Oscar Health Insurance Co

Associate Manager, CG&A and MPCT

Oscar Health Insurance Co$72K — $99K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • 3+ years of team leadership experience in a production environment or contact center
  • 2+ years collaborating across multiple locations and disciplines
  • 2+ years of experience in a diverse work environment
  • 2+ years implementing operational excellence
  • 2+ years using data to inform decisions
  • Advanced proficiency in Google Suite or Microsoft Office

Responsibilities

  • Mentor team members to develop future organizational leaders and enhance workplace culture
  • Manage team operations and performance metrics with indirect budget oversight
  • Oversee grievance and appeals workflows as primary escalation point for complex cases
  • Handle complex cases by collaborating with leadership to mitigate risks
  • Identify operational trends and gaps, leading proactive process improvements
  • Establish escalation procedures to ensure compliance and resolve customer issues
  • Collaborate with stakeholders to transform business insights into operational strategies

Benefits

  • Eligibility for employee benefits including medical, dental, and vision care
  • Participation in Oscar's unlimited vacation program
  • Annual performance bonuses
  • 11 paid holidays and paid sick time
  • Paid parental leave and wellness time
  • 401(k) plan participation
  • Life and disability insurance
Full Job Description
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)


This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.

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.

About Oscar Health Insurance Co

Oscar Health Insurance Co. is a technology-driven health insurance company founded in 2012 and headquartered in New York City. The company offers individual and family health insurance plans, as well as Medicare Advantage plans. Oscar Health Insurance Co. uses technology to simplify the health insurance experience for its customers, including a mobile app that allows customers to manage their health insurance policies and access telemedicine services. The company has raised over $1 billion in funding and is valued at over $5 billion.
Learn more about Oscar Health Insurance Co
Size
4,000 employees
Market Cap
$466 million
Industry
Founded
2012
NASDAQ

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