Lead, Member and Provider Services

Oscar Health; Texas; Remote; USD 56,000 - 73,000; Full time

Job summary

Oscar Health in the United States is hiring a Lead, Member and Provider Services to join our Network Operations. You will build and guide a data-driven provider services team, optimize production workflows, and drive KPIs while coaching staff and aligning cross-functional partners.

Reporting to the Manager, Provider Data Operations, you’ll foster an inclusive culture, support continuous improvement, and ensure compliance across multi-location teams while delivering exceptional member and

Qualifications

• 2+ years experience of provider data experience with a health insurance company
• 1+ year of direct people management experience
• 1+ years of experience using data and metrics to drive improvements
• 1+ years of experience working with teams in multiple locations and multiple disciplines
• Work according to the Work Location section above.

Responsibilities

• Hire and manage a team with direct responsibility for performance management and development
• Monitor dashboards and KPIs, conduct root-cause analysis and create action plans
• Understand daily work by the team and make volume-based decisions to serve customers
• Lead team huddles, communicate Oscar's mission, and motivate daily objectives
• Foster an inclusive culture aligned with Oscar's values
• Lead continuous improvement activities that boost team performance
• Identify and close gaps in current workflows
• Collaborate with other Oscar teams to implement best practices
• Ensure compliance with applicable laws and regulations
• Perform other duties as assigned

Skills

People management

Data-driven improvements

Cross-location collaboration

Operations leadership

Provider data experience

Education

Bachelor's degree

Tools

Google Suite

Microsoft Office

Job description

Hi, we're Oscar. We're hiring a Lead, Member and Provider Services to join our Network Operations.

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 Lead, Provider Services is a provider data and production workflow expert within a payor healthcare environment. This role is responsible for creating, implementing, and optimizing production workflows while driving team performance against established goals and KPIs. The Lead provides day-to-day coaching and leadership to support staff and partners with cross-functional stakeholders to develop workflow solutions that improve operational efficiency, data accuracy, quality, and overall team performance.

You will report into the Manager, Provider Data Operations.

Work Location:

This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events. #LI-Remote

Pay Transparency:

The base pay for this role is: $55,890 - $73,355 per year.

Responsibilities:

• Hire and manage a team of Oscar colleagues with direct responsibility for performance management, their growth and development, and associated HR administrative tasks
• Manage your team's outcomes, monitor dashboards, and track operational KPIs, conducting root-cause analysis and constructing action plans when issues arise
• Understand and be connected to the type of work your team does on a daily basis, being able to make volume-based decisions that best serve our customers.
• Serve as a central communicator by leading team huddles with Oscar colleagues, connecting colleagues to the mission, vision, and values of Oscar, and providing guidance and motivation to achieve daily operational objectives
• Be a culture carrier, driving engagement with your team by creating an inclusive and inviting culture that aligns with Oscar's core values
• Actively lead and participate in continuous improvement activities that drive or influence the improvement and development of a high performing production team
• Identifying and closing gaps on existing operational workflows
• Work collaboratively across production and other Oscar teams to implement best practice
• Compliance with all applicable laws and regulations
• Other duties as assigned

Requirements:

• 2+ years experience of provider data experience with a health insurance company
• 1+ year of direct people management experience
• 1+ years of experience using data and metrics to drive improvements
• 1+ years of experience working with teams in multiple locations and multiple disciplines
• Work according to the Work Location section above.

Bonus points:

• Bachelor's degree
• Lean Six Sigma or Process Improvement certification
• Prior healthcare and/or insurance experience
• Advanced Google Suite or Microsoft Office capabilities
• 2+ years experience solving complex inquiries
• 1+ years managing projects

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
• vision benefits
• 11 paid holidays
• paid sick time
• paid parental leave
• 401(k) plan participation
• life and disability insurance
• 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 () to make the need for an accommodation known.

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