COB Specialist, Payment Integrity — Oscar Health
Oscar Health
Job Summary
Investigates coordination-of-benefits issues across medical and pharmacy claims, verifies dual coverage, analyzes payment problems, develops and improves COB workflows and audits, and supports root-cause analysis and reimbursement-policy decisions.
Job Description
Investigates coordination-of-benefits issues across medical and pharmacy claims, verifies dual coverage, analyzes payment problems, develops and improves COB workflows and audits, and supports root-cause analysis and reimbursement-policy decisions.
Additional Requirements & Compensation
Additional Job Details
Requires a bachelor degree or 4+ years of commensurate experience, 4+ years in payment integrity ideally including COB, 2+ years deriving business insights from data, and experience improving workflows and collaborating with stakeholders. Excel/database or SQL experience is a plus.