We're hiring a Team Lead, Member and Provider Services to join our Member and Provider Services team.

Oscar is the first health insurance company built around a full stack technology platform and a 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 an expert on production team workflows and drive goals and KPIs for the team of support staff to meet our goals while providing coaching and leadership. You will partner with other teams to develop workflow improvements to enhance efficiencies for the team.

You will report into the Manager, Member and Provider Services.

Work Location: Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission. This is a remote role. You must reside in Florida. #LI-Remote

Pay Transparency: The base pay for this role is: $55,890 - $73,355 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Schedule: This position follows a Monday–Friday schedule from 11:00 AM to 8:00 PM (Eastern Time), with a rotating shift requirement shared among the Operations Team Leaders.

Team members will periodically work opening shifts from 8:00 AM to 5:00 PM or closing shifts from 3:00 PM to 12:00 AM (Eastern Time). This rotation is consistent across the leadership team, with an expected frequency of approximately 3–5 shifts per month.

Additionally, leaders are expected to provide occasional weekend support during peak business periods throughout the year, such as Open Enrollment.

Responsibilities:

• Hire and manage a team of Oscar colleagues with direct responsibility for performance management, their growth, and associated HR administrative tasks
• Manage your team's outcomes, monitor dashboards, and track operational KPIs, conducting root-cause analysis and constructing action plans when issues arise
• Understand and be connected to the type of work your team does on a daily basis, being able to make volume-based decisions that best serve our customers.
• Serve as a central communicator by leading team huddles with Oscar colleagues, connecting colleagues to the mission, vision, and values of Oscar, and providing guidance and motivation to achieve daily operational goals
• Be a culture carrier, supporting engagement with your team by creating an inclusive and inviting culture that aligns with Oscar's core values
• Lead and participate in continuous improvement activities that drive or influence the improvement and development of a production team
• Identify and closing gaps on existing operational workflows
• Work collaboratively across production and other Oscar teams to implement best practice
• Compliance with all applicable laws and regulations
• Other duties as assigned

Requirements:

• 2+ years experience in a fast-paced operations or customer service environment
• 2+ years of direct people management experience
• 2+ years of experience using data and metrics to drive improvements
• Experience in LEAN practices
• Experience working with teams in multiple locations and multiple disciplines

Bonus points:

• Bachelor's degree
• Prior healthcare and/or insurance experience
• Advanced Google Suite or Microsoft Office capabilities
• 2+ years experience solving complex inquiries
• 1+ years managing projects
• 1+ year working with BPO vendors

We're hiring a Team Lead, Member and Provider Services to join our Member and Provider Services team.

Oscar is the first health insurance company built around a full stack technology platform and a 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 an expert on production team workflows and drive goals and KPIs for the team of support staff to meet our goals while providing coaching and leadership. You will partner with other teams to develop workflow improvements to enhance efficiencies for the team.

You will report into the Manager, Member and Provider Services.

Work Location: Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission. This is a remote role. You must reside in Georgia. #LI-Remote

Pay Transparency: The base pay for this role is: $55,890 - $73,355 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Schedule: This position follows a Monday–Friday schedule from 11:00 AM to 8:00 PM (Eastern Time), with a rotating shift requirement shared among the Operations Team Leaders.

Team members will periodically work opening shifts from 8:00 AM to 5:00 PM or closing shifts from 3:00 PM to 12:00 AM (Eastern Time). This rotation is consistent across the leadership team, with an expected frequency of approximately 3–5 shifts per month.

Additionally, leaders are expected to provide occasional weekend support during peak business periods throughout the year, such as Open Enrollment.

Responsibilities:

• Hire and manage a team of Oscar colleagues with direct responsibility for performance management, their growth, and associated HR administrative tasks
• Manage your team's outcomes, monitor dashboards, and track operational KPIs, conducting root-cause analysis and constructing action plans when issues arise
• Understand and be connected to the type of work your team does on a daily basis, being able to make volume-based decisions that best serve our customers.
• Serve as a central communicator by leading team huddles with Oscar colleagues, connecting colleagues to the mission, vision, and values of Oscar, and providing guidance and motivation to achieve daily operational goals
• Be a culture carrier, supporting engagement with your team by creating an inclusive and inviting culture that aligns with Oscar's core values
• Lead and participate in continuous improvement activities that drive or influence the improvement and development of a production team
• Identify and closing gaps on existing operational workflows
• Work collaboratively across production and other Oscar teams to implement best practice
• Compliance with all applicable laws and regulations
• Other duties as assigned

Requirements:

• 2+ years experience in a fast-paced operations or customer service environment
• 2+ years of direct people management experience
• 2+ years of experience using data and metrics to drive improvements
• Experience in LEAN practices
• Experience working with teams in multiple locations and multiple disciplines

Bonus points:

• Bachelor's degree
• Prior healthcare and/or insurance experience
• Advanced Google Suite or Microsoft Office capabilities
• 2+ years experience solving complex inquiries
• 1+ years managing projects
• 1+ year working with BPO vendors

We're hiring a Team Lead, Member and Provider Services to join our Member and Provider Services team.

Oscar is the first health insurance company built around a full stack technology platform and a 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 an expert on production team workflows and drive goals and KPIs for the team of support staff to meet our goals while providing coaching and leadership. You will partner with other teams to develop workflow improvements to enhance efficiencies for the team.

You will report into the Manager, Member and Provider Services.

Work Location: Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission. This is a remote role. You must reside in Texas. #LI-Remote

Pay Transparency: The base pay for this role is: $55,890 - $73,355 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Schedule: This position follows a Monday–Friday schedule from 10:00 AM to 7:00 PM (Central Time), with a rotating shift requirement shared among the Operations Team Leaders.

Team members will periodically work opening shifts from 7:00 AM to 4:00 PM or closing shifts from 2:00 PM to 11:00 PM (Central Time). This rotation is consistent across the leadership team, with an expected frequency of approximately 3–5 shifts per month.

Additionally, leaders are expected to provide occasional weekend support during peak business periods throughout the year, such as Open Enrollment.

