Associate, Member and Provider Optimization

Namely; New York (NY); On-site; USD 93,600 - 122,850; Full time

Benefits offered by this job

Unlimited vacation

401(k) plan participation

Medical, dental, and vision benefits

Paid parental leave

Job summary

A leading health insurance company is seeking an Associate for their Member and Provider Optimization team in New York City. This hybrid role involves managing cross-functional projects, improving operational workflows, and analyzing data to ensure departmental effectiveness. Qualified candidates will have a bachelor's degree or equivalent experience, alongside strong project management and data analysis skills. The position offers a competitive salary and benefits, including unlimited vacation and annual bonuses.

Qualifications

• Bachelor's degree or 3+ years of relevant experience required.
• 3+ years of work experience in operations or health insurance.
• Experience with end-to-end project management is needed.
• 2+ years in workflow design and improvement is preferred.

Responsibilities

• Lead cross-functional projects and ensure on-time completion.
• Analyze data to evaluate departmental performance.
• Collaborate with stakeholders for effective change management.
• Mentor team members and foster professional growth.

Skills

Project management

Data analysis

Cross-functional collaboration

Process improvement

Education

Bachelor's degree or commensurate experience

Degree in Engineering or Business Administration

Tools

Excel

SQL

Python

Job description

Overview

Hi, we're Oscar. We're hiring a Associate, Member and Provider Optimization to join our Member & Provider Services Optimization 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

You will be responsible for working cross functionally with business and technical Oscar stakeholders and representing the needs and interests of the department in company wide strategic initiatives and in solving business problems related to internal processes. You will lead the design, optimization, and implementation of processes and improvements to operations in support of achieving organizational goals. This requires collecting and documenting business requirements, building and managing project plans, documenting key project decisions, managing project governance, applying frameworks, analyzing data, and developing and communicating risk mitigation strategies across disparate initiatives and stakeholders at the same time.

You will report into the Associate Director, MPSO - Optimization.

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.

Pay Transparency

The base pay for this role is: $93,600 - $122,850 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities

• Leads the end-to-end management of cross-functional implementations/projects, including project plan creation, stakeholder engagement, managing cross-functional relationships to drive collaboration, edge case mitigation, and on-time completion.
• Evaluates overall departmental performance by creating, gathering, analyzing and interpreting data and metrics as well as assisting in development of departmental metrics and implementation of mitigation strategies
• Collaboratively works with all relevant internal and external stakeholder groups to formulate proactive implementation, communications, and program strategies for successful change management and risk mitigation initiatives
• Mentors team members and promotes colleagues' growth and professional development
• Compliance with all applicable laws and regulations
• Other duties as assigned

Requirements

• A bachelor\'s degree or 3+ years commensurate experience
• 3+ years of work experience in operations or health insurance
• 3+ years of experience with end to end project management
• 2+ years of experience in designing and improving workflows as well as standing up accompanying operating and technical procedures

Bonus points

• Bachelor\'s degree in Engineering, Business Administration, or other related field
• 2+ years of experience using data software such as Excel, SQL, Python or other data analytics tools
• experience in Java, HTML, or similar coding languages used to structure web pages and content
• 2+ years of experience with process improvement methodologies such as Lean, Six Sigma and/or Theory of constraints

This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.

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.

Pay Transparency and Benefits

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

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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