Oscar Health
Health care is broken; we're trying to fix it. The Oscar team is focused on utilizing technology, design and data to humanize health care. We're a group of technology and health care professionals who looked at the current state of the US health care system, got frustrated by the horrible consumer experience, and decided to do something big about it. Backed by a renowned set of investors and advisors, we’ve set out to revolutionize health care.
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Associate, Network Contracting - Florida
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Hi, we're Oscar. We're hiring an Associate to join our Network Contracting & Services 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 Associate, Network Contracting & Services is responsible for managing contracts with key healthcare providers in Oscar's network (hospital/health systems and individual provider groups) to build and maintain a robust network in assigned market/region; while also ensuring access to quality care and optimizing costs by analyzing provider performance and negotiating reimbursement rates, often involving complex contract terms and compliance with regulatory guidelines. The Associate also supports network growth and recruiting efforts by engaging with prospective providers directly; assisting with resolution of provider issues; supporting cost- saving initiatives; executing the local network strategy; and ensuring providers across our service area have the information and support they need to provide best-in-class member care.
You will report into the Senior Manager, Network Contracting.
Work Location: This is a remote position based in the field, open to candidates who reside in Florida. Your daily work will involve a blend of work from your home office and travel for client meetings. Occasional travel may be required for team meetings and company events. #LI-Remote
Travel up to 25%
Pay Transparency: The base pay for this role is: $87,188 - $114,434 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.
Responsibilities:
- Implement contracting strategies under the direction of Network Director and/or Senior Manager and in partnership with Market Leaders that align with the company’s overall network adequacy, development and cost management objectives.
- Manage and negotiate contracts with assigned healthcare providers, focusing on favorable terms and compliance with organizational standards and regulatory requirements.
- Supports comprehensive reviews and analyses of assigned provider contracts, identifying areas for improvement and optimization.
- Utilizes data and analytics of provider financial issues and competitor strategies to support informing negotiation and contracting decisions.
- Meet defined metrics and SLAs including but not limited to provider outreach and contract completion.
- Collaborate with the provider services team regarding the servicing, education and communication to our provider network.
- Monitor assigned networks to gauge compliance with standards, developing corrective action plans with network contracting and market leadership to remediate deficiencies.
- Compliance with all applicable laws and regulations
- Other duties as assigned
Requirements:
- 3+ years of experience in healthcare client management, healthcare consulting, or provider healthcare contracting, healthcare operations, or a related field
- 2+ years of experience supporting provider network strategy development and negotiating provider contracts
- 1+ years experience running financial analyses on a markets or product lines, and working cross-functionally to support driving improvement opportunities
- 1+ years experience navigating and organizing large data sets such as claim files and provider rosters
Bonus points:
- Associate's degree or equivalent professional working experience
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.
Ready to apply?
Apply to Oscar Health
Senior Director, Provider Experience
Share this job
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 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 Director of Provider Experience is a strategic role responsible for deeply understanding the provider experience and then developing and executing a roadmap of cross-functional initiatives. This high-performing leader is a curious and analytical doer, and will work in a fast-paced environment to influence key partners to deliver impactful outcomes.
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. #LI-Remote
Pay Transparency: The base pay for this role is: $196,732- $258,211 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, company equity grants, and annual performance bonuses.
Responsibilities:
- Develop deep framework and measures for understanding the experience of Oscar's providers and the impact experience has on Oscar's network.
- Be the voice of and advocate for the provider experience internally and externally.
- Define and shape the Oscar Provider Experience strategy. Collaborate with leaders across Oscar to identify and analyze strategic opportunities to define the roadmap driving Oscar's Provider Experience.
- Lead the execution of multiple simultaneous, high-visibility strategic projects, and partner with cross-functional leaders to operationalize recommendations.
- Foster relationships with SMEs and functional leaders across Oscar to understand problems impacting providers and drive alignment around the broader strategic vision.
- Effectively communicate goals and findings and drive organizational change management.
- Maintain deep healthcare market and provider experience industry knowledge, keeping a pulse on vendor innovation, regulatory changes, and competitor models.
- Leverage data to drive insights, root cause analysis and ROI assessments.
