Associate, Member and Provider Optimization

Oscar Health; United States; Remote; USD 87,000 - 114,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

401(k) plan

Paid holidays

Parental leave

Wellness time

Job summary

Oscar Health is hiring an Associate, Member and Provider Optimization to join the Member and Provider Services Optimization team. The role focuses on designing, optimizing, and implementing better internal processes to support organizational goals.

You will collect requirements, manage project plans, document decisions, and communicate risk mitigation strategies across multiple stakeholders. You will report into the Associate Director, MPSO - Optimization.

Qualifications

• Bachelor's degree or equivalent; 3+ years of relevant experience may be considered.
• 3+ years of operations, health insurance, data analysis, engineering or consulting experience.
• 2+ years of data analytics tools (Excel, SQL, Python) experience.
• 2+ years of end-to-end project management experience.
• 2+ years designing and improving workflows and procedures.
• 2+ years applying Lean, Six Sigma, or Theory of Constraints methods.

Responsibilities

• Lead end-to-end management of cross-functional implementations/projects with stakeholder engagement and governance.
• Evaluate departmental performance by collecting and analyzing data and developing metrics.
• Collaborate with partner groups to drive proactive implementation and risk mitigation strategies.
• Mentor team members and promote professional growth.
• Ensure compliance with applicable laws and regulations.
• Perform other responsibilities as assigned.

Skills

Project management

Data analysis

SQL

Python

Education

Bachelor's degree or higher

Tools

Excel

SQL

Python

Job description

Hi, we’re Oscar. We’re hiring an Associate, Member and Provider Optimization to join our Member and 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:

The Associate, Member and Provider Optimization is 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 to support 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 is a remote position, open to candidates who reside in: Atlanta, Georgia. You will be fully remote; however, our approach to work may adapt over time. Future models could potentially involve a hybrid presence at the hub office associated with your metro area. #LI-Remote

Pay Transparency:

The base pay for this role is: $87,188.40- $114,434.78 per year. You are also eligible for employee benefits, participation in Oscar’s unlimited vacation program and annual performance bonuses.

Responsibilities:

• Lead 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 data and assisting in development of departmental metrics and implementation of mitigation strategies
• Collaboratively works with all relevant partner groups to create proactive implementation, communications, and program strategies for successful change management and risk mitigation programs
• Mentor team members and promotes colleagues’ growth
• Compliance with all applicable laws and regulations
• Other responsibilities as assigned

Requirements:

• A bachelor’s degree or 3+ years commensurate experience
• 3+ years of work experience in operations, health insurance, data analysis, engineering or consulting
• 2+ years of experience using data software such as Excel, SQL, Python or other data analytics tools
• 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
• 2+ years of experience with process improvement methodologies such as Lean, Six Sigma or Theory of constraints

Bonus points:

• Bachelor’s degree in Engineering, Business Administration, or other related field
• Lean Six Sigma Green Belt certification or higher

This is an authentic Oscar Health job opportunity.

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:

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.

California Residents:

For information about our collection, use, and disclosure of applicants’ personal information as well as applicants’ rights over their personal information, please see our Privacy Policy.