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Senior SIU Clinical Investigator - Remote Forensic Auditor
Remote / Online - Candidates ideally in
New York, New York County, New York, 10261, USA
Listed on 2026-08-13
New York, New York County, New York, 10261, USA
Listing for:
Oscar Health Insurance
Full Time, Remote/Work from Home
position Listed on 2026-08-13
Job specializations:
-
Healthcare
Healthcare Compliance
Job Description & How to Apply Below
Oscar Health Insurance is seeking a Senior Analyst, SIU Clinical Investigator to detect and audit aberrant billing patterns in claims and clinical documentation. You will review medical records to ensure alignment with guidelines and regulations, and identify schemes such as upcoding or unbundling.
As a clinical SME, you will translate findings into education for Oscar teams and build evidentiary files for potential recovery or referrals. This is a remote role with NYC/Tempe office options.
#J-18808-LjbffrPosition Requirements
10+ Years
work experience
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