- Recruit, lead and develop a strong team dedicated to delivering high impact outcomes.
- Compliance with all applicable laws and regulations
- Other duties as assigned
Requirements:
- A bachelor's degree or commensurate 4 years of experience
- 15+ years experience, with 10+ of those years in healthcare consulting or a strategic role in the healthcare industry
- 7+ years experience collaborating and influencing at the executive level
- 5+ years experience defining and deploying strategies for organizations at the company level
Bonus points:
- Master's degree from top-tier program in business, health administration, or related field
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.
Ready to apply?
Apply to Oscar Health
Senior Director, Provider Experience
Share this job
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 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 Director of Provider Experience is a strategic role responsible for deeply understanding the provider experience and then developing and executing a roadmap of cross-functional initiatives. This high-performing leader is a curious and analytical doer, and will work in a fast-paced environment to influence key partners to deliver impactful outcomes.
Work Location: This is a remote position, open to candidates who reside in: Dallas, Texas. 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. #LI-Remote
Pay Transparency: The base pay for this role is: $196,732- $258,211 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, company equity grants, and annual performance bonuses.
Responsibilities:
- Develop deep framework and measures for understanding the experience of Oscar's providers and the impact experience has on Oscar's network.
- Be the voice of and advocate for the provider experience internally and externally.
- Define and shape the Oscar Provider Experience strategy. Collaborate with leaders across Oscar to identify and analyze strategic opportunities to define the roadmap driving Oscar's Provider Experience.
- Lead the execution of multiple simultaneous, high-visibility strategic projects, and partner with cross-functional leaders to operationalize recommendations.
- Foster relationships with SMEs and functional leaders across Oscar to understand problems impacting providers and drive alignment around the broader strategic vision.
- Effectively communicate goals and findings and drive organizational change management.
- Maintain deep healthcare market and provider experience industry knowledge, keeping a pulse on vendor innovation, regulatory changes, and competitor models.
- Leverage data to drive insights, root cause analysis and ROI assessments.
- Recruit, lead and develop a strong team dedicated to delivering high impact outcomes.
- Compliance with all applicable laws and regulations
- Other duties as assigned
Requirements:
- A bachelor's degree or commensurate 4 years of experience
- 15+ years experience, with 10+ of those years in healthcare consulting or a strategic role in the healthcare industry
- 7+ years experience collaborating and influencing at the executive level
- 5+ years experience defining and deploying strategies for organizations at the company level
Bonus points:
- Master's degree from top-tier program in business, health administration, or related field
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.
Ready to apply?
Apply to Oscar Health
Senior Director, Provider Experience
Share this job
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 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 Director of Provider Experience is a strategic role responsible for deeply understanding the provider experience and then developing and executing a roadmap of cross-functional initiatives. This high-performing leader is a curious and analytical doer, and will work in a fast-paced environment to influence key partners to deliver impactful outcomes.
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. #LI-Hybrid
Pay Transparency: The base pay for this role is: $218,592 - $286,902 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, company equity grants, and annual performance bonuses.
Responsibilities:
- Develop deep framework and measures for understanding the experience of Oscar's providers and the impact experience has on Oscar's network.
- Be the voice of and advocate for the provider experience internally and externally.
- Define and shape the Oscar Provider Experience strategy. Collaborate with leaders across Oscar to identify and analyze strategic opportunities to define the roadmap driving Oscar's Provider Experience.
- Lead the execution of multiple simultaneous, high-visibility strategic projects, and partner with cross-functional leaders to operationalize recommendations.
- Foster relationships with SMEs and functional leaders across Oscar to understand problems impacting providers and drive alignment around the broader strategic vision.
- Effectively communicate goals and findings and drive organizational change management.
- Maintain deep healthcare market and provider experience industry knowledge, keeping a pulse on vendor innovation, regulatory changes, and competitor models.
- Leverage data to drive insights, root cause analysis and ROI assessments.
- Recruit, lead and develop a strong team dedicated to delivering high impact outcomes.