Responsibilities:

• Hire and manage a team of Oscar colleagues with direct responsibility for performance management, their growth, and associated HR administrative tasks
• Manage your team's outcomes, monitor dashboards, and track operational KPIs, conducting root-cause analysis and constructing action plans when issues arise
• Understand and be connected to the type of work your team does on a daily basis, being able to make volume-based decisions that best serve our customers.
• Serve as a central communicator by leading team huddles with Oscar colleagues, connecting colleagues to the mission, vision, and values of Oscar, and providing guidance and motivation to achieve daily operational goals
• Be a culture carrier, supporting engagement with your team by creating an inclusive and inviting culture that aligns with Oscar's core values
• Lead and participate in continuous improvement activities that drive or influence the improvement and development of a production team
• Identify and closing gaps on existing operational workflows
• Work collaboratively across production and other Oscar teams to implement best practice
• Compliance with all applicable laws and regulations
• Other duties as assigned

Requirements:

• 2+ years experience in a fast-paced operations or customer service environment
• 2+ years of direct people management experience
• 2+ years of experience using data and metrics to drive improvements
• Experience in LEAN practices
• Experience working with teams in multiple locations and multiple disciplines

Bonus points:

• Bachelor's degree
• Prior healthcare and/or insurance experience
• Advanced Google Suite or Microsoft Office capabilities
• 2+ years experience solving complex inquiries
• 1+ years managing projects
• 1+ year working with BPO vendors

We're hiring a Team Lead, Member and Provider Services to join our Member and Provider 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:

You will be an expert on production team workflows and drives goals and KPIs for the team of support staff to meet business objectives while providing coaching and leadership. You will partner with stakeholders to identify and develop workflow improvements to enhance efficiencies for the team.

You will report into the Manager, Member and Provider Services.

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

Schedule: Monday–Friday, 8:00 AM–5:00 PM (AZ), with rotating early shifts (5:00 AM–2:00 PM) and late shifts (12:00 PM–9:00 PM) approximately 3–5 times per month.

Pay Transparency: The base pay for this role is: $55,890 - $73,355 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities:

• Hire and manage a team of Oscar colleagues with direct responsibility for performance management, their growth and development, and associated HR administrative tasks
• Manage your team's outcomes, monitor dashboards, and track operational KPIs, conducting root-cause analysis and constructing action plans when issues arise
• Understand and be connected to the type of work your team does on a daily basis, being able to make volume-based decisions that best serve our customers.
• Serve as a central communicator by leading team huddles with Oscar colleagues, connecting colleagues to the mission, vision, and values of Oscar, and providing guidance and motivation to achieve daily operational objectives
• Be a culture carrier, driving engagement with your team by creating an inclusive and inviting culture that aligns with Oscar's core values
• Actively lead and participate in continuous improvement activities that drive or influence the improvement and development of a high performing production team
• Identifying and closing gaps on existing operational workflows
• Work collaboratively across production and other Oscar teams to implement best practice
• Compliance with all applicable laws and regulations
• Other duties as assigned

Requirements:

• 2+ years experience in a fast-paced operations or customer service environment
• 2+ years of direct people management experience
• 2+ years of experience using data and metrics to drive improvements
• Experience in LEAN practices
• Strong verbal and written communication skills
• Experience working with teams in multiple locations and multiple disciplines

Bonus points:

• Bachelor's degree
• Prior healthcare and/or insurance experience
• Advanced Google Suite or Microsoft Office capabilities
• 2+ years experience solving complex inquiries
• 1+ years managing projects

Hi, we're Oscar. We're hiring an Associate, Provider Data Analytics to join our Provider Data 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 Associate, Provider Data Analytics reviews provider data-related issues and scales solutions through impact analysis. We are looking for collaboration with business and technical stakeholders to represent departmental needs in company-wide strategic initiatives and problem-solving. Key responsibilities include understanding business requirements, building and managing project plans, documenting decisions, and developing risk mitigation and change management strategies.

You will report into the Senior Manager, Provider Data Operations.

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: $96,876.00 - $127,149.75 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities:

• Leads end-to-end management of cross-functional projects related to provider data issues, including issue analysis, stakeholder engagement, coordination of cross-functional relationships to drive collaboration, and participation in testing to ensure accurate and effective solutions
• Collaborates with internal and external stakeholder groups to develop proactive solution plans for data issues, including communication strategies and program initiatives for successful change management and risk mitigation
• Identifies trends in provider data issues and scale solutions by leveraging various analytics to assess the overall impact
• Compliance with all applicable laws and regulations
• Other duties as assigned

Requirements:

• A bachelor's degree or 3+ years commensurate experience
• 3+ years of work experience in operations, health insurance, data analysis, and/or consulting
• 2+ years of experience using SQL and Excel
• 2+ years of experience with end to end project management
• 2+ years of experience in designing and improving workflows as well as standing up accompanying operating and technical procedures
• 2+ years of experience with process improvement methodologies such as Lean, Six Sigma

Bonus points:

• Bachelor's degree in Engineering, Business Administration, or other related field
• Lean Six Sigma Green Belt certification or higher

Hi, we're Oscar. We're hiring an Associate, Provider Data Analytics to join our Provider Data 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 Associate, Provider Data Analytics reviews provider data-related issues and scales solutions through impact analysis. We are looking for collaboration with business and technical stakeholders to represent departmental needs in company-wide strategic initiatives and problem-solving. Key responsibilities include understanding business requirements, building and managing project plans, documenting decisions, and developing risk mitigation and change management strategies.

You will report into the Senior Manager, Provider Data Operations.

Work Location: This is a remote position, open to candidates who reside in: Atlanta, GA. 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: $87,188.40 - $114,434.78 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities:

• Leads end-to-end management of cross-functional projects related to provider data issues, including issue analysis, stakeholder engagement, coordination of cross-functional relationships to drive collaboration, and participation in testing to ensure accurate and effective solutions
• Collaborates with internal and external stakeholder groups to develop proactive solution plans for data issues, including communication strategies and program initiatives for successful change management and risk mitigation
• Identifies trends in provider data issues and scale solutions by leveraging various analytics to assess the overall impact
• Compliance with all applicable laws and regulations
• Other duties as assigned

Requirements:

• A bachelor's degree or 3+ years commensurate experience
• 3+ years of work experience in operations, health insurance, data analysis, and/or consulting
• 2+ years of experience using SQL and Excel
• 2+ years of experience with end to end project management
• 2+ years of experience in designing and improving workflows as well as standing up accompanying operating and technical procedures
• 2+ years of experience with process improvement methodologies such as Lean, Six Sigma

Bonus points:

• Bachelor's degree in Engineering, Business Administration, or other related field
• Lean Six Sigma Green Belt certification or higher

Hi, we're Oscar. We're hiring an Associate, Provider Data Analytics to join our Provider Data 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 Associate, Provider Data Analytics reviews provider data-related issues and scales solutions through impact analysis. We are looking for collaboration with business and technical stakeholders to represent departmental needs in company-wide strategic initiatives and problem-solving. Key responsibilities include understanding business requirements, building and managing project plans, documenting decisions, and developing risk mitigation and change management strategies.

You will report into the Senior Manager, Provider Data Operations.

