similar database languages., • Experience using project management and communication tools like JIRA, Linear, and Slack. At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives. Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements. Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts. Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team () to make the need for an accommodation known. California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.

Job Description Job Description: Global Patent Solutions, LLC (GPS) has grown to become one of the nation's leading intellectual property (IP) research and consulting firms. In addition to supporting the nation's leading technology companies and IP law firms, GPS is a premier provider of IP-related services to the United States Patent & Trademark Office (USPTO). Our ongoing success and growth is creating the need for us to expand our Team. Specifically, we are presently seeking motivated Investigative Analysts to work with us performing investigative research services in support of a contract with the Trademark Office at the USPTO. The Trademark Office has experienced a historic surge of new trademark filings over the past year, and they have also seen an increase in suspicious trademark application submissions ranging from inaccurate to fraudulent. As part of their response to these challenges, the USPTO is engaging support from GPS to provide a solution. This is an opportunity to leverage your experience and background to assist the USPTO's efforts to protect the integrity and accuracy of the trademark registry and keep the system effective for everyone. In addition to the immediate opportunity this position affords today, the knowledge you will gain, and the skills employed while performing this job, will position you well for future IP career opportunities. Come grow with us! Responsibilities: The individual in this role will need to be able to work independently and manage multiple concurrent priorities, with minimal oversight. It is expected that the individual, once trained, will be able to prioritize their own work to ensure all quality and timeliness commitments are met to the full satisfaction of our customer (the USPTO). It is also anticipated that this position will provide oversight, mentoring, and guidance for less senior Investigative Analysts. Specific accountabilities include: • Reviewing incident reports, such as fraud and other law violations, strategizing on effective ways to minimize losses and prevent misconduct reoccurrence, • Collecting evidence, including documents and interviews to support their claims and record their findings, • Working with attorneys, and other USPTO personnel to research and investigate improper trademark filing activities and to provide analysis related to research, investigations, and trends in such activities, • Performing computer-based analysis of data for investigative cases relating to trademark application/registration filing activities, including the use of electronic databases, spreadsheets, desktop publishing, word processing, statistical applications and specialized software applications to manage, analyze, and present data, research findings, and investigative information, • Gathering, organizing, and analyzing facts and evidence from trademark application/registration records, internally-generated reports, public records, and other available sources relating to improper trademark filing activities, • Drafting, reviewing, and delivering reports related to research, investigations, and trends in improper filing activities, and maintaining associated records, • Developing, advising on, and implementing investigative strategies to identify, mitigate, reduce, or eliminate improper trademark application/registration filing activities, • Reviewing or developing processes, managing multiple competing priorities, and developing and delivering recommendations for resolving and addressing substantive problems related to improper trademark filing activities to senior managers and executive leadership, • Acting as an investigative liaison to other USPTO business units to facilitate the exchange of information and participating as a member in relevant USPTO taskforces and working groups, • Participating in interagency working groups and occasionally representing the Trademarks Organization before relevant stakeholder groups on issues relating to analysis and research relating to improper trademark filing activities Overarching Expectations: • Quality: For GPS, quality is at the pinnacle of the work we perform. Employees must share in our belief and commitment of providing the highest quality of work., • Timeliness: Meeting agreed upon deadlines will be vital to success., • Continuous Improvement: Employees must be committed to continuous improvement, availing themselves of training and educational resources provided by GPS, the USPTO, and/or otherwise publicly available., • Teamwork:Lead by example. Exemplify the positive attributes necessary to create and maintain a culture committed to high performance and support for both individual and collective team-member success., • Leadership: Provide guidance and oversight to less senior support personnel. This includes performing quality reviews and providing guidance, training, mentorship and feedback. Experience: GPS is seeking support personnel who have knowledge and experience in U.S. Trademark prosecution. • At a minimum, personnel should have at least 4 years of relevant experience and familiarization with the statutes, regulations, and processes governing Trademarks, including the Trademark Act, the Trademark Rules of Practice, and the TMEP., • Must be a US Citizen or have been in the US for at least 2 years, • Minimum of 4 years job experience; Bachelor's Degree required, • Must be a U.S. citizen or reside in the U.S for the most recent two years as a work-eligible legal resident. (Employment will be subject to security clearance.), • Excellent time management skills to properly plan and complete all work on-time., • Proficiency with computer databases, online research tools, spreadsheets and word processing software, • Detail-oriented, with excellent written and oral communication skills, • Exceptional research and analytical skills, • Ability to investigate facts and laws of cases, search public records and other resources to prepare cases and determine causes of action

