This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description Hi, we're Oscar. We're hiring a SIU Investigator to join our SIU team. 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. The SIU Investigator identifies and investigates aberrant behavior observed in medical claims data and member enrollment data. You will manage an investigative caseload from case identification through to resolution, including: - Data mining - Investigation planning - Data analysis - Sampling - Medical records requests - Audit interpretation - Overpayment recovery - Reporting to regulatory agencies - Monitoring ongoing provider behavior The Senior Analyst will meet metrics set forth related to caseload, turnaround times, and other unit-wide goals. You will report into the Investigations Manager, SIU. Work Location: This is a remote position, open to candidates who reside in: - Arizona - Florida - Georgia - Illinois - Iowa - Kansas - Michigan - Missouri - Nebraska - New Jersey - New York - North Carolina - Ohio - Pennsylvania - South Carolina - Tennessee - Texas - Virginia You will be fully remote; however, our approach to work may adapt over time. Future models could potentially involve a hybrid presence at the hub office associated with your metro area. If you live within commutable distance to our New York City office (in Hudson Square) or our Tempe office (off the 101 at University Ave), you will be expected to come into the office at least three days each week. Otherwise, this is a remote/work-from-home role. Thursdays are a required in-office day for team meetings and events, while your other two office days are flexible to suit your schedule. The base pay for this role in the states of New Jersey and New York is: $72,036 - $94,546 per year. The base pay for this role in all other locations is: $64,832 - $85,092 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, and annual performance bonuses. Qualifications - 3+ years of healthcare fraud investigation experience or professional investigation experience with law enforcement agencies - 3+ years experience with applicable fraud statutes and regulations, and of federal guidelines on recoupments and other anti-FWA activity Requirements - Bonus points: - Bachelor's degree in Criminal Justice or a related field - Experience with 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 Benefits - Employee benefits including medical, dental, and vision benefits - 11 paid holidays - Paid sick time - Paid parental leave - 401(k) plan participation - Life and disability insurance - Paid wellness time and reimbursements

• As part of Coinbase’s broader risk management organization, lead the design of Coinbase’s next-generation Global Liquidation Engine. • Manage risk and architect the automated machinery that protects the platform during extreme volatility. • Build the algorithms responsible for liquidating distressed portfolios across Spot and Derivatives (Futures, Options) at a global scale. • Act as the bridge between Financial Risk, Exchange Liquidity, and Engineering.

• Analyze customer activity data to identify current or potential threat-related events, behaviors, and patterns • Coordinate with customers to determine areas of specific interest and concern upon which to focus investigations • Prepare and deliver reports, using metrics and data visualizations, to effectively communicate discoveries to customer • Develop recommendations to address and remediate threat discoveries, and proactive measures to promote a secure customer environment • Establish and secure trust with clients by maintaining privacy, confidentiality, and objectivity for all interactions with the customer and their data

• Provides timely information to the Underwriting department for further risk evaluation and assessment. • Monitors accounts' programs, identifies required improvements, and presents recommendations to enhance or modify accounts where appropriate. • Manages and maintains portfolios and conducts analysis to ensure the integrity of the book of business. • Provides high level technical services, evaluations and policyholder training in an area of specialty. • Communicates technical conclusions internally and externally so that there is clear understanding of: 1) scope and nature of risk, 2) pros and cons of various risk mitigation strategies and 3) which mitigation strategies are preferred. • Influences Underwriters', Agents' and client behaviors through negotiation, relationship-building, and by leveraging individual and collective expertise to educate/inform. • Coordinates multiple location accounts. • Prepares and implements service plans to improve and retain accounts. • Monitors and communicates account service needs of multiple location accounts through the development of servicing instructions. • Manages accounts by formulating a coherent assessment and improvement strategy based on identified major loss sources, scope and nature of account. • Executes strategy including identifying specific tactics, forming an appropriate RC service team, engaging underwriter, agent and client and following up so that tactics are executed timely and in manner that is relevant to challenges faced by client and agent. • Provides high level technical services, evaluations and policyholder training. • Presents individual and collective technical expertise in manner that it is viewed by clients and agents as reason for doing business with the company. • Takes the initiative to enhance loss control/industry knowledge through participation in educational programs. • Utilizes the company risk control systems and applications to increase job productivity, efficiency and quality. • Supports account and internal operations by providing or acquiring specialized business unit expertise.