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: $87,188.40 - $114,434.78 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities:

• Leads end-to-end management of cross-functional projects related to provider data issues, including issue analysis, stakeholder engagement, coordination of cross-functional relationships to drive collaboration, and participation in testing to ensure accurate and effective solutions
• Collaborates with internal and external stakeholder groups to develop proactive solution plans for data issues, including communication strategies and program initiatives for successful change management and risk mitigation
• Identifies trends in provider data issues and scale solutions by leveraging various analytics to assess the overall impact
• Compliance with all applicable laws and regulations
• Other duties as assigned

Requirements:

• A bachelor's degree or 3+ years commensurate experience
• 3+ years of work experience in operations, health insurance, data analysis, and/or consulting
• 2+ years of experience using SQL and Excel
• 2+ years of experience with end to end project management
• 2+ years of experience in designing and improving workflows as well as standing up accompanying operating and technical procedures
• 2+ years of experience with process improvement methodologies such as Lean, Six Sigma

Bonus points:

• Bachelor's degree in Engineering, Business Administration, or other related field
• Lean Six Sigma Green Belt certification or higher

Hi, we're Oscar. We're hiring an Associate, Provider Data Analytics to join our Provider Data 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 Associate, Provider Data Analytics reviews provider data-related issues and scales solutions through impact analysis. We are looking for collaboration with business and technical stakeholders to represent departmental needs in company-wide strategic initiatives and problem-solving. Key responsibilities include understanding business requirements, building and managing project plans, documenting decisions, and developing risk mitigation and change management strategies.

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: $87,188.40 - $114,434.78 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities:

• Leads end-to-end management of cross-functional projects related to provider data issues, including issue analysis, stakeholder engagement, coordination of cross-functional relationships to drive collaboration, and participation in testing to ensure accurate and effective solutions
• Collaborates with internal and external stakeholder groups to develop proactive solution plans for data issues, including communication strategies and program initiatives for successful change management and risk mitigation
• Identifies trends in provider data issues and scale solutions by leveraging various analytics to assess the overall impact
• Compliance with all applicable laws and regulations
• Other duties as assigned

Requirements:

• A bachelor's degree or 3+ years commensurate experience
• 3+ years of work experience in operations, health insurance, data analysis, and/or consulting
• 2+ years of experience using SQL and Excel
• 2+ years of experience with end to end project management
• 2+ years of experience in designing and improving workflows as well as standing up accompanying operating and technical procedures
• 2+ years of experience with process improvement methodologies such as Lean, Six Sigma

Bonus points:

• Bachelor's degree in Engineering, Business Administration, or other related field
• Lean Six Sigma Green Belt certification or higher

Hi, we're Oscar. We're hiring an Associate, UM Regulatory Operations to join our Regulatory 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 be responsible for working cross functionally with business and technical Oscar stakeholders and representing the needs and interests of the department in company wide strategic initiatives and in solving business problems related to internal processes. This requires collecting and documenting business requirements, building and managing project plans, documenting key project decisions, managing project governance, applying frameworks, analyzing data, and developing and communicating risk mitigation strategies across disparate initiatives and stakeholders at the same time.

You will report into the Senior Manager, UM Regulatory Operations.

Work Location: This is a remote position, open to candidates who reside in: Alabama; Arizona; Arkansas; Colorado; Connecticut; District of Columbia; Florida; Georgia; Idaho; Illinois; Indiana; Iowa; Kansas; Kentucky; Maine; Maryland; Massachusetts; Michigan; Minnesota; Missouri; Nevada; New Hampshire; New Jersey; New Mexico; North Carolina; Ohio; Oregon; Pennsylvania; Rhode Island; South Carolina; Tennessee; Texas; Utah; Vermont; or Virginia.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: $87,188 - $118,434 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, and annual performance bonuses.

Responsibilities:

• Lead the end-to-end management of cross-functional implementations/projects, including project plan creation, stakeholder engagement, managing cross-functional relationships to drive collaboration, edge case mitigation, and on-time completion
• Evaluate overall departmental performance by creating, gathering, analyzing and interpreting data and metrics as well as assisting in development of departmental metrics and implementation of mitigation strategies
• Collaboratively works with all relevant internal and external stakeholder groups to to interpret and apply new and evolving regulations, ensuring consistent understanding and accurate implementation across UM operations.
• Coordinate regulatory request management for the UM department, including market conduct exams, URA filings, license renewals, and Mental Health Parity (MHPAEA) compliance.
• Coordinates NCQA deliverables for UM standards
• Evaluates and drafts UM policy and procedures ensuring compliance within the UM program
• Mentor team members and promotes colleagues' growth and professional development
• Compliance with all applicable laws and regulations
• Other duties as assigned

Requirements:

• A bachelor's degree or 3+ years commensurate experience
• 3+ years of work experience in healthcare Utilization Management operations, health insurance, and/or related field
• 2+ years of experience supporting regulatory compliance activities, including Mental Health Parity (MHPAEA), market conduct exams, license renewals, NCQA surveys/accreditation, and other regulatory filings
• 2+ years of experience with end to end project management or process improvement initiatives
• 2+ years of experience in regulatory implementation and compliance
• 2+ years of experience in designing and improving workflows as well as standing up accompanying operating and technical procedures

Bonus points:

• 2+ years of experience using data software such as Excel, Microsoft Office, Google Sheets, GSuite
• Experience collaborating with legal, compliance, and cross-functional teams
• Experience with process improvement methodologies such as Lean, Six Sigma and/or Theory of constraints

Hi, we're Oscar. We're hiring a Senior Analyst, UM Regulatory Operations to join our UM Regulatory 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 support the design, optimization, and implementation of processes and improvements to operations in support of achieving organizational goals. You will be responsible to support implementations for regulatory requirements, compliance initiatives, UM audits, and other projects, as needed.

You will report into the Senior Manager, UM Regulatory Operations.

