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Job Description Hi, we're Oscar. We're hiring an Associate, Itemized Bill Review 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: You will be responsible for executing internal payment integrity solutions requiring billing and coding expertise with and continual improvement and development of the solutions. You will ensure claims are paid accurately and timely with the highest quality. 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 Manager, Payment Integrity (Pre-Pay). Work Location: This is a remote position, open to candidates who reside in: Atlanta, Georgia; Chicago, Illinois; Dallas, Texas; Louisville, Kentucky; Minneapolis, Minnesota; Philadelphia, Pennsylvania; Salt Lake City, 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: $82,717 - $108,566 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, and annual performance bonuses. Responsibilities: • Perform line-by-line review of high-dollar facility itemized bills and corresponding claim forms (e.g., UB-04s), • Proactively identify and document potential billing errors, including duplicate billing of items, services, or procedures as improper unbundling of services (e.g., separating components that should be billed together) and charges for non-covered or non-rendered services, • Compare billed charges against both payor-specific contracts and industry guidelines to confirm appropriate billing practices., • Apply working knowledge of national coding systems (e.g., CPT, HCPCS, ICD-10, MS-DRGs) to validate the accuracy of codes used for services billed., • Review claims eligible under specific reimbursement scenarios: a percentage of charges or those exceeding stop-loss levels, ensuring the claim exceeds the minimum dollar threshold set by the payor, • Prepare clear, concise, and professional documentation of all findings, including savings identified, policy violations, and recommended claim adjustments, • Contribute to the refinement of internal audit processes and tools to enhance efficiency and accuracy in identifying claim inaccuracies, • Serve as a subject matter expert for internal and external stakeholders regarding complex billing issues, coding guidelines, and payor policies, • Provide subject matter expertise and in-depth understanding of Payment Integrity internal claims processing edits, external vendor edits and Oscar reimbursement policies, • Identify claims payment issues from data mining, process monitoring, etc., provide scoping and action steps needed to remediate the issue, • Respond to internal and external inquiries and disputes regarding policies and edits., • Document industry standard coding rules and provide recommendations on reimbursement policy language and scope, • Ideate payment integrity opportunities based on a deep knowledge of industry standard coding rules. Translate into business requirements; submit to and collaborate with internal partners to effectuate change, • Provide training and education to team members when necessary, • 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, • 2+ years of bill / coding audit experience with a focus on hospital or facility billing (UB-04), • 4+ years experience in medical coding, • Medical coding certification through AAPC (CPC, COC) or AHIMA (CCS, RHIT, RHIA), • 3+ years of experience working with large data sets using excel or a database language, • 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 DescriptionAbout Flexport: At Flexport, we believe global trade can move the human race forward. That's why it's our mission to make global commerce so easy there will be more of it. We're shaping the future of a $10T industry with solutions powered by innovative technology and exceptional people. Today, companies of all sizes—from emerging brands to Fortune 500s—use Flexport technology to move more than $19B of merchandise across 112 countries a year. The recent global supply chain crisis has put Flexport center stage as we continue to play a pivotal role in how goods move around the world. We are proud to have the support of the best investors in the game who believe in our mission, solutions and people. Ready to tackle global challenges that impact business, society, and the environment? Come join us. The Opportunity: As a Senior Credit Analyst, Portfolio Analytics, you will play a pivotal role in Flexport Capital's portfolio management strategy. This is a hybrid role sitting at the intersection of hands-on credit stewardship and data-driven innovation. You won't just analyze high-level trends; you will actively manage the monthly financial review process, lead diligence on flagged accounts, and own the operational compliance stack. You will be the first line of defense in monitoring portfolio health while simultaneously building the tools and dashboards that make that monitoring scalable. You Will: • Lead Portfolio Reviews & Diligence: Manage the monthly financial review process for the entire customer base. You will direct Associate support for data gathering, but you will be responsible for the analysis, knowing exactly what red flags to look for in financial statements., • Conduct Active Risk Management: Identify deteriorating credits or anomalies and immediately trigger deeper reviews. You will prepare for and lead diligence calls with borrowers to investigate issues and determine necessary actions., • Prepare Credit Modifications: Evaluate requests from Business Development for line increases, term adjustments, or other modifications. You will be responsible for writing the loan modification templates/memos and providing the credit diligence and justification for your recommendations., • Own Compliance & Operations: oversee and improve our KYB/KYC, UCC lien filing, and lien management processes. You will ensure strict compliance and proactively suggest new vendors, products, or process improvements to streamline operations., • Build & Maintain Analytics: Design portfolio monitoring dashboards that aggregate credit, collateral, and operational data. You will continue to use tools (SQL, Python, Looker) to automate data ingestion and anomaly detection., • Analyze Trends: Monitor borrower and portfolio trends—including CRR migration, LGD, DSO, and exposure concentration—to inform repricing or mitigation strategies., • Drive Process Improvement: Continuously improve internal reporting and data quality, ensuring our tools serve as a reliable "single pane of glass" for portfolio risk visibility. You will use the available low-code and analytical tools (using SQL, Python, Airtable, Looker, or Power Automate) to automate data ingestion, anomaly detection, and risk flag generation.You Should Have:, • 3–7 years of experience in commercial lending, credit risk, or portfolio management (Asset-Based Lending or Working Capital experience is highly preferred)., • Hands-on Credit Experience: You have experience manually reviewing financial statements, identifying risk factors, and writing credit memos or loan modification justifications. You are comfortable getting on the phone with a CFO to ask hard questions., • Operational Knowledge: Familiarity with the mechanics of lending operations, including KYB/KYC regulations, UCC lien perfection, and compliance management., • Technical Proficiency: Proven experience leveraging data analytics tools (SQL, Power BI, Tableau, Looker) to analyze portfolios., • Low-Code/Automation Skills: Working knowledge of tools like Power Automate, Airtable, or Zapier to build scalable processes is a strong plus., • Communication Skills: Excellent verbal and written communication skills to articulate credit rationale to the Risk Committee and partner effectively with BD and Ops.

