Oscar Health Insurance Co

Project Manager- Pharmacy Associate

Oscar Health Insurance Co$96K — $127K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree or equivalent experience in relevant field.
  • 3+ years of experience with PBM, Payer, or Pharmacy Consulting, focusing on healthcare data analysis.
  • 3+ years of experience leading cross-functional project teams and managing change processes.
  • 1+ year of experience in health insurance regulation and compliance.
  • 1+ year of experience collaborating with technical teams on integrations or product management.

Responsibilities

  • Organize daily program activities to align with set goals.
  • Identify and pursue optimization opportunities for program success.
  • Oversee end-to-end implementation processes and ensure outcomes meet expectations.
  • Lead specific components of program initiatives.
  • Collaborate with departments and stakeholders to achieve operational excellence.
  • Track program risks and milestones, managing communications and escalations effectively.
  • Develop tools and standards for program management informed by retrospectives.

Benefits

  • Fully remote position open to U.S. residents (excluding specified states).
  • Participation in Oscar's unlimited vacation program.
  • Annual performance bonuses eligibility.
  • Medical, dental, and vision insurance coverage.
  • Paid parental leave and sick time benefits.
  • 401(k) plan participation and life/disability insurance options.
  • Paid wellness time and reimbursements for health activities.
Full Job Description
Hi, we're Oscar. We're hiring a Project Manager to join our Pharmacy team.

About the role:

The Project Manager is responsible for supporting all activities related to program implementation goals as well as post implementation oversight and monitoring to ensure success. Additionally supports 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. This individual will establish and manage relationships with key internal and external stakeholders to ensure business alignment and support change management.

You will report into the Senior Manager, Vendor Management.

Work Location: This position is fully remote and open to candidates residing in the U.S., excluding Alaska; Delaware; Hawaii; Louisiana; Montana; North Dakota; Oklahoma; West Virginia; Wyoming; and U.S. Territories. Daily work is completed from your home office, with occasional travel required for team meetings and company events. #LI-Remote

Pay Transparency: The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $96,876 - $127,149 per year. The base pay for this role in all other locations 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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