Work Location: This is a remote position, open to candidates who reside in:Alabama; Arizona; Arkansas; Colorado; Connecticut; District of Columbia; Florida; Georgia; Idaho; Illinois; Indiana; Iowa; Kansas; Kentucky; Maine; Maryland; Massachusetts; Michigan; Minnesota; Missouri; Nevada; New Hampshire; New Jersey; New Mexico; North Carolina; Ohio; Oregon; Pennsylvania; Rhode Island; South Carolina; Tennessee; Texas; Utah; Vermont; or Virginia..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: $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:

• Coordinate projects and processes to help support key regulatory and compliance milestones and deliverables
• Partner with leadership to implement regulations, support key state filings, and other projects
• Partner with cross-functional teams to ensure action plans and process improvements align with project goals, and participate in collaboration with peers and cross-functional stakeholders
• Support audit exams (NCQA, MHPAEA, State)
• Help identify risks; respond to and resolve compliance gaps through regulatory implementation and in response to audits and Corrective Action Plans
• Compliance with all applicable laws and regulations
• Other duties as assigned

Requirements:

• 1+ years of experience in healthcare audits, or accreditations supporting NCQA and/or regulatory compliance
• 1+ years of professional experience in utilization management, healthcare operations and/or compliance, or a related field
• 1+ years of experience in Adobe Acrobat, and Google Suite or Microsoft Office (Sheets/Excel, Docs/Word, Slides/Powerpoint, etc)
• 1+ years of experience with interdepartmental collaboration with stakeholders to drive projects

Bonus points:

• 1+ years of experience supporting state audits and exams
• ACA marketplace, utilization management, healthcare quality and compliance, or provider data experience
• Training or experience applying Continuous Process Improvement or Lean Six Sigma principles
• Experience with project coordination or management in a matrixed organization
• 1+ years of experience in developing and presenting information and recommendations

Hi, we're Oscar. We're hiring a Data Analytics Associate to join our Service Operations 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 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 partner closely across the organization to identify and manage inefficiencies proactively in the business. You will support business units in scoping, analyzing and monitoring performance of key financial and utilization metrics in service of company goals. You will independently drives the scoping & execution of analytical requests, including working with stakeholders to define key questions, scope methodologies and results. You may at times be called upon to speak to prepared analysis both internally and externally.

You will report into the Manager, Data Analytics.

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: $91,659 - $120,303 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, and annual performance bonuses.

Responsibilities:

• Responsible for owning insights generation and follow-up for a major business unit, serving as the first point of contract for Sr. Managers and Associate Directors
• Analyze data to support business teams in making better informed, data-driven decisions
• Use data to tell a story that non-technical colleagues will be able to understand, including packaging and presenting findings in a clear, concise and compelling manner
• Recognize the need to enhance essential operational and analytical dashboards, and define the requirements to enhance them as our user's needs evolve
• Identify opportunities to create models and tools that produce relevant insights to identify healthcare inefficiencies and generate insights to remove inefficiencies
• Collaborate across the organization, including owning stakeholder relationships with managers & senior managers , to identify actions to achieve improvements and monitor initiative impact
• Support other strategic projects as assigned to meet business needs
• Compliance with all applicable laws and regulations
• Other duties as assigned

Requirements:

• 3+ years of technical work experience using analytical tools and writing analytical reports
• 2+ years demonstrated ability to work with large datasets and distill analyses into relevant insights with a structured and systematic thought process
• Strong communication skills, verbal and written, around business reporting impact and requirements, as demonstrated by 5+ examples / projects of presenting analysis to Leadership (Director+)
• 2+ years experience in SQL, with the ability to filter, aggregate, and build CTEs
• 2+ years in building robust data models
• 1+ years experience, including proficiency in Google Sheets or Excel skills, with ability to use VLookup, nested if statements and connected Sheets
• 1+ years experience developing dashboards and working with Looker, or other business intelligence/data visualization tools

Bonus points:

• Experience using Python or R
• 2+ years experience in healthcare or insurance industry
• Exposure to healthcare contract negotiations, risk adjustment, ACA marketplace, quality of care, and/or population health experience
• Prior experience in Member Relations or Customer Success environments.
• Building data models in dbt
• Building reports in Looker Studio Pro
• Git workflows

Hi, we're Oscar. We're hiring a Data Analytics Associate to join our Service Operations 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 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 partner closely across the organization to identify and manage inefficiencies proactively in the business. You will support business units in scoping, analyzing and monitoring performance of key financial and utilization metrics in service of company goals. You will independently drives the scoping & execution of analytical requests, including working with stakeholders to define key questions, scope methodologies and results. You may at times be called upon to speak to prepared analysis both internally and externally.

You will report into the Manager, Data Analytics.

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: $91,659 - $120,303 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, and annual performance bonuses.

Responsibilities:

• Responsible for owning insights generation and follow-up for a major business unit, serving as the first point of contract for Sr. Managers and Associate Directors
• Analyze data to support business teams in making better informed, data-driven decisions
• Use data to tell a story that non-technical colleagues will be able to understand, including packaging and presenting findings in a clear, concise and compelling manner
• Recognize the need to enhance essential operational and analytical dashboards, and define the requirements to enhance them as our user's needs evolve
• Identify opportunities to create models and tools that produce relevant insights to identify healthcare inefficiencies and generate insights to remove inefficiencies
• Collaborate across the organization, including owning stakeholder relationships with managers & senior managers , to identify actions to achieve improvements and monitor initiative impact
• Support other strategic projects as assigned to meet business needs
• Compliance with all applicable laws and regulations
• Other duties as assigned

Requirements:

• 3+ years of technical work experience using analytical tools and writing analytical reports
• 2+ years demonstrated ability to work with large datasets and distill analyses into relevant insights with a structured and systematic thought process
• Strong communication skills, verbal and written, around business reporting impact and requirements, as demonstrated by 5+ examples / projects of presenting analysis to Leadership (Director+)
• 2+ years experience in SQL, with the ability to filter, aggregate, and build CTEs
• 2+ years in building robust data models
• 1+ years experience, including proficiency in Google Sheets or Excel skills, with ability to use VLookup, nested if statements and connected Sheets
• 1+ years experience developing dashboards and working with Looker, or other business intelligence/data visualization tools

Bonus points:

• Experience using Python or R
• 2+ years experience in healthcare or insurance industry
• Exposure to healthcare contract negotiations, risk adjustment, ACA marketplace, quality of care, and/or population health experience
• Prior experience in Member Relations or Customer Success environments.
• Building data models in dbt
• Building reports in Looker Studio Pro
• Git workflows

Hi, we're Oscar. We're hiring a Data Analytics Associate to join our Service Operations 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 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 partner closely across the organization to identify and manage inefficiencies proactively in the business. You will support business units in scoping, analyzing and monitoring performance of key financial and utilization metrics in service of company goals. You will independently drives the scoping & execution of analytical requests, including working with stakeholders to define key questions, scope methodologies and results. You may at times be called upon to speak to prepared analysis both internally and externally.

You will report into the Manager, Data Analytics.

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: $91,659 - $120,303 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, and annual performance bonuses.

