Senior Specialist, Issue Management
Tempe, Arizona, United States · Posted 2 months agoDescription
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 Senior Manager, Provider Data Operations
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, while your other two office days are flexible to suit your schedule. #LI-Hybrid
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.
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
This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.
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.
Pay Transparency: Final offer amounts, within the base pay set forth above, 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.
Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.
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 (accommodations@hioscar.com) to make the need for an accommodation known.
California Residents: For information about our collection, use, and disclosure of applicants’ personal information as well as applicants’ rights over their personal information, please see our Privacy Policy.
Similar jobs
Est. 78,309 USD
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…
Est. 78,309 USD
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…
Est. 227,471 USD
Hi, we're Oscar. We're hiring a Senior Director, Escalated Provider Issue Resolution to join our Network & Provider Management team. Oscar is the first health insurance company built around a full stack technology pl…
Est. 87,021 USD
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…
Est. 227,472 USD
Hi, we're Oscar. We're hiring a Senior Director to join our Provider Experience team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our member…
Est. 10,081,159 USD
Hi, we're Oscar. We're hiring an Associate, Member and Provider Optimization to join our Member and Provider Services Optimization team. Oscar is the first health insurance company built around a full stack technology pl…
Est. 78,309 USD
Hi, we're Oscar. We're hiring a Senior Specialist, Process Improvement to join our Authorization Services Process Improvement team. About the role: You will work with business and technical Oscar team members and represe…
Est. 227,472 USD
Hi, we're Oscar. We're hiring a Senior Director, Escalated Provider Issue Resolution to join our Network & Provider Management team. Oscar is the first health insurance company built around a full stack technology pl…
Est. 227,472 USD
Hi, we're Oscar. We're hiring a Senior Director, Escalated Provider Issue Resolution to join our Network & Provider Management team. Oscar is the first health insurance company built around a full stack technology pl…
Est. 100,811 USD
Hi, we're Oscar. We're hiring an Associate, Process Optimization to join our Eligibility and Billing team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus…
Est. 100,811 USD
Hi, we're Oscar. We're hiring a Process Management Associate 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 servin…
Est. 187,837 USD
Hi, we're Oscar. We're hiring a Director, Process Improvement to join our Insurance Operations. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving…
Est. 122,352 USD
Hi, we're Oscar. We're hiring a Manager, Strategic Planning to join our team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We st…
Est. 62,450 USD
Hi, we're Oscar. We're hiring a Growth Operations Analyst to join our Producer Oversight Team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving o…
Est. 206,793 USD
Hi, we're Oscar. We're hiring a Senior Director to join our Network Contracting. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We…
Est. 183,150 USD
Hi, we're Oscar. We're hiring a Senior Software Engineer, Backend to join our Engineering team. Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members…
Est. 78,309 USD
Hi, we're Oscar. We're hiring a Coordinator, Behavioral Health Vendor Management to join our Network Contracting team. Oscar is the first health insurance company built around a full stack technology platform and a relen…
Est. 82,767 USD
Hi, we're Oscar. We're hiring a Senior Specialist to join our Network Contracting team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our memb…
Est. 208,708 USD
Hi, we're Oscar. We're hiring a Senior Software Engineer, Cloud Infrastructure / SRE to join our Engineering team. Oscar is the first health insurance company built around a full stack technology platform and a relentles…
Est. 222,000 USD
Hi, we're Oscar. We're hiring Staff Software Engineers to join our Engineering team. Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We starte…
Est. 112,013 USD
Hi, we're Oscar. We're hiring an Associate, Strategic Finance to join our FP&A team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our mem…
Est. 78,309 USD
Hi, we're Oscar. We're hiring a Coordinator, Delegated Vendor Management to join our Network Contracting team. Oscar is the first health insurance company built around a full stack technology platform and a relentless fo…
Est. 105,981 USD
Hi, we're Oscar. We're hiring a to join our Clinical Data Analytics team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We starte…
Est. 112,013 USD
Hi, we're Oscar. We're hiring an Associate, Strategic Finance to join our FP&A team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our mem…
Est. 87,021 USD
Hi, we're Oscar. We're hiring a Senior Specialist, Process Improvement to join our Authorization Services Process Improvement team. Oscar is the first health insurance company built around a full stack technology platfor…
Est. 116,321 USD
Hi, we're Oscar. We're hiring a Program Manager, Vendor Management Operations to join our Workforce Management team. Oscar is the first health insurance company built around a full stack technology platform and a relentl…
Est. 10,081,159 USD
Hi, we're Oscar. We're hiring an Associate, Member and Provider Optimization to join our Member and Provider Services Optimization team. Oscar is the first health insurance company built around a full stack technology pl…
Est. 10,081,159 USD
Hi, we're Oscar. We're hiring an Associate, Member and Provider Optimization to join our Member and Provider Services Optimization team. Oscar is the first health insurance company built around a full stack technology pl…
Est. 170,604 USD
Hi, we're Oscar. We're hiring a Director, Managed Business Services to join our team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our member…
Est. 78,309 USD
Hi, we're Oscar. We're hiring a Senior Specialist, Process Improvement to join our Authorization Services Process Improvement team. About the role: You will work with business and technical Oscar team members and represe…