Manager, Data Mining – Payment Integrity

Job overview

The Manager, Data Mining – Payment Integrity role is remote for candidates residing in Atlanta, GA; Chicago, IL; Dallas, TX; Louisville, KY; Minneapolis, MN; Philadelphia, PA; or Salt Lake City, UT. Base pay is $100,602–$132,040 per year. The role supports Oscar Health’s Payment Integrity team. The manager leads data mining auditors and vendor management to meet savings and recovery targets in post-payment payment integrity. The role develops team workflows, oversees submission quality, and partners with technology or data science teams on identification algorithms.

What you'll do

• Oversee quality control of data mining vendor submissions
• lead daily team operations and delegate work to internal auditors and external partners
• develop workflows and guidelines
• train and mentor team members
• partner with technology or data science teams on savings and recovery algorithms
• and comply with applicable laws and regulations.

What we're looking for

Skills & competencies

manager

data mining

payment integrity

health insurance

remote

atlanta ga

chicago il

dallas tx

louisville ky

minneapolis mn

philadelphia pa

salt lake city ut

$100,602–$132,040/year

oscar health

Work arrangement

• Weekend coverage required

Benefits & perks

• Medical, dental and vision benefits, unlimited vacation program, annual performance bonuses, paid holidays, paid sick time, paid parental leave, 401(k), life and disability insurance, and wellness time and reimbursements.

Why this role

Fully remote within the listed eligible locations; the posting notes that future work models could potentially involve a hybrid presence at the associated metro-area hub.

About the employer

Oscar Health is hiring for this role. Industry: Direct Health and Medical Insurance Carriers. Sector: 52.