Oscar Health: Sr. Analyst, Authorization Services Design & Configuration — New York, New York, United States

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 Sr. Analyst, Authorization Services Design & Configuration in New York, New York, United States, under reference 8258729. The details below separate the work described by the employer from essential conditions, preferred experience and practical preparation advice.

• Department: Clinical
• Employer listing date: 6 October 2026

Responsibilities and work described

• Be the architect of our medical management operations
• Design: the workflows and business rules within our Utilization Management (UM) system to ensure seamless authorization processing
• Translate complex requirements into automated logic
• Handle internal escalations to identify causes and remediation pathways
• As a subject matter expert, you will act to educate cross-functional partners on how our systems guide care decisions
• A systems thinker with a collaborative mindset who enjoys solving complex, systems level problems
• Report into the Associate Director, UM Optimization
• Work: Location: This is a remote position, open to candidates who reside in: Dallas, TX
• 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: $67,813 - $89,005 per year
• You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses
• Management: the configuration and maintenance of authorization workflows, rulesets, and automations within the UM platform
• Translate business requirements into precise technical specifications, ensuring that business rules and logic are accurately represented, tested, and implemented
• Investigate and resolve escalations by performing root cause analysis on system behavior and configuration gaps
• Identify "friction points" in the authorization process and document formal opportunities for workflow improvement and automation

Essential requirements and candidate background

• 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
• 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)

Experience and professional background

• 2+ years of proficiency in SQL, BigQuery, or similar database languages

Preferred experience and additional strengths

• Prior work experience in Prior Authorizations or Insurance Operations
• Experience using project management and communication tools like JIRA, Linear, and Slack
• Experience working with large datasets, data verification, and data management
• 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
• Advertised location: New York, New York, United States

Pay and application dates

A verified salary figure is not established in this article. An online estimate for another Sr. Analyst, Authorization Services Design & Configuration vacancy is not an offer for reference 8258729; 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 8258729.

Compare your qualifications and experience with the essential conditions for the New York, New York, United States 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
• Excel
• AI
• maintenance
• insurance
• project management
• communication
• root-cause analysis