Oscar Health: Manager, Data Mining - Payment Integrity — Remote

About Oscar Health

Oscar Health is a health-insurance business built around a technology platform and member services. Its recruitment board also describes Oscar Medical Group activities in virtual health assessments and virtual care. Those notices reflect distinct parts of the wider operation: insurance products and member administration alongside clinical services. Technology, insurance operations and care delivery consequently appear in different roles on the board, with the employing team determining the service and professional responsibilities of an individual position.

The position and its setting

Oscar Health lists Manager, Data Mining - Payment Integrity in Remote, under reference 8168038. The details below separate the work described by the employer from essential conditions, preferred experience and practical preparation advice.

• Department: Insurance Operations
• Employer listing date: 9 September 2026

Responsibilities and work described

• The Manager of Data Mining leads a team of individual contributors, ensuring the team is meeting savings and recovery targets in the payment integrity space
• Leadership: data mining auditors in the post-payment payment integrity space, and oversee data mining vendor management
• Report into the Associate Director, Payment Integrity
• 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
• 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: $100,602- $132,040 per year
• You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses
• Oversee the quality control process for data mining vendor submissions, ensuring accuracy and alignment with program standards
• Leadership: the daily operations of the data mining team, including the strategic delegation of work to both internal auditors and external partners

Essential requirements and candidate background

• A bachelor’s degree or 4+ years of commensurate experience
• 4+ years experience in healthcare operations
• 2+ years of experience leading and developing a team
• 2+ years experience designing, implementing and improving business workflows

Experience and professional background

• 2+ years of payment integrity experience at a health plan or vendor organization

Preferred experience and additional strengths

• Experience: healthcare claims adjudication
• Experience: SQL and basic SQL abilities
• Medical coding certification through AAPC (CPC, COC) or AHIMA (CCS, RHIT, RHIA)
• This is an authentic Oscar Health job opportunity
• 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
• 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

Location, schedule and contract conditions

For this overseas or regional listing, confirm work authorisation and any location restrictions with the employer. The location does not establish visa sponsorship or permission to work remotely from India.

• 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
• Work arrangement: Remote
• Advertised location: Remote

Pay and application dates

A verified salary figure is not established in this article. An online estimate for another Manager, Data Mining - Payment Integrity vacancy is not an offer for reference 8168038; use the employer’s own pay disclosure and recruitment communication.

A closing date is not confirmed in this article. Check the current employer page before submitting: an undated posting can change or be withdrawn.

How to apply to Oscar Health

Applications follow the official employer page linked below.

Open the official Oscar Health posting below and match the title and reference 8168038.

Compare your qualifications and experience with the essential conditions for the Remote position, then read the preferred criteria separately.

Prepare an accurate CV and the supporting items requested in that employer’s application. Provide only information and documents you are authorised to share.

Use the employer’s application option, complete the required fields and review the submission. Retain the acknowledgement when one is provided. Job Alerts World does not receive the application.

Practical preparation: SQL

SQL references usually call for more detail than “database knowledge”. Explain the data you queried, the business or engineering question and how you checked that joins, aggregates and filters produced the intended result.

Relevant skills

• SQL
• AI/ML
• AI
• quality control
• audit
• compliance
• insurance
• mining projects
• claims administration