Financial Crimes Compliance Analyst. Seeking a Financial Crimes Compliance Analyst to join our team. Utilizes a transaction monitoring system to complete alerts to determine if further escalation is warranted to determine if suspicious activity was identified and a possible financial crime (fraud, m

Perform the analysis of fraud events for the purpose of identifying and consistently categorizing the root cause of fraud events observed or attempted in the network and identifying control gaps and opportunities for mitigation. Experience supporting enterprise fraud programs or large-scale fraud pl

Reporting to the Senior Fraud Prevention Manager (Vice President) of Fraud Operations. Individuals on the Fraud Investigation team focus on the investigation and remediation of fraud, theft, embezzlement, and operational losses. The Investigator will complete fraud investigations to ensure that pote

This remote position requires experience in healthcare fraud investigations, compliance knowledge, and a related degree. A healthcare technology organization is seeking a Senior Analyst, SIU Investigator to join their team, focusing on investigating abnormal behavior in medical claims and member dat

Job Description Hi, we're Oscar. We're hiring a Senior Analyst, Payment Integrity Disputes to join our Disputes team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family. About the role: You will be responsible for supporting payment integrity disputes and issue resolution in the Oscar claim environment for both the Oscar Insurance business. You will scope, triage, investigate and execute on solutions and process improvements. You will leverage a deep understanding of Oscar's claim infrastructure, workflows, workflow tooling, platform logic, data models, etc., to work cross-functionally and understand and translate friction from stakeholders into actionable opportunities for improvement. You will report into the Manager, Payment Integrity (Pre-Pay). Work Location: This position is based in our Tempe, Arizona office, requiring a hybrid work schedule with 3 days of in-office work per week. Thursdays are a required in-office day for team meetings and events, while your other two office days are flexible to suit your schedule. #LI-Hybrid Pay Transparency: The base pay for this role is: $64,832 - $85,092 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses. Responsibilities: • Contribute as a subject matter expert for Oscar reimbursement policies, payment integrity disputes, internal claims processing edits and external vendor edits., • Respond to internal and external inquiries and disputes regarding policies and edits., • Research industry standard coding rules, summarize and provide input into reimbursement policy language and scope., • Use knowledge gained through research and claims review to ideate payment integrity opportunities. Translate into business requirements; submit to and collaborate with internal partners to effectuate change., • Ingest information from internal and external partners regarding adverse claim outcomes; collaborate with partners to scope, size, prioritize items and deliver solutions., • Use insights from partner submissions, data mining, process monitoring, etc., work with the team to proactively identify thematic areas of opportunity to solve problems., • Perpetuate a culture of transparency and collaboration by keeping stakeholders well informed of progress, status changes, blockers, completion, etc.; field questions as appropriate., • Support Oscar run state objectives by providing speedy research, root cause analysis, training, etc. whenever leadership escalates and assigns issues., • Compliance with all applicable laws and regulations, • Experience in Payment Integrity focused on Disputes and/or appeals, • 4+ years of experience in claims processing, coding, auditing or health care operations, • 3+ years experience in medical coding, • Medical coding certification through AAPC (CPC, COC) or AHIMA (CCS, RHIT, RHIA), • Experience with reimbursement methodologies, provider contract concepts and common claims processing/resolution practices., • 2+ years experience deriving business insights from datasets and solving problems, • 1+ years experience improving business workflows and processes, • 2+ years experience in a technical role (QA analyst, PM, operations analyst, finance, consulting, industrial engineering) or a process improvement role (Six Sigma or similar), • 2+ years of experience working with large data sets using excel or a database language, • Experience in a professional healthcare claims organization, • Knowledge management, training, or content development in operational settings, • Process Improvement or Lean Six Sigma training At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives. Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements. Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts. Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team () to make the need for an accommodation known. California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.

