Oscar Health
Sr. Analyst, Authorization Services Design & Configuration
$68K–$89K
Tempe, Arizona, United States · Senior · Full-time · Posted Oct 6, 2026
- Experience
- 2+ years in each of two specified areas: system configuration/business rules/technical workflow design, and technical/operational root-cause analysis and data troubleshooting; 1+ year in healthcare.
About the job
Designs and maintains utilization management authorization workflows and business rules, translating operational requirements into tested system configuration and resolving issues.
What you'll do
- Configure, test, and maintain authorization workflows, rulesets, and automations in the UM platform.
- Investigate escalations through root-cause analysis and identify workflow improvements and automation opportunities.
- Document system designs and educate cross-functional partners on how configuration affects operations and care decisions.
What they ask for
- 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, including vlookups, pivot tables, and data manipulation.
- 1+ year working knowledge of the healthcare industry (payer or provider).
Nice to have
- Prior work experience in Prior Authorizations or Insurance Operations.
- 2+ years of proficiency in SQL, BigQuery, or similar database languages; experience with JIRA, Linear, and Slack is also noted.
Pay
$67,813 - $89,005 per year (base salary)
Tools
UM platform, Excel/Google Sheets, SQL, BigQuery, JIRA, Linear, Slack
AI focus
No AI work is stated for the role; the posting mentions AI only in candidate-use and recruiting guidelines.
Model-written summary · the original posting is authoritative