Associate, Member and Provider Optimization

name; New York (NY); On-site; USD 96,879 - 127,149; Full time

Benefits offered by this job

Medical, dental, and vision benefits

Unlimited vacation program

401(k) plan participation

Paid parental leave

Job summary

Oscar is looking for an Associate in Member and Provider Optimization to join their New York City office. The role involves cross-functional project management and process optimization to support organizational goals. You will lead various projects while mentoring team members and ensuring compliance with regulations.

This position requires a hybrid work schedule with 3 in-office days weekly and offers a competitive salary range of $96,879 - $127,149, alongside comprehensive employee benefits.

Qualifications

• 3+ years of work experience in Health insurance.
• 2+ years of experience with end-to-end project management.
• 2+ years of experience designing and improving workflows.

Responsibilities

• Lead the end-to-end management of cross-functional projects.
• Evaluate overall departmental performance through data analysis.
• Mentor team members and promote professional development.

Skills

Health insurance experience

Project management

Workflow design

Data analysis with Excel/SQL/Python

Education

Bachelor's degree or equivalent experience

Tools

Data software (Excel, SQL, Python)

Job description

Hi, we're Oscar. We're hiring an 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 work cross functionally with business and technical Oscar stakeholders and representing the needs and interests of the department in company wide strategic projects and in solving business problems related to internal processes. You will lead the design, optimization, and implementation of processes and improvements to operations to support achieving organizational goals. You will collect and document 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 projects 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: $96,879 - $127,149 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.
• Evaluate overall departmental performance by creating, gathering, analyzing and interpreting data and metrics and assisting in development of departmental metrics and implementation of mitigation strategies
• Collaboratively works with all relevant internal and external stakeholder groups to create proactive implementation, communications, and program strategies for successful change management and risk mitigation projects
• Mentor team members and promotes colleagues' growth and professional development
• Compliance with all applicable laws and regulations
• Other duties as assigned

Requirements

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

Bonus points

• Bachelor's degree in Engineering, Business Administration, or other related field
• Lean Six Sigma Green Belt certification or higher
• 2+ years of experience using data software such as Excel, SQL, Python or other data analytics tools

Benefits

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.

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.

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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