Lead, Member and Provider Services

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

Benefits offered by this job

Unlimited vacation

Performance bonuses

Benefits package

Job summary

Oscar Health is hiring a Lead, Member and Provider Services to join our Network Operations. This role focuses on provider data and production workflows within a payor healthcare environment, delivering coaching and cross-functional collaboration to improve data accuracy and operational efficiency.

You will report to the Manager, Provider Data Operations. This remote role is open to candidates in AZ, FL, GA, or TX with occasional travel for meetings and events.

Qualifications

• 2+ years of provider data experience within a health insurance company.
• 1+ year of direct people management experience.
• 1+ year of using data and metrics to drive improvements.
• 1+ year of experience working with teams in multiple locations and disciplines.
• Lean Six Sigma or Process Improvement certification.
• Prior healthcare and/or insurance experience.
• Advanced Google Suite or Microsoft Office capabilities.
• 2+ years solving complex inquiries.
• 1+ years managing projects.

Responsibilities

• Hire and manage a team with performance management and HR tasks.
• Monitor dashboards and track operational KPIs; perform root-cause analysis.
• Understand daily work and make volume-based decisions to serve customers.
• Lead team huddles and communicate Oscar's mission, vision, values.
• Create an inclusive culture aligned with Oscar's core values.
• Lead continuous improvement to build a high performing production team.
• Identify and close gaps in existing operational workflows.
• Collaborate across production and other Oscar teams to share best practices.
• Ensure compliance with applicable laws and regulations.
• Other duties as assigned.

Skills

Provider data

People management

Data-driven improvements

Cross-functional collaboration

Team leadership

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. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

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.
• 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, 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.

Oscar Health is authorized to do business in many, but not all, states. If you are not located in or willing to relocate to a state where Oscar is registered, you will not be eligible for employment. The approved states for this role are listed in the job posting.

Voluntary Self-Identification

For government reporting purposes, we ask candidates to respond to the below self-identification survey. Completion of the form is entirely voluntary. Whatever your decision, it will not be considered in the hiring process or thereafter. Any information that you do provide will be recorded and maintained in a confidential file.

As set forth in Oscar Health’s Equal Employment Opportunity policy, we do not discriminate on the basis of any protected group status under any applicable law.

If you believe you belong to any of the categories of protected veterans listed below, please indicate by making the appropriate selection. As a government contractor subject to the Vietnam Era Veterans Readjustment Assistance Act (VEVRAA), we request this information in order to measure the effectiveness of the outreach and positive recruitment efforts we undertake pursuant to VEVRAA. Classification of protected categories is as follows:

A "disabled veteran" is one of the following: a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or a person who was discharged or released from active duty because of a service-connected disability.

A "recently separated veteran" means any veteran during the three-year period beginning on the date of such veteran's discharge or release from active duty in the U.S. military, ground, naval, or air service.

An "active duty wartime or campaign badge veteran" means a veteran who served on active duty in the U.S. military, ground, naval or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense.

An "Armed forces service medal veteran" means a veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985.