Senior Specialist, Issue Management

Oscar Health; New York (NY); Hybrid; USD 75,348 - 98,894; Full time

Benefits offered by this job

Unlimited vacation program

401(k) plan participation

Paid parental leave

Life and disability insurance

Job summary

Oscar Health is seeking a Senior Specialist, Issue Management to enhance processes within their Network Operations team. This role focuses on optimizing provider operations and resolving critical bottlenecks.

With a hybrid work model based in New York City, the successful candidate will collaborate with leadership and cross-functional teams to implement improvements and ensure compliance with regulations. Benefits include comprehensive medical and dental coverage, paid time off, and bonuses.

Qualifications

• 1+ years of professional experience in payer or provider operations, or a related field.
• Experience using data and metrics to drive improvements.
• Experience in process improvement and workflow design.

Responsibilities

• Identify risks and resolve issues/errors through investigation.
• Coordinate projects to ensure key milestones are met.
• Support the management and analysis of data for operations.

Skills

Data-driven decision making

Process improvement

Healthcare operations knowledge

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 position is based in our New York City office, requiring a hybrid work schedule with 3 days of in-office work per week. Thursdays are a required in-office day for team meetings and events, while your other two office days are flexible to suit your schedule.

Pay Transparency:

The base pay for this role is: $75,348 - $98,894 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience.

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-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

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.

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.

Benefits:

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.