Job Description Hi, we're Oscar. We're hiring a Senior Actuarial Analyst to join our Actuarial team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family. About the role: The Senior Analyst, Actuarial will play a key role in Oscar's valuation function, focusing specifically on risk adjustment across all Affordable Care Act (ACA) markets. This role will own the maintenance and review of actuarial models used to develop risk adjustment accrual estimates, forecasting estimates, and various other analyses. This is a very dynamic space, which makes this a great opportunity to work on interesting projects and have a BIG impact. You will report into the Director, Actuarial. Work Location: This position is based in our Tempe, AZ office, requiring a hybrid work schedule with 3 days of in-office work per week. Thursdays are a required in-office day for team meetings and events, while your other two office days are flexible to suit your schedule. #LI-Hybrid Pay Transparency: The base pay for this role is: $91,659 - $120,303 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses. Responsibilities: • Model Management: Maintain and enhance core risk adjustment reporting and forecasting models, ensuring consistency and standardization across all team users., • Infrastructure & Design: Serve as a key contributor in improving modeling infrastructure; develop recommendations for model design decisions, best practices, and automation/documentation standards., • Financial Strategy: Develop recommendations for the risk adjustment accrual setting process and provide data-driven insights for the financial planning process., • Trend Analysis: Identify, triage, and investigate core drivers of observed trends across plan designs, providers, vendors, and markets., • Stakeholder Engagement: Maintain strong relationships and clear lines of communication with internal and external stakeholders., • Team Development: Aid in the onboarding of new analysts by collaborating and integrating them into existing processes., • Governance: Compliance with all applicable laws and regulations., • Other duties as assigned. Requirements: • Bachelor's degree in a STEM field., • Associate or Fellow of the Society of Actuaries (SOA), or on the track to become one., • Strong knowledge of core health insurance concepts and experience with actuarial applications. At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives. Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements. Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts. Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team () to make the need for an accommodation known. California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.

Job Description Hi, we're Oscar. We're hiring a Senior Analyst to join our Payment Integrity team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family. About the role: This role is responsible for supporting process improvement and issue resolution in the Oscar claim environment for both the Oscar Insurance business and +Oscar clients. The Senior Analyst, Payment Integrity role organizes, scopes, prepares, investigates and/or executes on solutions and process improvements within edits and ideation. This is accomplished by leveraging a deep understanding of Oscar's claim infrastructure, workflows, workflow tooling, platform logic, data models, etc., to work cross-functionally to understand and translate friction from stakeholders into actionable opportunities for improvement. You will report into the Sr. Manager, Payment Integrity. Work Location: This position is based in our Tempe, Arizona office, requiring a hybrid work schedule with 3 days of in-office work per week. Thursdays are a required in-office day for team meetings and events, while your other two office days are flexible to suit your schedule. #LI-Hybrid Pay Transparency: The base pay for this role is: $64,832 - $85,092 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses. Responsibilities: • Contribute as a subject matter expert for Oscar reimbursement policies, payment integrity internal claims processing edits and external vendor edits., • Respond to internal and external inquiries and disputes regarding policies and edits., • Research industry standard coding rules, summarize and provide input into reimbursement policy language and scope., • Use knowledge gained through research and claims review to ideate payment integrity opportunities. Translate into business requirements; submit to and collaborate with internal partners to effectuate change., • Ingest information from internal and external partners regarding adverse claim outcomes; collaborate with partners to scope, size, prioritize items and deliver solutions., • Use insights from partner submissions, data mining, process monitoring, etc., work with the team to proactively identify thematic areas of opportunity to solve problems., • Perpetuate a culture of transparency and collaboration by keeping stakeholders well informed of progress, status changes, blockers, completion, etc.; field questions as appropriate., • Support Oscar run state objectives by providing speedy research, root cause analysis, training, etc. whenever issues are escalated and assigned by leadership., • Compliance with all applicable laws and regulations, • A bachelor's degree or 4+ years of commensurate experience, • 3+ years of experience in claims processing, coding, auditing or health care claims operations, • 3+ years experience in medical coding within payment integrity, • Medical coding certification through AAPC (CPC, COC) or AHIMA (CCS, RHIT, RHIA), • Experience with reimbursement methodologies, provider contract concepts and common claims processing/resolution practices., • 2+ years experience deriving business insights from datasets and solving problems, • 1+ years experience improving business workflows and processes, • 2+ years experience in a technical role (QA analyst, PM, operations analyst, finance, consulting, industrial engineering) or a process improvement role (Six Sigma or similar), • Process Improvement or Lean Six Sigma training At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives. Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements. Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts. Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team () to make the need for an accommodation known. California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.