Job Description Hi, we're Oscar. We're hiring a Utilization Review Nurse, BPO Supervisor to join our 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 provide daily oversight and management of the team. You will own the daily Nurse off-shore team operations, including queue and volume throughput and staffing, and also serves as the primary escalation point for their teams. You will supports strategic and clinical initiatives. You will report into the Manager, Utilization Review. Work Location:This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois; Iowa; Kansas; Michigan; Missouri; Nebraska; New Jersey; North Carolina; Ohio; Oklahoma; Pennsylvania; South Carolina; Tennessee; Texas; or Virginia. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events.#LI-Remote Pay Transparency: The base pay for this role is: $91,980 - $120,629 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, and annual performance bonuses. Responsibilities: • Own daily workforce management, including staffing and queue assignments, PTO/leave, and payroll/compensation., • Manage queue on a daily basis, ensuring compliance with regulatory timelines, staff coverage, and coordination with internal teams for forecasting and timely handling of ad hoc escalations, • Ensure on-shore team adheres to department policies and workflows and serve as continual champion of the Oscar mission., • Drive and own the success of clinical auditing and performance through ongoing evaluations; effectively use Oscar tools to monitor and trend nurse productivity and auditing data for assessment and reporting., • Support the onboarding and training of newly-hired clinicians and partner with the Clinical Quality & Training team on the development and maintenance of clinical training and resource material., • Partner with the Talent Acquisition team on clinical hiring initiatives., • Complete medical necessity and level of care reviews using clinical judgment and the Plan's designated clinical guidelines, if applicable., • Comply with department performance and quality metrics, and adhere to training and remediation requirements., • Compliance with all applicable laws and regulations, • 3+ years of utilization review experience at a managed care plan or provider organization, • Active, unrestricted Registered Nurse (RN) licensure from the United States and in the state of hire, OR, active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC), • 2 + years of off-shore managing vendor experience, • 2+ year of leadership experience, • Associate Degree and/or Bachelors of Nursing from an accredited school of nursing, • 5+ years healthcare experience (including at least 2 years clinical practice in an acute care setting), • Bachelors of Nursing (BSN) degree, • Masters of Science in Nursing (MSN) degree, or MBA/Healthcare administration degree 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.

JD Edwards E1 Procurement / Purchasing Expert.My client, a nationwide multi-billion-dollar organization, is adding JD Edwards Professionals to their ERP team.They are seeking a Procurement / Purchasing expert to lead JD Edwards E1 optimization efforts.This role is ideal for a senior professional loo

Providing false or misleading information, or omitting relevant information, may be grounds for the withdrawal of any application or candidacy. References from former peers and colleagues, rather than the employer itself, may be deemed insufficient and additional information may be required. Design

Oversee construction projects from planning through completion Manage project schedules, budgets, materials, and resource allocation Supervise onsite personnel, subcontractors, and field operations Coordinate with inspectors, contractors, architects, engineers, and local officials Negotiate with ven

Requirements: Bachelor’s degree in business or technology or equivalent experience 2+ years related experience in and/or training in business analysis, technology development, or a related field. Description Summary: This position participates throughout all phases of the project life cycle for He

Strong hand graphic skills in addition to AutoCAD and the ability to communicate design through hand drawings.Project Management, client relations and project team collaboration experience.Experienced, proficient designer with expertise in outdoor designs, urban design, entitlement and permitting pr

Description Summary: This position participates throughout all phases of the project life cycle for Health Plan service lines throughout CHRISTUS Health. This position must possess sufficient detailed health plan information systems knowledge and systems expertise to implement medium to high complex

