Oscar Health Insurance Co

Pharmacy Program Associate

Oscar Health Insurance Co$87K — $114K *
Pharmaceuticals & Biotech
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree or 4 years of relevant experience.
  • 3+ years of experience in a PBM, Payer, or Pharmacy Consulting firm, focusing on healthcare data.
  • 3+ years leading cross-functional teams/projects with change management expertise.
  • 1+ year of experience working with health insurance regulation and compliance frameworks.
  • 1+ year of experience collaborating with technical teams, integrations, or product management.

Responsibilities

  • Organize and support daily program activities to meet goals.
  • Identify opportunities for operational optimizations.
  • Lead end-to-end implementations to ensure project success.
  • Collaborate with various stakeholders to promote operational excellence.
  • Track and monitor program controls and compliance effectively.
  • Assist in the development of project plans and maintain stakeholder communication.
  • Create materials for meetings and manage project action items.

Benefits

  • Medical, dental, and vision insurance coverage.
  • 11 paid holidays and paid sick leave.
  • Paid parental leave and wellness time.
  • 401(k) plan participation with company matches.
  • Life and disability insurance.
Full Job Description
Hi, we're Oscar. We're hiring a Pharmacy Program Associate to join our team Pharmacy Program and Implmentation.

About the role:

You will support all activities related to program implementation goals and post implementation oversight and monitoring to ensure success. Also, support operational improvements for core operations, including proper controls and monitoring, to ensure operational efficiency and effectiveness, supporting the program across the organization and helping implement project management fundamentals and standards across the organization. You will build relationships with key internal and external stakeholders to ensure business alignment and support change management.

You will report into the Director, Pharmacy Programs.

Work Location: This position is based in our Dallas, TX 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: $87,188 - $114,434 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities:
  • Organize and support daily activities based on the goals of the program
  • Identify optimization opportunities to support program objectives
  • Support implementations end to end to ensure success
  • Lead certain components of the program
  • Partner with other departments and various stakeholders to ensure operational excellence
  • Support a successful program end to end through assisting in project plan development, keeping your stakeholders in the loop on status, proactively flagging, managing escalations, tracking and helping to resolve program risks and milestones, and supporting program retros to assess strengths and weaknesses
  • Support the tracking and monitoring of controls
  • Develop tools and standards to support team programs year over year based on program retros
  • Develop meeting materials, track and follow-up on action items, assist with management of all project plans
  • Compliance with all applicable laws and regulations
  • Other duties as assigned

Requirements:
  • Bachelor's degree or 4 years commensurate experience.
  • 3+ years working for a PBM, Payer, or Pharmacy Consulting firm, with a focus on reviewing healthcare data.
  • 3+ years leading cross-functional teams/projects and change management.
  • 1+ years working with health insurance regulation/compliance.
  • 1+ years working with technical teams, integrations or product management.

Bonus points:
  • Experience with medical payer and PBM claims adjudication systems, such as RxClaim.
  • Experience with pharmacy claim testing and Quality Assurance (QA).
  • Experience with a ticketing system (such as Jira or Appian).
  • Experience with Project Management systems (such as Monday.com).
  • Experience with payers offering ACA/health exchange insurance.


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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