Job Description Hi, we're Oscar. We're hiring an Analyst II, Actuarial to join our Actuarial. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family. About the role: The Analyst II, Actuarial maintains Oscar's forecasting, valuation, and pricing processes for several Affordable Care Act (ACA) markets. You will oversee regularly maintaining and reviewing actuarial models used to develop pricing, forecasting, trend analytics, Incurred but not Reported (IBNR) projections and risk adjustment accruals. You will report into the Manager, Actuarial. Work Location: This position is based in our Tempe, AZ, requiring a hybrid work schedule with 3 days of in-office work per week. Thursdays are a required in-office day for team meetings and events, while your other two office days are flexible to suit your schedule. #LI-Hybrid Pay Transparency: The base pay for this role is: $65,520 - $85,995 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses. Responsibilities: • Maintain core pricing and plan design models. Ensure consistency and standardization across team users., • Important contributor in developing and submitting regulatory filings, and developing a viewpoint and recommendation for strategic pricing decisions., • Develop and provide recommendations for the accrual setting process with respect to IBNR claims, Risk adjustment and Shared Savings deals., • Identify and triages meaningful observations of experience across plan designs, providers, vendors, and markets., • Promote and shape Oscar actuarial best practices concerning automation and documentation., • Maintain relationships, rapport, and lines of communication with all partners., • Aid in the onboarding of analysts by collaborating and integrating them into existing processes., • Compliance with all applicable laws and regulations, • Bachelor's degree in a STEM field., • Passed a minimum of two actuarial exams., • Experience with health insurance concepts and nuances., • Highly technical with a strong enthusiasm to apply tech-forward methods in actuarial models. At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives. Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements. Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts. Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team () to make the need for an accommodation known. California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.

Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of between $25 / hr.There is no payment required in order to apply or to work as an In-Home Usage Tester.You

At Navaera Worldwide, we are a global, full-service firm dedicated to advanced knowledge management solutions that empower financial organizations to enhance operational efficiency, manage risks through data-driven decision-making, prevent fraud, and secure competitive advantages.

Seeking participants for Focus Group and market research studies.Work part-time from home and earn up to $750 per week.Register to see if you are eligible.Administrative Assistant admin experience not required.Remote Work From Home Administrative Assistant Admin - Part Time Market Research Panelists

Seeking participants for Focus Group and market research studies.Work part-time from home and earn up to $750 per week.Register to see if you are eligible.Administrative Assistant admin experience not required.Remote Work From Home Administrative Assistant Admin - Part Time Market Research Panelists

Customer Service Representative.TransPerfect is more than just a job Our greatest asset is our people, and nothing is more important to us than ensuring that everyone knows that.Each of our 100+ offices has its own individual identity, and each also has its own unique rewards.Full-time with benefits

Seeking participants for Focus Group and market research studies.Work part-time from home and earn up to $750 per week.Register to see if you are eligible.Customer service representative agent experience not required.Remote Work From Home Customer Service Representative Agent - Part Time Market Rese

Customer Service Representative.Are you a people person? Do you love helping others? U-Haul is in search of friendly, motivated people for the position of Customer Service Representative.As a Customer Service Representative, you will work as part of a supportive team to be the face of U-Haul company

Seeking participants for Focus Group and market research studies.Work part-time from home and earn up to $750 per week.Register to see if you are eligible.Customer service representative agent experience not required.Remote Work From Home Customer Service Representative Agent - Part Time Market Rese

Customer Service Representative.The Customer Service Representative (CSR) is the face of our convenience store operations, responsible for delivering prompt, courteous, and top-tier service to every customer.This role interacts directly with guests both in person and via telephone, tendering transac

Seeking participants for Focus Group and market research studies.Work part-time from home and earn up to $750 per week.Register to see if you are eligible.Customer service representative agent experience not required.Remote Work From Home Customer Service Representative Agent - Part Time Market Rese

Customer Service Representative.Immediate need for a talented Customer Service Representative with experience in the Insurance Industry.This is a 07+ months contract opportunity with long-term potential and is located in Scottsdale, AZ.Key Responsibilities and Technology Experience:.Serves as a comp

