Senior Issue Management Specialist (Remote/Lean)

Oscar Health; Dallas (TX); Remote; USD 68,000 - 80,000; Full time

Benefits offered by this job

Medical, dental, vision benefits

11 paid holidays

Paid sick time

Paid parental leave

401(k) plan participation

Life and disability insurance

Paid wellness time

Job summary

Oscar Health, a tech-driven health insurer, is hiring a Senior Specialist, Issue Management to support provider operations. The role focuses on identifying risks, resolving bottlenecks, and implementing scalable improvements.

You will report to the Senior Manager, Provider Data Operations and may work remotely with potential future hybrid options. Qualifications include 1+ year in healthcare operations, data-driven improvement, and Lean Six Sigma experience.

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 aimed at 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/escalations 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

Payer/provider operations

Data-driven improvements

Process improvement

Senior Leadership presentations

Management consulting

Lean Six Sigma / CIP

Project coordination

RFP development / software solutions

Job description

Oscar Health, a tech-driven health insurer, is hiring a Senior Specialist, Issue Management to support provider operations. The role focuses on identifying risks, resolving bottlenecks, and implementing scalable improvements.

You will report to the Senior Manager, Provider Data Operations and may work remotely with potential future hybrid options. Qualifications include 1+ year in healthcare operations, data-driven improvement, and Lean Six Sigma experience.