Senior Specialist, Issue Management

Oscar Health; Atlanta (GA); On-site; USD 67,813 - 89,004; Full time

Benefits offered by this job

Medical, dental, and vision benefits

Unlimited vacation program

401(k) plan participation

Life and disability insurance

Job summary

Oscar Health is seeking a Senior Specialist, Issue Management to join our Network Operations team. This fully remote position involves managing critical operational processes and improvements. The ideal candidate has experience in payer or provider operations and data analysis.

Responsibilities include identifying risks, coordinating projects, and ensuring compliance with regulations. Benefits include competitive salary, unlimited vacation program, and comprehensive health benefits.

Qualifications

• 1+ years in payer or provider operations, healthcare operations, or related fields.
• Experience using data and metrics for improvements.
• Experience in process improvement and workflow design.
• Experience presenting to Senior Leadership.

Responsibilities

• Identify risks and resolve issues/errors/escalations.
• Coordinate projects to meet key milestones.
• Strategize with leadership for cost reduction or improved outcomes.
• Partner with teams for continuous improvement goals.
• Manage and analyze data for business operations.
• Recommend financial and quality improvements.
• Implement process improvement initiatives.

Skills

Payer or provider operations knowledge

Data and metrics analysis

Process improvement

Presentation skills for leadership

Job description

Hi, we're Oscar. We're hiring a Senior Specialist, Issue Management to join our Network Operations team.

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 Senior Specialist, Issue Management supports the design, optimization, and implementation of processes and improvements to provider operations in support of achieving organizational goals. The Senior Specialist is responsible for day to day oversight of our most critical bottlenecks in Operations being resolved. The lead will implement lean, repeatable and scalable tools and techniques and independently represent the team within the broader organization.

You will report into the Director, Process Improvement.

Work Location

This is a remote position, open to candidates who reside in: Atlanta, Georgia. You will be fully remote; however, our approach to work may adapt over time. Future models could potentially involve a hybrid presence at the hub office associated with your metro area.

Pay Transparency

The base pay for this role is: $67,813 - $89,004 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

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.

Responsibilities

• With support from leadership, help identify risks; respond to and resolve issues/errors/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-functionals 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

Requirements

• 1+ years of professional experience in payer or provider operations, provider network management, healthcare operations, or a 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

Bonus points

• ACA marketplace, provider network, claims, healthcare quality, or provider data experience
• 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

Equal Opportunity Employer

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.