- Compliance with all applicable laws and regulations
- Other duties as assigned
Requirements:
- A bachelor's degree or commensurate 4 years of experience
- 15+ years experience, with 10+ of those years in healthcare consulting or a strategic role in the healthcare industry
- 7+ years experience collaborating and influencing at the executive level
- 5+ years experience defining and deploying strategies for organizations at the company level
Bonus points:
- Master's degree from top-tier program in business, health administration, or related field
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.
Ready to apply?
Apply to Oscar Health
Senior Director, Provider Experience
Share this job
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 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 Director of Provider Experience is a strategic role responsible for deeply understanding the provider experience and then developing and executing a roadmap of cross-functional initiatives. This high-performing leader is a curious and analytical doer, and will work in a fast-paced environment to influence key partners to deliver impactful outcomes.
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: $196,732- $258,211 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, company equity grants, and annual performance bonuses.
Responsibilities:
- Develop deep framework and measures for understanding the experience of Oscar's providers and the impact experience has on Oscar's network.
- Be the voice of and advocate for the provider experience internally and externally.
- Define and shape the Oscar Provider Experience strategy. Collaborate with leaders across Oscar to identify and analyze strategic opportunities to define the roadmap driving Oscar's Provider Experience.
- Lead the execution of multiple simultaneous, high-visibility strategic projects, and partner with cross-functional leaders to operationalize recommendations.
- Foster relationships with SMEs and functional leaders across Oscar to understand problems impacting providers and drive alignment around the broader strategic vision.
- Effectively communicate goals and findings and drive organizational change management.
- Maintain deep healthcare market and provider experience industry knowledge, keeping a pulse on vendor innovation, regulatory changes, and competitor models.
- Leverage data to drive insights, root cause analysis and ROI assessments.
- Recruit, lead and develop a strong team dedicated to delivering high impact outcomes.
- Compliance with all applicable laws and regulations
- Other duties as assigned
Requirements:
- A bachelor's degree or commensurate 4 years of experience
- 15+ years experience, with 10+ of those years in healthcare consulting or a strategic role in the healthcare industry
- 7+ years experience collaborating and influencing at the executive level
- 5+ years experience defining and deploying strategies for organizations at the company level
Bonus points:
- Master's degree from top-tier program in business, health administration, or related field
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.
Ready to apply?
Apply to Oscar Health
Manager, Provider Process Design
Share this job
Hi, we're Oscar. We're hiring a Manager, Provider Process Design 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:
You will work closely with a cross functional team of leaders, project managers, and Business Stakeholders to solve business problems related to internal processes. You will be responsible for identifying critical processes to the business, defining the business' requirements, process mapping and assessing the overall effectiveness and efficiency of the process, developing new or reengineering existing processes, and supporting implementation. This includes an E2E approach and direct ownership of the program being developed. You will help supportsour teams in driving a best-in-class, service-focused operation by designing and guiding the use of operational frameworks and ideologies.
You will report into the Director, Process Improvement.
Work Location: This is a remote position, open to candidates who reside in: Dallas, Texas. 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. #LI-Remote
Pay Transparency: The base pay for this role is: $105,818 - $138,886 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, and annual performance bonuses.
Responsibilities:
- Be the example of the continuous improvement mindset, providing effective direction and influence, while demonstrating actual results of organizational behavior change in this area
- Demonstrate the proper approach with implementation of Continuous Improvement Tools both internal to the organization and aligned to industry standards and best practices
- Partner cross functionally with various leaders in all areas of the business to support the drive towards core operational improvements
- Utilize and implement programmatic frameworks and tools while adjusting your approach based on measured outcomes across simultaneous operating improvement projects
- Creating and sustaining foundational stability and ensuring scalability within your area of responsibility
- Use process improvement best practices, such and Lean and Six Sigma principles, to engineer/reengineer and implement consistent organizational processes and clear engagement models
- Provide clear context, in the form of BusinessRequirements Documents (BRDs), process maps, standard operating procedures and policy documents on what is being built and why it's being built.
