Member & Provider Optimization Specialist

Oscar Health; New York (NY); Hybrid; USD 94,000 - 123,000; Full time

Benefits offered by this job

Employee benefits

Annual performance bonuses

Unlimited vacation program

Job summary

Oscar Health in New York City is seeking an Associate, Member and Provider Optimization to join the Member Provider Service Optimization team. The role leads cross-functional initiatives to optimize internal processes and solve business problems across stakeholders.

You will own project plans, document decisions, manage governance, analyze data, and communicate risk. This role reports to the Associate Director, MPSO - Optimization, and requires a hybrid schedule with 3 in-office days.

Qualifications

• Bachelor’s degree or 3+ years of commensurate experience.
• 3+ years work experience in operations, health insurance, data analysis, engineering and/or consulting.
• 2+ years experience using data software such as Excel, SQL, Python or other data analytics tools.
• 2+ years end-to-end project management experience.
• 2+ years designing and improving workflows and accompanying operating procedures.

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

Job description

Oscar Health in New York City is seeking an Associate, Member and Provider Optimization to join the Member Provider Service Optimization team. The role leads cross-functional initiatives to optimize internal processes and solve business problems across stakeholders.

You will own project plans, document decisions, manage governance, analyze data, and communicate risk. This role reports to the Associate Director, MPSO - Optimization, and requires a hybrid schedule with 3 in-office days.