Remote Senior Issue Manager – Healthcare Ops

Oscar Health; Atlanta (GA); Remote; USD 68,000 - 80,000; Full time

Job summary

Oscar Health is hiring a Senior Specialist, Issue Management to join our Network Operations team. This fully remote role supports design and optimization of provider operations, addressing bottlenecks and implementing scalable improvements.

You will report to the Senior Manager, Provider Data Operations and work with cross-functional teams to drive continuous improvement and financial discipline. The role emphasizes data-driven insights, collaboration with leadership, and process optimization to

Qualifications

• 1+ years of experience in payer or provider operations, provider network management, healthcare operations, or related field.
• 1+ years of experience using data and metrics to drive improvements.
• 1+ years of experience in process improvement and workflow design.
• 1+ years of experience in developing and presenting information and recommendations to Senior Leadership.
• Management consulting experience.
• Training or experience applying Continuous Process Improvement or Lean Six Sigma principles.
• Experience with project coordination or management in a matrixed organization.
• Experience supporting RFP development and implementation of software or service solutions.

Responsibilities

• With support from leadership, help identify risks; respond to and resolve issues through investigation to inform insights for short/medium/long-term technology-enabled processes and solutions.
• Coordinate projects and processes to help ensure key milestones and service levels are met.
• Partner with leadership to strategize, implement, and manage arrangements aimed at lowering overall cost or improving outcomes.
• Partner with cross-functional teams to ensure action plans align with continuous improvement goals, and participate in collaboration with peers and cross-functional stakeholders.
• Support the management, stewardship, and analysis of data to support compliant and performant business operations.
• Provide recommendations that ensure financial discipline and quality.
• Support identifying and implementing process improvement initiatives, as well as mindset shifts, to optimize operational efficiency and achieve performance targets.
• Compliance with all applicable laws and regulations.
• Other duties as assigned.

Skills

Data-driven decisions

Process improvement

Lean Six Sigma

Stakeholder mgmt

Project coordination

RFP development

Leadership presentations

Healthcare operations

Job description

Oscar Health is hiring a Senior Specialist, Issue Management to join our Network Operations team. This fully remote role supports design and optimization of provider operations, addressing bottlenecks and implementing scalable improvements.

You will report to the Senior Manager, Provider Data Operations and work with cross-functional teams to drive continuous improvement and financial discipline. The role emphasizes data-driven insights, collaboration with leadership, and process optimization to