- Compliance with all applicable laws and regulations
- Other duties as assigned
Requirements:
- 4+ years of work experience in provider operations in a payer setting
- Experience and strong understanding of NCQA, CMS, NUCC requirements
- 3+ years of experience using data software such as google platforms, SQL, or other data analytics tools
- 3+ years of experience with end to end project management
- 3+ years of experience in designing and improving workflows as well as standing up accompanying operating and technical procedures
- 3+ years of experience working cross-functionally as a program ownership with vendor engagement and internal teams to achieve operational business objectives/KPIs/OKRs
Bonus points:
- Bachelor's degree in Engineering, Business Administration, or other related field
- Lean Six Sigma Green Belt certification or higher
- A bachelor's degree or 4+ years commensurate experience
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.
Ready to apply?
Apply to Oscar Health
Manager, Provider Process Design
Share this job
Hi, we're Oscar. We're hiring a Manager, Provider Process Design 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:
You will work closely with a cross functional team of leaders, project managers, and Business Stakeholders to solve business problems related to internal processes. You will be responsible for identifying critical processes to the business, defining the business' requirements, process mapping and assessing the overall effectiveness and efficiency of the process, developing new or reengineering existing processes, and supporting implementation. This includes an E2E approach and direct ownership of the program being developed. You will help supportsour teams in driving a best-in-class, service-focused operation by designing and guiding the use of operational frameworks and ideologies.
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. #LI-Remote
Pay Transparency: The base pay for this role is: $105,818 - $138,886 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, and annual performance bonuses.
Responsibilities:
- Be the example of the continuous improvement mindset, providing effective direction and influence, while demonstrating actual results of organizational behavior change in this area
- Demonstrate the proper approach with implementation of Continuous Improvement Tools both internal to the organization and aligned to industry standards and best practices
- Partner cross functionally with various leaders in all areas of the business to support the drive towards core operational improvements
- Utilize and implement programmatic frameworks and tools while adjusting your approach based on measured outcomes across simultaneous operating improvement projects
- Creating and sustaining foundational stability and ensuring scalability within your area of responsibility
- Use process improvement best practices, such and Lean and Six Sigma principles, to engineer/reengineer and implement consistent organizational processes and clear engagement models
- Provide clear context, in the form of BusinessRequirements Documents (BRDs), process maps, standard operating procedures and policy documents on what is being built and why it's being built.
- Compliance with all applicable laws and regulations
- Other duties as assigned
Requirements:
- 4+ years of work experience in provider operations in a payer setting
- Experience and strong understanding of NCQA, CMS, NUCC requirements
- 3+ years of experience using data software such as google platforms, SQL, or other data analytics tools
- 3+ years of experience with end to end project management
- 3+ years of experience in designing and improving workflows as well as standing up accompanying operating and technical procedures
- 3+ years of experience working cross-functionally as a program ownership with vendor engagement and internal teams to achieve operational business objectives/KPIs/OKRs
Bonus points:
- Bachelor's degree in Engineering, Business Administration, or other related field
- Lean Six Sigma Green Belt certification or higher
- A bachelor's degree or 4+ years commensurate experience
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.
Ready to apply?
Apply to Oscar Health
Manager, Provider Process Design
Share this job
Hi, we're Oscar. We're hiring a Manager, Provider Process Design 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:
You will work closely with a cross functional team of leaders, project managers, and Business Stakeholders to solve business problems related to internal processes. You will be responsible for identifying critical processes to the business, defining the business' requirements, process mapping and assessing the overall effectiveness and efficiency of the process, developing new or reengineering existing processes, and supporting implementation. This includes an E2E approach and direct ownership of the program being developed. You will help supportsour teams in driving a best-in-class, service-focused operation by designing and guiding the use of operational frameworks and ideologies.
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, while your other two office days are flexible to suit your schedule. #LI-Hybrid
Pay Transparency: The base pay for this role is: $105,818 - $138,886 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, and annual performance bonuses.
Responsibilities:
- Be the example of the continuous improvement mindset, providing effective direction and influence, while demonstrating actual results of organizational behavior change in this area
- Demonstrate the proper approach with implementation of Continuous Improvement Tools both internal to the organization and aligned to industry standards and best practices
- Partner cross functionally with various leaders in all areas of the business to support the drive towards core operational improvements
- Utilize and implement programmatic frameworks and tools while adjusting your approach based on measured outcomes across simultaneous operating improvement projects
- Creating and sustaining foundational stability and ensuring scalability within your area of responsibility
- Use process improvement best practices, such and Lean and Six Sigma principles, to engineer/reengineer and implement consistent organizational processes and clear engagement models
- Provide clear context, in the form of BusinessRequirements Documents (BRDs), process maps, standard operating procedures and policy documents on what is being built and why it's being built.
