Clinical Investigator, SIU
Oscar Health(10 days ago)
About this role
Oscar is hiring for a Senior Analyst in the Special Investigations Unit to utilize forensic clinical expertise in auditing healthcare claims and ensuring compliance with regulations. The role involves reviewing medical records, identifying fraudulent billing practices, and collaborating with providers to maintain billing accuracy and compliance.
Required Skills
- Clinical Expertise
- Medical Review
- Forensic Auditing
- Healthcare Regulations
- Data Analysis
- Medical Coding
- Claims Processing
- Provider Education
- Fraud Detection
- Regulatory Compliance
About Oscar Health
hioscar.comOscar Health is a technology-driven health insurance company offering individual, family, and Medicare plans in select U.S. markets. It pairs insurance coverage with consumer-focused digital tools — a mobile app, telemedicine, and dedicated care teams — to simplify enrollment, care navigation, and claims management. Using data and provider partnerships, Oscar emphasizes preventive care, personalized support, and greater cost transparency for members.
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