Responsibilities:

• Responsible for owning insights generation and follow-up for a major business unit, serving as the first point of contract for Sr. Managers and Associate Directors
• Analyze data to support business teams in making better informed, data-driven decisions
• Use data to tell a story that non-technical colleagues will be able to understand, including packaging and presenting findings in a clear, concise and compelling manner
• Recognize the need to enhance essential operational and analytical dashboards, and define the requirements to enhance them as our user's needs evolve
• Identify opportunities to create models and tools that produce relevant insights to identify healthcare inefficiencies and generate insights to remove inefficiencies
• Collaborate across the organization, including owning stakeholder relationships with managers & senior managers , to identify actions to achieve improvements and monitor initiative impact
• Support other strategic projects as assigned to meet business needs
• Compliance with all applicable laws and regulations
• Other duties as assigned

Requirements:

• 3+ years of technical work experience using analytical tools and writing analytical reports
• 2+ years demonstrated ability to work with large datasets and distill analyses into relevant insights with a structured and systematic thought process
• Strong communication skills, verbal and written, around business reporting impact and requirements, as demonstrated by 5+ examples / projects of presenting analysis to Leadership (Director+)
• 2+ years experience in SQL, with the ability to filter, aggregate, and build CTEs
• 2+ years in building robust data models
• 1+ years experience, including proficiency in Google Sheets or Excel skills, with ability to use VLookup, nested if statements and connected Sheets
• 1+ years experience developing dashboards and working with Looker, or other business intelligence/data visualization tools

Bonus points:

• Experience using Python or R
• 2+ years experience in healthcare or insurance industry
• Exposure to healthcare contract negotiations, risk adjustment, ACA marketplace, quality of care, and/or population health experience
• Prior experience in Member Relations or Customer Success environments.
• Building data models in dbt
• Building reports in Looker Studio Pro
• Git workflows

Hi, we're Oscar. We're hiring a Data Analytics Associate to join our Service Operations 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 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 partner closely across the organization to identify and manage inefficiencies proactively in the business. You will support business units in scoping, analyzing and monitoring performance of key financial and utilization metrics in service of company goals. You will independently drives the scoping & execution of analytical requests, including working with stakeholders to define key questions, scope methodologies and results. You may at times be called upon to speak to prepared analysis both internally and externally.

You will report into the Manager, Data Analytics.

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: $101,844 - $133,670 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, and annual performance bonuses.

Responsibilities:

• Responsible for owning insights generation and follow-up for a major business unit, serving as the first point of contract for Sr. Managers and Associate Directors
• Analyze data to support business teams in making better informed, data-driven decisions
• Use data to tell a story that non-technical colleagues will be able to understand, including packaging and presenting findings in a clear, concise and compelling manner
• Recognize the need to enhance essential operational and analytical dashboards, and define the requirements to enhance them as our user's needs evolve
• Identify opportunities to create models and tools that produce relevant insights to identify healthcare inefficiencies and generate insights to remove inefficiencies
• Collaborate across the organization, including owning stakeholder relationships with managers & senior managers , to identify actions to achieve improvements and monitor initiative impact
• Support other strategic projects as assigned to meet business needs
• Compliance with all applicable laws and regulations
• Other duties as assigned

Requirements:

• 3+ years of technical work experience using analytical tools and writing analytical reports
• 2+ years demonstrated ability to work with large datasets and distill analyses into relevant insights with a structured and systematic thought process
• Strong communication skills, verbal and written, around business reporting impact and requirements, as demonstrated by 5+ examples / projects of presenting analysis to Leadership (Director+)
• 2+ years experience in SQL, with the ability to filter, aggregate, and build CTEs
• 2+ years in building robust data models
• 1+ years experience, including proficiency in Google Sheets or Excel skills, with ability to use VLookup, nested if statements and connected Sheets
• 1+ years experience developing dashboards and working with Looker, or other business intelligence/data visualization tools

Bonus points:

• Experience using Python or R
• 2+ years experience in healthcare or insurance industry
• Exposure to healthcare contract negotiations, risk adjustment, ACA marketplace, quality of care, and/or population health experience
• Prior experience in Member Relations or Customer Success environments.
• Building data models in dbt
• Building reports in Looker Studio Pro
• Git workflows

Hi, we're Oscar. We're hiring a Senior Analyst to join our Authorization Services Design and Configuration 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 the architect of our medical management operations. In this role, you will design, configure, and optimize the workflows and business rules within our Utilization Management (UM) system to ensure seamless authorization processing. You will translate complex business requirements into automated logic, handle internal escalations to identify root causes and remediation pathways, and act as a subject matter expert to educate cross-functional partners on how our systems drive care decisions.

This is a technical and operational role that requires a systems thinker with a collaborative mindset who enjoys solving complex, systems level problems.

You will report into the Associate Director of Authorization Services.

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: $73,348 - $98,894 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, and annual performance bonuses.

Responsibilities:

• Manage the configuration and maintenance of authorization workflows, rulesets, and automations within the UM platform.
• Translate business requirements into precise technical specifications, ensuring that business rules and logic are accurately represented, tested, and implemented.
• Investigate and resolve cross-functional escalations by performing root cause analysis on system behavior and configuration gaps.
• Proactively identify "friction points" in the authorization process and document formal opportunities for workflow improvement and automation.
• Act as the primary subject matter expert for the UM system, educating internal teams (Product, Clinical, Regulatory) on how configuration impacts operations and supports business needs.
• Develop testing protocols and execute test scenarios to validate expected system behavior and configuration accuracy. Lead corrective activities when system behavior deviates from expectations.
• Manage assigned caseloads and project tasks through effective dashboard management and prioritization.
• Maintain clear, comprehensive documentation of all business rules, technical specs, and workflow designs.
• Other duties as assigned

Requirements:

• 2+ years of experience in system configuration, business rules management, or technical workflow design.
• 2+ years of experience in a technical/operational role involving root-cause analysis and data troubleshooting.
• Intermediate to Advanced proficiency in Excel/Google Sheets (vlookups, pivot tables, and data manipulation).
• Proven ability to assess and comprehend end-to-end process impacts in complex technical environments.
• Strong communication skills with the ability to explain technical system logic to non-technical stakeholders.
• 1+ year working knowledge of within the healthcare industry (payer or provider).

Bonus points:

• Prior work experience in Prior Authorizations or Insurance Operations.
• 2+ years of proficiency in SQL, BigQuery, or similar database languages.
• Experience using project management and communication tools like JIRA, Linear, and Slack.
• Experience working with large datasets, data verification, and data management.

Hi, we're Oscar. We're hiring a Senior Analyst to join our Authorization Services Design and Configuration 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 the architect of our medical management operations. In this role, you will design, configure, and optimize the workflows and business rules within our Utilization Management (UM) system to ensure seamless authorization processing. You will translate complex business requirements into automated logic, handle internal escalations to identify root causes and remediation pathways, and act as a subject matter expert to educate cross-functional partners on how our systems drive care decisions.

This is a technical and operational role that requires a systems thinker with a collaborative mindset who enjoys solving complex, systems level problems.