- Compliance with all applicable laws and regulations
- Other duties as assigned
Requirements:
- 4+ years of work experience in provider operations in a payer setting
- Experience and strong understanding of NCQA, CMS, NUCC requirements
- 3+ years of experience using data software such as google platforms, SQL, or other data analytics tools
- 3+ years of experience with end to end project management
- 3+ years of experience in designing and improving workflows as well as standing up accompanying operating and technical procedures
- 3+ years of experience working cross-functionally as a program ownership with vendor engagement and internal teams to achieve operational business objectives/KPIs/OKRs
Bonus points:
- Bachelor's degree in Engineering, Business Administration, or other related field
- Lean Six Sigma Green Belt certification or higher
- A bachelor's degree or 4+ years commensurate experience
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.
Ready to apply?
Apply to Oscar Health
Manager, Provider Process Design
Share this job
Hi, we're Oscar. We're hiring a Manager, Provider Process Design 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:
You will work closely with a cross functional team of leaders, project managers, and Business Stakeholders to solve business problems related to internal processes. You will be responsible for identifying critical processes to the business, defining the business' requirements, process mapping and assessing the overall effectiveness and efficiency of the process, developing new or reengineering existing processes, and supporting implementation. This includes an E2E approach and direct ownership of the program being developed. You will help supportsour teams in driving a best-in-class, service-focused operation by designing and guiding the use of operational frameworks and ideologies.
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. #LI-Hybrid
Pay Transparency: The base pay for this role is: $117,576 - $154,318 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, and annual performance bonuses.
Responsibilities:
- Be the example of the continuous improvement mindset, providing effective direction and influence, while demonstrating actual results of organizational behavior change in this area
- Demonstrate the proper approach with implementation of Continuous Improvement Tools both internal to the organization and aligned to industry standards and best practices
- Partner cross functionally with various leaders in all areas of the business to support the drive towards core operational improvements
- Utilize and implement programmatic frameworks and tools while adjusting your approach based on measured outcomes across simultaneous operating improvement projects
- Creating and sustaining foundational stability and ensuring scalability within your area of responsibility
- Use process improvement best practices, such and Lean and Six Sigma principles, to engineer/reengineer and implement consistent organizational processes and clear engagement models
- Provide clear context, in the form of BusinessRequirements Documents (BRDs), process maps, standard operating procedures and policy documents on what is being built and why it's being built.
- Compliance with all applicable laws and regulations
- Other duties as assigned
Requirements:
- 4+ years of work experience in provider operations in a payer setting
- Experience and strong understanding of NCQA, CMS, NUCC requirements
- 3+ years of experience using data software such as google platforms, SQL, or other data analytics tools
- 3+ years of experience with end to end project management
- 3+ years of experience in designing and improving workflows as well as standing up accompanying operating and technical procedures
- 3+ years of experience working cross-functionally as a program ownership with vendor engagement and internal teams to achieve operational business objectives/KPIs/OKRs
Bonus points:
- Bachelor's degree in Engineering, Business Administration, or other related field
- Lean Six Sigma Green Belt certification or higher
- A bachelor's degree or 4+ years commensurate experience
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.
Ready to apply?
Apply to Oscar Health
Associate, Network Contracting
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Hi, we're Oscar. We're hiring an Associate, Network Contracting to join our Specialist Contracting 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:
You will be responsible for managing contracts with key healthcare providers in Oscar's network (hospital/health systems and large national ancillary groups) to build and maintain a robust network; while also ensuring access to quality care and optimizing costs by analyzing provider performance and negotiating reimbursement rates, often involving complex contract terms and compliance with regulatory guidelines. Supporting cost saving initiatives, executing national network strategy, and ensuring high performing network development and ensuring providers across our service area have the information and support they need to provide best-in-class member care.
