Remote opportunity at
OSCAR ASSOCIATES (AMERICAS), LLCSenior Analyst, Credentialing Quality & Data Operations
Oscar Associates (Americas), LLC is hiring a Senior Analyst to focus on credentialing quality and data operations. Established in 2012, the company operates as a health…
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About This Role
Oscar Associates (Americas), LLC is hiring a Senior Analyst to focus on credentialing quality and data operations. Established in 2012, the company operates as a health insurance provider utilizing a full-stack technology platform. In this remote position, the Senior Analyst supports accuracy, regulatory readiness, compliance, and ongoing operational improvements in provider and credentialing functions. Responsibilities include conducting routine or risk-based quality audits, analyzing complex operational datasets, managing projects independently, and…
Job Description
Oscar Associates (Americas), LLC is hiring a Senior Analyst to focus on credentialing quality and data operations. Established in 2012, the company operates as a health insurance provider utilizing a full-stack technology platform. In this remote position, the Senior Analyst supports accuracy, regulatory readiness, compliance, and ongoing operational improvements in provider and credentialing functions. Responsibilities include conducting routine or risk-based quality audits, analyzing complex operational datasets, managing projects independently, and translating findings into actionable recommendations.
This full-time role suits professionals with a background in healthcare operations, quality assurance, auditing, or provider data analysis. Team members work from their home offices within the United States, excluding Alaska, Delaware, Hawaii, Louisiana, Montana, North Dakota, Oklahoma, West Virginia, Wyoming, and U.S. Territories. Occasional travel is required for company events and team meetings. The position reports directly to the Senior Manager of Provider Operations Credentialing.
Responsibilities
- Execute complex operational tasks across credentialing, provider data, analytics, and quality assurance while adhering to service-level expectations and company policies
- Examine facility and practitioner documentation, workflows, and system records to verify completeness, accuracy, timeliness, and compliance
- Design and execute routine or risk-based quality audits by selecting samples, evaluating evidence, documenting findings, and scoring outcomes
- Examine operational datasets through database queries, spreadsheets, or reporting tools to track performance, timeliness, inventory, productivity, and quality
- Develop, monitor, and validate metrics, dashboards, reports, and controls while reconciling information across multiple data sources
- Conduct root-cause analysis to transform audit results and data insights into preventive actions, process enhancements, and clear recommendations
- Act as a subject matter expert on initial credentialing, recredentialing, file reviews, verification, committee preparation, and delegated activities
- Assist in remediating complex data, quality, or credentialing issues while tracking action plans to closure
- Mentor colleagues, share subject matter expertise, and independently manage assigned caseloads, projects, and escalations
Requirements
- Minimum of 3 years of relevant professional experience in quality assurance, healthcare operations, credentialing, data analysis, audit, or provider data
- At least 1 year of experience performing root-cause analysis, identifying data issues or risks, and driving solutions to completion
- Intermediate proficiency using Google Sheets or Excel for data reconciliation, validation, analysis, and presenting findings
- Demonstrated experience conducting healthcare credentialing quality audits, maintaining documentation, and following up on corrective actions
- Familiarity with analyzing operational datasets and creating reports or dashboards
- Understanding of practitioner and facility credentialing principles, including regulatory standards and primary-source verification
Qualifications
- Prior background working within a health plan, credentialing verification organization, delegated credentialing entity, provider organization, or regulated healthcare setting
- Familiarity with query languages such as SQL or BigQuery, along with experience handling large datasets, data models, or business intelligence platforms
- Experience utilizing workflow, provider data, credentialing, audit-management, or ticketing software
- Knowledge of delegated-oversight, CMS, NCQA, state, and federal requirements related to credentialing operations
- Formal training or relevant professional certifications in auditing, healthcare quality, compliance, data analytics, or credentialing
Core Skills
Benefits
- Medical, dental, and vision insurance coverage
- Participation in an unlimited vacation program
- Annual performance bonuses
- 11 paid holidays
- Paid sick time
- Paid parental leave
- Participation in a 401(k) plan
- Life and disability insurance
- Paid wellness time and reimbursements
Frequently Asked Questions
Answers are based only on the employer’s listing; where it doesn’t say, neither do we.
Is this position remote?
Yes, this role is fully remote and completed from a home office within the U.S., excluding Alaska, Delaware, Hawaii, Louisiana, Montana, North Dakota, Oklahoma, West Virginia, Wyoming, and U.S. Territories. Occasional travel for team meetings and company events is required.
What is the salary range for this role?
The base pay for this position ranges from $61,851 to $80,000 per year, with final offers determined by factors such as relevant experience, education, and skills.
What level of experience is required?
Candidates must have at least 3 years of relevant experience in healthcare operations, credentialing, quality assurance or audit, provider data, or data analysis, including 1 year of experience identifying risks or data issues and driving them to resolution.
What benefits are provided?
Full-time employees are eligible for medical, dental, and vision benefits, an unlimited vacation program, annual performance bonuses, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.
Sample Interview Questions
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