Seeking participants for Focus Group and market research studies.Work part-time from home and earn up to $750 per week.Register to see if you are eligible.Administrative Assistant admin experience not required.Remote Work From Home Administrative Assistant Admin - Part Time Market Research Panelists

ATLAS Navigators, LLC is an accounting, tax, and consulting firm looking for someone who fits our culture, vision, work ethic, and team.ATLAS stands for Advisors That Listen And Serve, and our people strive to embody that saying every day.We are a solutions-based firm that keeps a positive space, al

Assist with day to day activities within the office Maintain department calendars and schedules Prepare for meetings and arrange any necessary travel Review invoices for proper approval Run and process department reports Track inventory and process supply orders Answer phones File necessary paperwor

We partner with national and international prime contractors to provide them with qualified talent they can trust.We accomplish this by sourcing and vetting high-level career-seeking candidates in the industry and match them with our partners' current open roles.Our objective is to help our general

Are you outgoing and customer-focused? Do you enjoy working with the public? If you answered yes to these questions, working for a State Farm independent contractor agent may be the career for you! State Farm agents market only State Farm insurance and financial service products.Provide prompt, accu

Immediate need for a talented Senior Customer Service with experience in the insurance industry.This is a 12+ months contract opportunity with long-term potential and is located in Scottsdale, AZ.Answers moderately complex to most complex inbound phone calls from policyholders,.

Customer Service Representative.Be the first voice customers hear and the reason they keep coming back.Hourly pay + bonus opportunities At A/C & Plumbing Doctors, we're known for honest, reliable service and that experience starts with you.We're looking for a full-time Customer Service Representativ

Customer Service Representative Retail.Come join the Ashley Family! With our customer base continuously growing, we are expanding our reach by opening more stores to meet the increasing demand.Our dedication to quality, style, and affordability has solidified our reputation as a trusted and recogniz

Customer Service Representative.Mesa AZ - Bark Avenue Pet Resort (MES219) - Mesa, AZ 85213.Hourly Level Entry Position Type Part Time Job Shift Day Education Level High School Travel Percentage None Category Customer Service.Our Customer Service Representatives are passionate animal lovers who provi

Arizona Residents | Administrative Assistant Remote | Entry Level | Part Time.Do you have strong organizational and interpersonal skills with a passion for healthcare? Essential Scribe is seeking a motivated team member to join our growing team.This entry-level role offers hands-on training and the

Customer Service Representative.Job Category: Customer Service Requisition Number: CUSTO001773.Essential Job Tasks Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.Discuss Rohrer services to customers by telephone or in person, take or

Seeking participants for Focus Group and market research studies.Work part-time from home and earn up to $750 per week.Register to see if you are eligible.Administrative Assistant admin experience not required.Remote Work From Home Administrative Assistant Admin - Part Time Market Research Panelists

Food And Nutrition Administrative Assistant.The Food And Nutrition Administrative Assistant will support and assist the Director of Food And Nutrition with the staffing and operation of the Food And Nutrition Department, in the areas of personnel and finance.Operates the management program for meals

Enterprise Bank & Trust was founded in the spirit of entrepreneurship and community.From the small mom-and-pop coffee shop to the large construction company that employs local people, our goal is to help businesses succeed and our communities thrive.With offices in Arizona, California, Florida, Kans

The Administrative Assistant is responsible for the day-to-day operations of the assigned department or campus office, serving as a clerical and technical support person for the assigned areas.Training and Experience: High School Diploma.Two or more years of secretarial/clerical experience preferred

Livwell Health LLC is currently searching for a professional to fill the position of Full-time Administrative Assistant at our clinics in Mesa, Gilbert and Downtown Phoenix.The administrative assistant is responsible for answering phones, rooming patients, scheduling appointments, collecting copays

We are a very busy office and are looking for our next great team member.We are an established, growth-oriented agency with a team of highly motivated individuals.We attribute our success to having a fun, energetic environment that is an enjoyable place to work.Our team works hard to reach our goals

Seeking participants for Focus Group and market research studies.Work part-time from home and earn up to $750 per week.Register to see if you are eligible.Administrative Assistant admin experience not required.Remote Work From Home Administrative Assistant Admin - Part Time Market Research Panelists