Hi, we're Oscar. We're hiring an Associate Manager, CG&A to join our CG&A/MPCT team.
About the role:The Associate Manager, Member & Provider Escalations leads and develops a team dedicated to operational excellence. This role will resolve complex escalations, eliminate process roadblocks and partner cross-functionally across upstream and downstream teams to solve root business challenges.
You will report into the Associate Director, Member & Provider Escalations | Director, Member & Provider Lifecycle.
Work Location: This position is based in our Los Angeles office, requiring a hybrid work schedule with 3 days of in-office work per week. Thursdays are a required in-office day for team meetings and events, while your other two office days are flexible to suit your schedule. #LI-Hybrid
Pay Transparency: The base pay for this role is: $72,036 - $99,049 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.
Responsibilities:- Mentor team members using structured frameworks to build future organizational leaders and foster a positive workplace culture.
- Manage daily team operations, measurement performance, employee engagement, and cross-functional communications with indirect budget oversight.
- Manage grievance and appeals workflows, serving as the primary department escalation point for complex cases and using data to address root-causes and lower complaint volume.
- Manage complex, high-visibility cases from intake through resolution, collaborating with executive leadership to mitigate operational and reputational risk.
- Identify operational trends and knowledge gaps across Service Operations, applying Lean methodologies to lead proactive process improvements.
- Establish and enforce standard escalation procedures to maintain compliance and eliminate customer friction.
- Partner with leaders across the organization to translate business insights into strategies that improve operational efficiency and customer experience.
- Compliance with all applicable laws and regulations.
- Other responsibilities as assigned.
Requirements:- 3+ years of experience leading and developing a team within a production environment or contact center
- 2+ years experience working with teams in multiple locations and within multiple disciplines
- 2+ years experience working in a collaborative environment with a diverse set of people
- 2+ years experience implementing operational excellence
- 2+ year experience using data to drive decision-making and continuous improvement
- 2+ years advanced Google Suite or Microsoft Office capabilities
Bonus points:- Prior healthcare or insurance-related experience
- Prior Complaints, Grievances & Appeals experience
- Bachelor's Degree
- Proficiency with data visualization tools (Tableau, Looker, Periscope, etc.)
- Operational Excellence Certification (Lean Six Sigma or similar)
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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.
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