Senior Specialist, Issue Management

Oscar Health; Tempe (AZ); Hybrid; USD 67,813 - 89,004; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

401(k) plan participation

Paid holidays

Job summary

Oscar Health is seeking a Senior Specialist in Issue Management to support process improvements in provider operations. This role involves oversight of critical operations bottlenecks and collaboration with leadership and cross-functional teams.

The ideal candidate will have at least 1 year of relevant experience and the ability to analyze data for driving improvements. This position is based in Tempe, Arizona, with a hybrid work schedule.

Benefits include medical, dental, vision coverage, and paid time off.

Qualifications

• 1+ years of experience in payer or provider operations.
• 1+ years of experience using data to drive improvements.
• 1+ years of experience in process improvement.

Responsibilities

• Oversee critical bottlenecks in Operations and ensure they are resolved.
• Help identify risks and respond to issues through investigation.
• Support process improvement initiatives to optimize operational efficiency.

Skills

Provider network management

Data analysis

Process improvement

Collaboration with cross-functional teams

Job description

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, ensuring they are resolved. The lead implements lean, repeatable, and scalable tools and techniques and independently represents the team within the broader organization.

You will report into the Director, Process Improvement.

Work Location:

This position is based in our Tempe, Arizona 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; the other two office days are flexible to suit your schedule.

Pay Transparency:

The base pay for this role is: $67,813 - $89,004 per year. Final offer amounts within the base pay range are determined by factors including your relevant skills, education, and experience. 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:

• 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 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 and mindset shifts to optimize operational efficiency and achieve performance targets.
• Ensure 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 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.