You will report into the Associate Director of Authorization Services.

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:

• Manage the configuration and maintenance of authorization workflows, rulesets, and automations within the UM platform.
• Translate business requirements into precise technical specifications, ensuring that business rules and logic are accurately represented, tested, and implemented.
• Investigate and resolve cross-functional escalations by performing root cause analysis on system behavior and configuration gaps.
• Proactively identify "friction points" in the authorization process and document formal opportunities for workflow improvement and automation.
• Act as the primary subject matter expert for the UM system, educating internal teams (Product, Clinical, Regulatory) on how configuration impacts operations and supports business needs.
• Develop testing protocols and execute test scenarios to validate expected system behavior and configuration accuracy. Lead corrective activities when system behavior deviates from expectations.
• Manage assigned caseloads and project tasks through effective dashboard management and prioritization.
• Maintain clear, comprehensive documentation of all business rules, technical specs, and workflow designs.
• Other duties as assigned

Requirements:

• 2+ years of experience in system configuration, business rules management, or technical workflow design.
• 2+ years of experience in a technical/operational role involving root-cause analysis and data troubleshooting.
• Intermediate to Advanced proficiency in Excel/Google Sheets (vlookups, pivot tables, and data manipulation).
• Proven ability to assess and comprehend end-to-end process impacts in complex technical environments.
• Strong communication skills with the ability to explain technical system logic to non-technical stakeholders.
• 1+ year working knowledge of within the healthcare industry (payer or provider).

Bonus points:

• Prior work experience in Prior Authorizations or Insurance Operations.
• 2+ years of proficiency in SQL, BigQuery, or similar database languages.
• Experience using project management and communication tools like JIRA, Linear, and Slack.
• Experience working with large datasets, data verification, and data management.

Hi, we're Oscar. We're hiring a Senior Analyst to join our Authorization Services Design and Configuration 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 the architect of our medical management operations. In this role, you will design, configure, and optimize the workflows and business rules within our Utilization Management (UM) system to ensure seamless authorization processing. You will translate complex business requirements into automated logic, handle internal escalations to identify root causes and remediation pathways, and act as a subject matter expert to educate cross-functional partners on how our systems drive care decisions.

This is a technical and operational role that requires a systems thinker with a collaborative mindset who enjoys solving complex, systems level problems.

You will report into the Associate Director of Authorization Services.

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: $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:

• Manage the configuration and maintenance of authorization workflows, rulesets, and automations within the UM platform.
• Translate business requirements into precise technical specifications, ensuring that business rules and logic are accurately represented, tested, and implemented.
• Investigate and resolve cross-functional escalations by performing root cause analysis on system behavior and configuration gaps.
• Proactively identify "friction points" in the authorization process and document formal opportunities for workflow improvement and automation.
• Act as the primary subject matter expert for the UM system, educating internal teams (Product, Clinical, Regulatory) on how configuration impacts operations and supports business needs.
• Develop testing protocols and execute test scenarios to validate expected system behavior and configuration accuracy. Lead corrective activities when system behavior deviates from expectations.
• Manage assigned caseloads and project tasks through effective dashboard management and prioritization.
• Maintain clear, comprehensive documentation of all business rules, technical specs, and workflow designs.
• Other duties as assigned

Requirements:

• 2+ years of experience in system configuration, business rules management, or technical workflow design.
• 2+ years of experience in a technical/operational role involving root-cause analysis and data troubleshooting.
• Intermediate to Advanced proficiency in Excel/Google Sheets (vlookups, pivot tables, and data manipulation).
• Proven ability to assess and comprehend end-to-end process impacts in complex technical environments.
• Strong communication skills with the ability to explain technical system logic to non-technical stakeholders.
• 1+ year working knowledge of within the healthcare industry (payer or provider).

Bonus points:

• Prior work experience in Prior Authorizations or Insurance Operations.
• 2+ years of proficiency in SQL, BigQuery, or similar database languages.
• Experience using project management and communication tools like JIRA, Linear, and Slack.
• Experience working with large datasets, data verification, and data management.
•  

Hi, we're Oscar. We're hiring a Senior Analyst to join our Authorization Services Design and Configuration 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 the architect of our medical management operations. In this role, you will design, configure, and optimize the workflows and business rules within our Utilization Management (UM) system to ensure seamless authorization processing. You will translate complex business requirements into automated logic, handle internal escalations to identify root causes and remediation pathways, and act as a subject matter expert to educate cross-functional partners on how our systems drive care decisions.

This is a technical and operational role that requires a systems thinker with a collaborative mindset who enjoys solving complex, systems level problems.

You will report into the Associate Director of Authorization Services.

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: $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:

• Manage the configuration and maintenance of authorization workflows, rulesets, and automations within the UM platform.
• Translate business requirements into precise technical specifications, ensuring that business rules and logic are accurately represented, tested, and implemented.
• Investigate and resolve cross-functional escalations by performing root cause analysis on system behavior and configuration gaps.
• Proactively identify "friction points" in the authorization process and document formal opportunities for workflow improvement and automation.
• Act as the primary subject matter expert for the UM system, educating internal teams (Product, Clinical, Regulatory) on how configuration impacts operations and supports business needs.
• Develop testing protocols and execute test scenarios to validate expected system behavior and configuration accuracy. Lead corrective activities when system behavior deviates from expectations.
• Manage assigned caseloads and project tasks through effective dashboard management and prioritization.
• Maintain clear, comprehensive documentation of all business rules, technical specs, and workflow designs.
• Other duties as assigned

Requirements:

• 2+ years of experience in system configuration, business rules management, or technical workflow design.
• 2+ years of experience in a technical/operational role involving root-cause analysis and data troubleshooting.
• Intermediate to Advanced proficiency in Excel/Google Sheets (vlookups, pivot tables, and data manipulation).
• Proven ability to assess and comprehend end-to-end process impacts in complex technical environments.
• Strong communication skills with the ability to explain technical system logic to non-technical stakeholders.
• 1+ year working knowledge of within the healthcare industry (payer or provider).

Bonus points:

• Prior work experience in Prior Authorizations or Insurance Operations.
• 2+ years of proficiency in SQL, BigQuery, or similar database languages.
• Experience using project management and communication tools like JIRA, Linear, and Slack.
• Experience working with large datasets, data verification, and data management.

Hi, we're Oscar. We're hiring an Associate, UM Regulatory Operations to join our Regulatory 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 be responsible for working cross functionally with business and technical Oscar stakeholders and representing the needs and interests of the department in company wide strategic initiatives and in solving business problems related to internal processes. This requires collecting and documenting business requirements, building and managing project plans, documenting key project decisions, managing project governance, applying frameworks, analyzing data, and developing and communicating risk mitigation strategies across disparate initiatives and stakeholders at the same time.

