Senior Analyst, Authorization Services Design & Configuration

Oscar Health

. Manage the configuration and maintenance of authorization workflows, rulesets, and automations within the UM platform .

Posted 10/30/2026full-timeRemote • United StatesSenior💰 $75,348 - $98,894 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in system configuration and business rules management within the healthcare industry, with a strong focus on root-cause analysis, data troubleshooting, and workflow improvement. Proficient in SQL and Excel for data manipulation and validation, while effectively communicating technical concepts to non-technical stakeholders.

Highest-signal resume keywords

System Configuration ManagementRoot-Cause AnalysisSQL ProficiencyWorkflow ImprovementHealthcare Industry Knowledge

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

System ConfigurationBusiness Rules ManagementTechnical Workflow DesignRoot-Cause AnalysisData TroubleshootingSQLBigQueryData ManagementData VerificationTesting Protocol Development

Soft Skills

Strong Communication Skills

Tools & Technologies

ExcelGoogle SheetsJIRALinearSlack

Industry Keywords

Healthcare IndustryPrior AuthorizationsInsurance Operations

Tech Stack

Tools & technologies

BigQuerySQL

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, ensuring 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 opportunities for workflow improvement and automation
Serve as the primary subject matter expert for the UM system and educate Product, Clinical, and Regulatory teams
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
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 and disability insurance
Paid wellness time and reimbursements