Oscar Health: Senior Analyst, SIU Investigator — Florida, 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 Senior Analyst, SIU Investigator in Florida, United States, under reference 8240320. The details below separate the work described by the employer from essential conditions, preferred experience and practical preparation advice.

• Department: Compliance
• Employer listing date: 29 September 2026

Responsibilities and work described

• The Senior Analyst, Special Investigations Unit Investigator detects, investigates, and produces change in aberrant behavior observed in claims and enrollment data
• Report into the Investigations Manager, SIU
• Identify and conduct investigations into known or suspected FWA with high autonomy
• Development: documentation to substantiate findings, including formal reports, graphs, audit logs, and other supporting documentation
• Meet targets through investigations and internal process improvements– which should, at least initially, increase year-over-year – for FWA recoupments and savings
• Execution: analysis on prior cases to inform future identification of similar claims or cases and associated savings (i.e., help move from “pay-and-chase” to preventive edits and prepayment activity)
• Participate in the development and presentation of FWA-related education for Oscar teams
• Compliance with all applicable laws and regulations
• Other duties as assigned

Essential requirements and candidate background

• 3+ years of insurance claims investigation experience or professional investigation experience with law enforcement agencies
• 1+ year experience with applicable fraud statutes and regulations, and of federal guidelines on recoupments and other anti-FWA activity

Education and qualification routes

• Degree / qualification: Bachelor's degree in Criminal Justice or a related field

Preferred experience and additional strengths

• Experience working in health insurance across several product lines specifically with claims processing, billing, reimbursement, or provider contracting
• Experience: HIPAA, data privacy, and/or data security processes
• Certified Fraud Examiner (CFE), Accredited Healthcare Fraud Investigator (AHFI), Certified AML [Anti-Money Laundering] and Fraud Professional (CAFP), or similar
• Certified Professional Coder (CPC) or similar
• 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
• This is a remote position, open to candidates who reside in: Arizona
• Florida
• Georgia; or Texas
• While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events. #LI-Remote
• Pay Transparency: The base pay for this role is: $72,036 - $94,547 per year
• You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses
• You must be currently authorized to work in the United States on a full-time basis
• Oscar will not sponsor applicants for this role
• Advertised location: Florida, United States

Conditions requiring the complete notice

Some passages contain complex or combined conditions that have not been reduced to short eligibility statements here. Read the complete linked notice for those passages, including any alternatives, exceptions or restrictions. The concise facts above should not be treated as the full wording of every condition.

Pay and application dates

A verified salary figure is not established in this article. An online estimate for another Senior Analyst, SIU Investigator vacancy is not an offer for reference 8240320; 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 8240320.

Compare your qualifications and experience with the essential conditions for the Florida, 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: AI

An AI-related example should make the task and evaluation explicit. Explain the inputs, the system’s intended output and how you checked errors, usefulness or reliability, rather than relying on the model name alone.

Relevant skills

• AI/ML
• AI
• process improvement
• audit
• compliance
• insurance
• billing
• claims administration