You will report into the Senior Manager, UM Regulatory 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: $87,188 - $118,434 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, and annual performance bonuses.

Responsibilities:

• Lead the end-to-end management of cross-functional implementations/projects, including project plan creation, stakeholder engagement, managing cross-functional relationships to drive collaboration, edge case mitigation, and on-time completion
• Evaluate overall departmental performance by creating, gathering, analyzing and interpreting data and metrics as well as assisting in development of departmental metrics and implementation of mitigation strategies
• Collaboratively works with all relevant internal and external stakeholder groups to to interpret and apply new and evolving regulations, ensuring consistent understanding and accurate implementation across UM operations.
• Coordinate regulatory request management for the UM department, including market conduct exams, URA filings, license renewals, and Mental Health Parity (MHPAEA) compliance.
• Coordinates NCQA deliverables for UM standards
• Evaluates and drafts UM policy and procedures ensuring compliance within the UM program
• Mentor team members and promotes colleagues' growth and professional development
• Compliance with all applicable laws and regulations
• Other duties as assigned

Requirements:

• A bachelor's degree or 3+ years commensurate experience
• 3+ years of work experience in healthcare Utilization Management operations, health insurance, and/or related field
• 2+ years of experience supporting regulatory compliance activities, including Mental Health Parity (MHPAEA), market conduct exams, license renewals, NCQA surveys/accreditation, and other regulatory filings
• 2+ years of experience with end to end project management or process improvement initiatives
• 2+ years of experience in regulatory implementation and compliance
• 2+ years of experience in designing and improving workflows as well as standing up accompanying operating and technical procedures

Bonus points:

• 2+ years of experience using data software such as Excel, Microsoft Office, Google Sheets, GSuite
• Experience collaborating with legal, compliance, and cross-functional teams
• Experience with process improvement methodologies such as Lean, Six Sigma and/or Theory of constraints

Hi, we're Oscar. We're hiring an Associate, UM Regulatory Operations to join our Regulatory 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 be responsible for working cross functionally with business and technical Oscar stakeholders and representing the needs and interests of the department in company wide strategic initiatives and in solving business problems related to internal processes. This requires collecting and documenting business requirements, building and managing project plans, documenting key project decisions, managing project governance, applying frameworks, analyzing data, and developing and communicating risk mitigation strategies across disparate initiatives and stakeholders at the same time.

You will report into the Senior Manager, UM Regulatory Operations.

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: $96,876 - $127,149 per year. YYou are also eligible for employee benefits, participation in Oscar's unlimited vacation program, and annual performance bonuses.

Responsibilities:

• Lead the end-to-end management of cross-functional implementations/projects, including project plan creation, stakeholder engagement, managing cross-functional relationships to drive collaboration, edge case mitigation, and on-time completion
• Evaluate overall departmental performance by creating, gathering, analyzing and interpreting data and metrics as well as assisting in development of departmental metrics and implementation of mitigation strategies
• Collaboratively works with all relevant internal and external stakeholder groups to to interpret and apply new and evolving regulations, ensuring consistent understanding and accurate implementation across UM operations.
• Coordinate regulatory request management for the UM department, including market conduct exams, URA filings, license renewals, and Mental Health Parity (MHPAEA) compliance.
• Coordinates NCQA deliverables for UM standards
• Evaluates and drafts UM policy and procedures ensuring compliance within the UM program
• Mentor team members and promotes colleagues' growth and professional development
• Compliance with all applicable laws and regulations
• Other duties as assigned

Requirements:

• A bachelor's degree or 3+ years commensurate experience
• 3+ years of work experience in healthcare Utilization Management operations, health insurance, and/or related field
• 2+ years of experience supporting regulatory compliance activities, including Mental Health Parity (MHPAEA), market conduct exams, license renewals, NCQA surveys/accreditation, and other regulatory filings
• 2+ years of experience with end to end project management or process improvement initiatives
• 2+ years of experience in regulatory implementation and compliance
• 2+ years of experience in designing and improving workflows as well as standing up accompanying operating and technical procedures

Bonus points:

• 2+ years of experience using data software such as Excel, Microsoft Office, Google Sheets, GSuite
• Experience collaborating with legal, compliance, and cross-functional teams
• Experience with process improvement methodologies such as Lean, Six Sigma and/or Theory of constraints

Hi, we're Oscar. We're hiring a Senior Analyst, UM Regulatory Operations to join our UM Regulatory 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 support the design, optimization, and implementation of processes and improvements to operations in support of achieving organizational goals. You will be responsible to support implementations for regulatory requirements, compliance initiatives, UM audits, and other projects, as needed.

You will report into the Senior Manager, UM Regulatory Operations.

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

Responsibilities:

• Coordinate projects and processes to help support key regulatory and compliance milestones and deliverables
• Partner with leadership to implement regulations, support key state filings, and other projects
• Partner with cross-functional teams to ensure action plans and process improvements align with project goals, and participate in collaboration with peers and cross-functional stakeholders
• Support audit exams (NCQA, MHPAEA, State)
• Help identify risks; respond to and resolve compliance gaps through regulatory implementation and in response to audits and Corrective Action Plans
• Compliance with all applicable laws and regulations
• Other duties as assigned

Requirements:

• 1+ years of experience in healthcare audits, or accreditations supporting NCQA and/or regulatory compliance 
• 1+ years of professional experience in utilization management, healthcare operations and/or compliance, or a related field
• 1+ years of experience in Adobe Acrobat, and Google Suite or Microsoft Office (Sheets/Excel, Docs/Word, Slides/Powerpoint, etc)
• 1+ years of experience with interdepartmental collaboration with stakeholders to drive projects

Bonus points:

• 1+ years of experience supporting state audits and exams
• ACA marketplace, utilization management, healthcare quality and compliance, or provider data experience
• Training or experience applying Continuous Process Improvement or Lean Six Sigma principles
• Experience with project coordination or management in a matrixed organization
• 1+ years of experience in developing and presenting information and recommendations

Hi, we're Oscar. We're hiring a Senior Analyst, UM Regulatory Operations to join our UM Regulatory 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 support the design, optimization, and implementation of processes and improvements to operations in support of achieving organizational goals. You will be responsible to support implementations for regulatory requirements, compliance initiatives, UM audits, and other projects, as needed.

