Oscar Health Insurance Co

Senior Specialist, Issue Management

Oscar Health Insurance Co$75K — $98K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • 1+ years in payer or provider operations, healthcare operations, or related field.
  • 1+ years using data and metrics for process improvements.
  • 1+ years in process improvement and workflow design.
  • 1+ years developing and presenting information to Senior Leadership.

Responsibilities

  • Identify and resolve operational risks and issues through investigation.
  • Coordinate projects to meet key milestones and service levels.
  • Strategize with leadership to lower costs and improve outcomes.
  • Align action plans with continuous improvement goals in collaboration with teams.
  • Analyze data to support compliant and effective business operations.
  • Provide financial discipline and quality recommendations.
  • Implement process improvement initiatives and mindset shifts for efficiency gains.

Benefits

  • Medical, dental, and vision insurance.
  • Unlimited vacation program.
  • Paid parental leave.
  • 401(k) participation.
  • Paid wellness time and reimbursements.
Full Job Description
Hi, we're Oscar. We're hiring a Senior Specialist, Issue Management to join our Network Operations team.

About the role:

The Senior Specialist, Issue Management supports the design, optimization, and implementation of processes and improvements to provider operations in support of achieving organizational goals. The Senior Specialist is responsible for day to day oversight of our most critical bottlenecks in Operations being resolved. The lead will implement lean, repeatable and scalable tools and techniques and independently represent the team within the broader organization.

You will report into the Director, Process Improvement

Work Location: This position is based in our New York City 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: $75,348 - $98,894 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities:
  • With support from leadership, help identify risks; respond to and resolve issues/errors/escalations through investigation to inform insights for short/medium/long-term technology-enabled processes and solutions
  • Coordinate projects and processes to help ensure key milestones and service levels are met
  • Partner with leadership to strategize, implement, and manage arrangements aimed at lowering overall cost or improving outcomes
  • Partner with cross-functional teams to ensure action plans align with continuous improvement goals, and participate in collaboration with peers and cross-functional stakeholders
  • Support the management, stewardship, and analysis of data to support compliant and performant business operations
  • Provide recommendations that ensure financial discipline and quality
  • Support identifying and implementing process improvement initiatives, as well as mindset shifts, to optimize operational efficiency and achieve performance targets
  • Compliance with all applicable laws and regulations
  • Other duties as assigned

Requirements:
  • 1+ years of professional experience in payer or provider operations, provider network management, healthcare operations, or a related field
  • 1+ years of experience using data and metrics to drive improvements
  • 1+ years of experience in process improvement and workflow design
  • 1+ years of experience in developing and presenting information and recommendations aimed at Senior Leadership

Bonus points:
  • ACA marketplace, provider network, claims, healthcare quality, or provider data experience
  • Management consulting experience
  • Training or experience applying Continuous Process Improvement or Lean Six Sigma principles
  • Experience with project coordination or management in a matrixed organization
  • Experience supporting RFP development and implementation of software or service solutions


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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