Associate Director, Claims Documentation & Learning

name; New York (NY); Hybrid; USD 149,040 - 195,615; Full time

Benefits offered by this job

Unlimited vacation

Annual performance bonuses

Benefits package

Job summary

Oscar is seeking an Associate Director of Documentation & Learning to shape the strategic direction of learning initiatives and knowledge management within the Claims operation. The role leads documentation, training material development, and continuous improvement of claims workflows to boost efficiency and staff capability.

The position reports to the Senior Director, Claims and is based in New York City with a hybrid schedule requiring three in-office days per week.

Qualifications

• 7+ years in a combination of claims operations, learning and development, knowledge management, or related field.
• 5+ years of people management and team leadership experience.
• 6+ years working collaboratively with cross-functional leadership teams.
• 3+ years experience with benefit and contract interpretation or coding in professional/institutional billing requirements.
• 3+ years experience analyzing and improving processes and workflows.

Responsibilities

• Assist in the creation of a holistic claims training and documentation strategy.
• Deliver claims training strategy inclusive of material creation, feedback to trainees, and adjustments to improve retention and application of the claims training.
• Develop and maintain detailed process documentation, including SOPs, work instructions, and guidelines related to healthcare claims processing.
• Develop and implement a continuous improvement process for all Claims documentation, training and ongoing refresher trainings as well as curriculum improvements.
• Work with internal stakeholders to ensure consistency and accuracy of claims documentation and training materials.
• Create a system to measure the effectiveness of training programs and knowledge projects in enhancing employee performance.
• Ensure that practices are integrated into daily operations and aligned with business outcomes.
• Build, coach, and lead a team that take tremendous care of our internal and external customers, maintaining or improving culture and employee satisfaction.
• Translate technical or complex information into clear, user-friendly documentation.
• Provide effective direction, mentorship, and influence to achieve departmental goals.
• Stay abreast of industry trends, best practices, and emerging technologies in learning and development.
• Compliance with all applicable laws and regulations.
• Other duties as assigned

Skills

Leadership

Cross-functional collaboration

Process improvement

Claims operations

Education

Bachelor’s or Master’s degree in related field

Job description

Hi, we're Oscar. We're hiring an Associate Director, Claims Documentation & Learning to join our Claims team.

Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.

About the role:

The Associate Director, Documentation & Learning role is responsible for assisting in the creation of the strategic direction of learning initiatives and knowledge management practices, including documenting, analyzing, and improving claims processing workflows, policies, and procedures within the operation. This role is responsible for developing and implementing programs that enhance employee skills, improve operational efficiency, and foster a culture of continuous learning and knowledge sharing.

You will report into the Senior Director, Claims.

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: $149,040 - $195,615 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities:

• Assist in the creation of a holistic claims training and documentation strategy
• Deliver claims training strategy inclusive of material creation, feedback to trainees, and adjustments to improve retention and application of the claims training
• Develop and maintain detailed process documentation, including standard operating procedures (SOPs), work instructions, and guidelines related to healthcare claims processing specifically.
• Develop and implement a continuous improvement process for all Claims documentation, training and ongoing refresher trainings as well as curriculum improvements
• Work with internal stakeholders to ensure consistency and accuracy of claims documentation and training materials
• Create a system to measure the effectiveness of training programs and knowledge projects in enhancing employee performance
• Ensure that practices are integrated into daily operations and aligned with business outcomes
• Build, coach, and lead a team that take tremendous care of our internal and external customers, maintaining or improving culture and employee satisfaction
• Translate technical or complex information into clear, user-friendly documentation.
• Provide effective direction, mentorship, and influence to achieve departmental goals
• Stay abreast of industry trends, best practices, and emerging technologies in learning and development
• Compliance with all applicable laws and regulations
• Other duties as assigned

Requirements:

• 7+ years of experience in a combination of claims operations, learning and development, knowledge management, technical writing or a related field
• 5+ years of people management and team leadership experience with ability to prioritize, allocate work and manage across multiple high-value projects at once
• 6+ years of working collaboratively with cross-functional leadership teams
• 3+ years Experience with benefit and contract interpretation or coding in professional/ institutional billing requirements.
• 3+ years Experience analyzing and improving processes and workflows.

Bonus points:

• Experience in healthcare or highly regulated or related field
• Operational improvement certification - Green or advanced belt certification
• Bachelor’s or Master’s degree in related field
• BSN or Clinical experience

Equal Opportunity Employer:

At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.

Benefits Details:

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.

Reasonable Accommodation:

Oscar applicants are considered solely based on their qualifications, without regard to applicant’s disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team ([e-mail]) to make the need for an accommodation known.

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