Failing Interviews or not getting Interviews Isn't a Talent Problem.If you're getting interviews but not offers, you're closer than you think—and that's the most frustrating stage to be in.You've already proven you're employable enough to get screened, but something breaks during technical rounds:

This position participates throughout all phases of the project life cycle for Health Plan service lines throughout CHRISTUS Health. This position must possess sufficient detailed health plan information systems knowledge and systems expertise to implement medium to high complex assignments with min

Turn a Tech Layoff or a Career Gap Into a Reset for a Better Career A layoff or a Career Gap can shake your confidence—even if you did nothing wrong.Downsizing, reorganizations, and budget cuts are business decisions, not personal failures.The tech industry still needs skilled developers — you j

Coordinate the Medicare Field Audits, ensuring complete, proper and timely information is provided and audit adjustments are reviewed prior to issuance of the settlement. Actively participate as a member in HFMA as a representative of CHRISTUS Health.

Our clinical roles enable you to act as a mentor and ambassador for the quality of health improvement by engaging with care providers and making recommendations or educating them on key solutions that Medline offer to impact patient care. Maintain and develop expertise on Respiratory products, with

This position must possess sufficient detailed health plan information systems knowledge and systems expertise to implement medium to high complex assignments with minimal guidance. This position participates throughout all phases of the project life cycle for Health Plan service lines throughout CH

The SM&C Data Office is responsible for planning, implementation, communications, training, compliance monitoring, and establishment of Banking's Controlled Data Management Environment supporting our Enterprise Information Assets. The Data/Information Mgt Analyst is a strategic professional who stay

MAJOR RESPONSIBILITIES: Calling on our primary customer base, which includes Doctors' Offices, Urgent Care, Dermatology, Community Health, and Women's Health. Healthcare personnel contacted include but are not limited to, physicians, nursing staff, office managers, and those staff involved with purc

Recruit Training followed by Class A School in an information warfare specialty, such as IT or CTN at information warfare training sites and IS at intelligence training commands; advanced C schools and follow on training in areas such as cyber operations, network defense, digital forensics, signals

Requirements: Bachelor’s degree in business or technology or equivalent experience 2 years related experience in and/or training in business analysis, technology development, or a related field. Description Summary: This position participates throughout all phases of the project life cycle for Hea

Are you fascinated by information technology and have a passion for learning? Are you a collaborative problem solver who wants to build a dynamic career making an impact through crafting customized business efficiencies for our clients? If so, being an Entry-Level Business Analyst in our Dallas Metr

Bachelor's degree in Business Administration, Information Systems, Computer Science, or a related field. Comfortable leading meetings, facilitating discussions, and presenting information to diverse stakeholders.

Fermi America is seeking an FP&A Analyst to support both capital project-level financial analysis and operating financial planning across its power plant and data center development portfolio.This role is responsible for both capital project finance and operating financial planning FP&A, requiring s

Business Analyst in Retail Banking or Commercial Banking.Well versed in requirements gathering and documentation.Experienced in Agile software development lifecycle.

Collaborating with program-management, engineering, and technology teams to align solutions with warfighter needs. Government, or technology based industry. Other Important Information You Should Know:.

Position Summary: We are seeking a detail oriented and analytical Healthcare Business Analyst to support business operations, technology initiatives, and process improvements within the healthcare domain. Senior Healthcare Business Analyst.

Business Analyst With Financial Domain.Job Description: We are currently seeking a highly skilled, dedicated and detail-oriented business analyst with a strong background in data management, who is passionate about making a positive impact in the financial industry.In this role, the person will be r

Education: Bachelor's or equivalent degree in Computer Science, Engineering, Information Technology, or a related field, accompanied by seven years of progressive work experience. Organize data and synthesize information into actionable insights to support decision making by business stakeholders.

The Business Analyst will work as a liaison among various stakeholders to elicit, analyze, communicate, validate and document requirements for changes to business processes, policies and information systems. Proficient in synthesizing information and conveying it in a way that fosters common underst

Business Strategy Senior Analyst (Finance).The Business Strategy Senior Analyst (Finance) will support the Enterprise Finance team in the execution of Texas Capital's strategic initiatives through partnership with line of business leadership in support of Corporate and Investment Banking groups.This

Shape the Future of America's Skies with Peraton.Join Peraton in advancing the safety, efficiency, and modernization of the National Airspace System (NAS) through the FAA's Brand New Air Traffic Control System (BNATCS) contract.As a trusted partner to the Federal Aviation Administration, Peraton del

Department: Information Technology. Develop and implement a deep understanding of Microsoft and Atlassian products and services (Teams, SharePoint, Visio, Jira, Confluence) to translate complex product information into simple, polished, and engaging content. We combine cutting-edge technology with w