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Senior Analyst, Authorization Services Design & Configuration
Oscar Health. Manage the configuration and maintenance of authorization workflows, rulesets, and automations within the UM platform .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in system configuration and business rules management within the healthcare industry, with a strong focus on root cause analysis and data troubleshooting. Proficient in developing testing protocols and communicating technical specifications to non-technical stakeholders.
Highest-signal resume keywords
System Configuration ManagementRoot Cause AnalysisSQL ProficiencyTechnical Workflow DesignHealthcare Industry Knowledge
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Business Rules ManagementData TroubleshootingTesting Protocol DevelopmentData VerificationWorkflow ImprovementAutomation OpportunitiesData ManipulationTechnical SpecificationsEscalation ResolutionDashboard Management
Soft Skills
Strong Communication Skills
Tools & Technologies
ExcelGoogle SheetsJIRALinearSlack
Industry Keywords
Prior AuthorizationsInsurance OperationsHealthcare IndustryPayerProvider
Tech Stack
Tools & technologiesBigQuerySQL
About the role
Key responsibilities & impact- Manage the configuration and maintenance of authorization workflows, rulesets, and automations within the UM platform
- Translate business requirements into precise technical specifications
- Ensure business rules and logic are accurately represented, tested, and implemented
- Investigate and resolve escalations through root cause analysis of system behavior and configuration gaps
- Identify friction points in the authorization process and document workflow improvement and automation opportunities
- Serve as the primary subject matter expert for the UM system
- Educate Product, Clinical, and Regulatory teams on how configuration impacts operations
- Develop testing protocols and implement test scenarios to validate system behavior and configuration accuracy
- Lead corrective activities when system behavior deviates from expectations
- Manage assigned caseloads and project tasks through dashboard management and prioritization
- Maintain documentation of business rules, technical specifications, and workflow designs
- Report to the Associate Director, UM Optimization
- Perform other responsibilities as assigned
Requirements
What you’ll need- 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)
- Experience assessing and comprehending end-to-end process impacts in complex technical environments
- Strong communication skills with the ability to explain technical system logic to non-technical partners
- 1+ year working knowledge of within the healthcare industry (payer or provider)
- 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
- Experience working with large datasets, data verification, and data management
Benefits
Comp & perks- Employee benefits
- Unlimited vacation program
- Annual performance bonuses
- Medical benefits
- Dental benefits
- Vision benefits
- 11 paid holidays
- Paid sick time
- Paid parental leave
- 401(k) plan participation
- Life insurance
- Disability insurance
- Paid wellness time and reimbursements