Hi, we're Oscar. We're hiring a Program Lead, Payor Connections/Interoperability to join our Risk Adjustment team.
About the role:As a Program Lead, Payor Connections/Interoperability, you will be a key owner of an important interoperability initiative, the Program Lead will represent the needs and interests of the Risk Adjustment team. This new role is for you if you thrive with ambiguity and autonomy, and are comfortable building an end-to-end process! You will work with internal and external Oscar partners to ensure accurate acquisition of healthcare data from multiple provider systems.
You will report into the Director, Risk Adjustment Retrospective.
Work Location: This position is based in our Tempe, AZ 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: $91,659 - $120,303 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.
Responsibilities:- Lead interoperability projects with provider outreach
- Develop relationships with provider group partners and vendors
- Create and maintain project plans
- Help develop operational strategy and market approach
- Collaborate across the organization to identify actions to achieve improvements and monitor initiative impact
- Direct the testing and validation of data connections to ensure compliance and functionality
- Oversee the creation and maintenance of essential operational dashboards, and update and enhance them as our user's needs evolve
- Track development progress, resolve issues related to data quality or integration, and ensure continuous improvement in interoperability programs
- TEFCA subject matter expert
- Compliance with all applicable laws and regulations
- Other duties as assigned
Requirements:- 3+ years of work experience in health care operations or health insurance; working directly with provider groups
- 2+ years of experience in delivering interoperability projects / programs
- In depth knowledge of TEFCA
- Strong analytical skills
Bonus points:- Risk Adjustment experience
- Basic SQL or BQ query writing experience
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.