You will report into the Senior Director, Speciality Contracting.
Work Location: This is a remote position based in the field, open to candidates who reside: Arizona, California, Florida, Illinois, Iowa, Kansas, Michigan, Mississippi, Missouri, New York, Nebraska, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, or Virginia. Your daily work will involve a blend of work from your home office and frequent travel for client meetings. #LI-Remote
Pay Transparency: The base pay for this role in New York and California is: $96,876 - $127,149 per year. The base pay for all other locations is: $87,560 - $114,434 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.
Travel requirement up to 20%
Responsibilities:
- Implement contracting strategies under the direction of Network Director and/or Senior Manager and in partnership with Market Leaders that align with the company's overall network adequacy, development and cost management objectives.
- Manage and negotiate contracts with assigned healthcare providers, focusing on favorable terms and compliance with organizational standards and regulatory requirements.
- Support comprehensive reviews and analyses of assigned provider contracts, identifying areas for improvement and optimization.
- Utilize data and analytics of provider financial issues and competitor strategies to support informing negotiation and contracting decisions.
- Meet defined metrics and SLAs including but not limited to provider outreach and contract completion.
- Collaborate with the provider services team regarding the servicing, education and communication to our provider network.
- Monitor assigned networks to gauge compliance with standards, developing corrective action plans with network contracting and market leadership to remediate deficiencies.
- Compliance with all applicable laws and regulations
- Other duties as assigned
Requirements:
- 3+ years of experience in healthcare client management, healthcare consulting, or provider healthcare contracting, healthcare operations, or a related field
- 2+ years of experience supporting provider network strategy development and negotiating provider contracts
- 1+ years experience running financial analyses on a markets or product lines, and working cross-functionally to support driving improvement opportunities
- 1+ years experience navigating and organizing large data sets such as claim files and provider rosters
Bonus points:
- Associate's degree or equivalent professional working experience.
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.
Ready to apply?
Apply to Oscar Health
Provider Network Associate
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Hi, we're Oscar. We're hiring a Provider Network Associate to join our Contracting 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 Provider Network Associate supports the overall accessibility, availability and quality of Oscar's Provider Network through the execution of specific network development functions. This role will work in concert with various internal partners and existing and future external provider partners to meet market growth, network quality and medical costs targets. This role will support the provider recruitment, engagement and education function within the Network Management pillar of Oscar's Insurance Operation function.
You will report into the Senior Manager, Network Development
Work Location: This is a remote position based in the field, open to candidates who reside: Alabama, Arizona, Florida, Illinois, Iowa, Kansas, Michigan, Mississippi, Missouri, Nebraska, North Carolina, Ohio, Texas. Your daily work will involve a blend of work from your home office and frequent travel for client meetings. #LI-Remote
Travel requirement up to 75%
Pay Transparency:
The base pay for this role is: $87,188 - $114,434 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.
Responsibilities:
- Leverage available demographic data for current out of network providers to target recruiting for network adequacy needs based on geography, specialty, or member demographics.
- Deploy recruiting activities in defined expansion regions based on population demographics, healthcare needs, and competitor presence
- Assess potential provider capabilities, workflows and staffing to ensure ability to adhere to access standards and meet quality of care requirements.
- Help develop targeted outreach strategies to attract high-quality providers in desired specialties and locations.
- Perform daily outreach and contact with potential providers through phone calls, emails, and in-person meetings to present the benefits of joining the network.
- Document provider outreach activities and manage provider data in a Customer Relationship Management (CRM) system.
- Pitch the network to prospective providers and guide new providers through the process of joining the network.
- Participate in process improvement initiatives to optimize workflows and enhance provider experience.
- Compliance with all applicable laws and regulations
- Other duties as assigned
Requirements:
- Bachelors Degree or 4+ years of relevant experience
- 3+ years of experience in provider healthcare recruiting and contracting
- 1+ years experience in provider relations, provider services or provider recruiting, and working cross-functionally to drive growth and expansion in one or more geographical areas
Bonus points:
- Experience with Customer Relationship Management (CRM) systems in a healthcare environment
- Experience in credentialing function and credentialing software
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.
Ready to apply?
Apply to Oscar Health