You will report into the Senior Manager, UM Regulatory 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:

• Coordinate projects and processes to help support key regulatory and compliance milestones and deliverables
• Partner with leadership to implement regulations, support key state filings, and other projects
• Partner with cross-functional teams to ensure action plans and process improvements align with project goals, and participate in collaboration with peers and cross-functional stakeholders
• Support audit exams (NCQA, MHPAEA, State)
• Help identify risks; respond to and resolve compliance gaps through regulatory implementation and in response to audits and Corrective Action Plans
• Compliance with all applicable laws and regulations
• Other duties as assigned

Requirements:

• 1+ years of experience in healthcare audits, or accreditations supporting NCQA and/or regulatory compliance 
• 1+ years of professional experience in utilization management, healthcare operations and/or compliance, or a related field
• 1+ years of experience in Adobe Acrobat, and Google Suite or Microsoft Office (Sheets/Excel, Docs/Word, Slides/Powerpoint, etc)
• 1+ years of experience with interdepartmental collaboration with stakeholders to drive projects

Bonus points:

• 1+ years of experience supporting state audits and exams
• ACA marketplace, utilization management, healthcare quality and compliance, or provider data experience
• Training or experience applying Continuous Process Improvement or Lean Six Sigma principles
• Experience with project coordination or management in a matrixed organization
• 1+ years of experience in developing and presenting information and recommendations

Hi, we're Oscar. We're hiring a Staff Software Engineer 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 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

As a Staff Software Engineer you'll join our distributed team, leading the design and development of enhancements to our next-generation claims and payment processing systems. You will work on a broad problem space spanning contract and pricing configuration, system extensibility through our internally developed DSL, and data pipeline architecture and efficiency. You'll selective apply AI to solve hard problems, automating and improving processes that previously tedious and error-prone. Your focus will be on building scalable and reliable systems that ensure the accuracy and efficiency of our claims and payment processes.

You will report to the Director, Software Engineering.

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: $192,000 - $252,000 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, company equity grants, and annual performance bonuses.

Responsibilities

• Serve as the subject matter expert on business and technical domains.
• Lead the planning, execution and release of complex technical projects across multiple teams, including owning medium to large features or infrastructure projects from technical design through completion
• Work with partners, product managers, and designers to solve challenging problems.
• Lead and mentor engineers and engineering teams to improve technology, apply best practices and set overall team direction.
• Responsible for ensuring the team's delivery of large or complex technology capabilities (set of components or services) within their team's domain or spanning multiple domains.
• Facilitate, encourage, and enhance a culture of collaboration within the engineering team and its internal customers; recognizing when cross-team projects are at risk and actively mitigate risk to deliver on time.
• Prolific contributor to the objectives of their functional group, and plays a key role in driving outcomes for organization-wide projects.
• Work with leadership to assign prioritization of technical roadmap and influence prioritization of product roadmap and process enhancements within their area and across related areas.
• Actively identifies and reduces failure domains while working with their team to do the same.
• Builds software to minimize effort and business impact during maintenance and failures.
• Guide the development of Service-Level Objectives (SLOs) for systems they and their team are responsible for.
• Compliance with all applicable laws and regulations
• Other duties as assigned

Qualifications

• 7+ years of professional software engineering experience
• 5+ years of experience as a leader of cross-pod or cross-company deliverables
• 5+ years of experience leading technical contributions, improving the quality of what your teams create
• 5+ years of experience with practical application of CS concepts within their team.
• 5+ years of experience setting and enforcing the standard for writing stable, correct, and maintainable code
• 5+ years of experience leading technical teams including mentoring and training more junior engineers.

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. 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

As a Senior Software Engineer, you will build reliable and maintainable applications, infrastructure, and interfaces that make interacting with the health care system easier for members and providers. You will work with partners, product managers, and designers to solve challenging problems. Senior Engineers collaborate with other engineers on the team to improve technology and apply best practices.

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: $158,400 - $207,900 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, company equity grants, and annual performance bonuses.

Responsibilities

• Become the expert on your team's business and technical domains.
• Lead the planning, execution and release of complex technical projects.
• Work with partners, product managers, and designers to solve challenging problems.
• Collaborate with other engineers on the team to improve technology and apply best practices.
• Implement step-wise technical migrations of our existing services and applications.
• Own small to medium features or infrastructure projects from technical design through completion with little required guidance.
• Independent contributor to their team. Work effectively across the codebase with appropriate guidance from code owners.
• Make steady, well-paced progress without requiring frequent significant feedback from more senior engineers.
• Compliance with all applicable laws and regulations
• Other duties as assigned

Qualifications

• 5+ years of professional software engineering experience, working with a variety of technologies, and have increasingly impactful accomplishments
• Experience proposing, experimenting, and iterating, whether it be a new shiny technology or an arcane, ill-conceived data structure; our company may be new, but the health industry isn't!
• Experience with technical contributions, improving the quality of what you create, and are excited to build fault-tolerant, and scalable software systems.
• Demonstrates solid understanding of the practical application of CS concepts within their team.
• Consistently writes stable, correct, and maintainable code with little oversight; writes modular, adaptable code with guidance.

Bonus Points

• Experience supporting libraries and writing in Python and Golang.
• Experience owning observability stack tooling, e.g. Grafana, BigQuery, Kubernetes.
• Experience working in data and engineering tooling, e.g. discovery libraries, data replication, data transfer tools, authentication, authorization libraries.

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 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

We are hiring for Staff Software Engineers, Fullstack (with a frontend lean) to join several teams across the Oscar Engineering organization.

In this role, you will lead technical efforts to build reliable and maintainable applications, infrastructure, and interfaces that make interacting with the health care system easier for both members and providers.

You will report into a leader within the Engineering Organization (Associate Director+).

Work Location: This position is based in our Los Angeles 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 in is: $192,000 - $252,000 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, company equity grants, and annual performance bonuses.

Responsibilities

• Serve as the subject matter expert on business and technical domains.
• Lead the planning, execution and release of complex technical projects across multiple teams, including owning medium to large features or infrastructure projects from technical design through completion.
• Work with partners, product managers, and designers to solve challenging problems.
• Lead and mentor engineers and engineering teams to improve technology, apply best practices and set overall team direction.
• Responsible for ensuring the team’s delivery of  large or complex technology capabilities (set of components or services) within their team's domain or spanning multiple domains.
• Facilitate, encourage, and enhance a culture of collaboration within the engineering team and its internal customers; recognizing when cross-team projects are at risk and actively mitigate risk to deliver on time.
• Prolific contributor to the objectives of their functional group, and plays a key role in driving outcomes for organization-wide projects.
• Work with leadership to assign prioritization of technical roadmap and influence prioritization of product roadmap and process enhancements within their area and across related areas.
• Actively identifies and reduces failure domains while working with their team to do the same.
• Builds software to minimize effort and business impact during maintenance and failures.
• Guide the development of Service-Level Objectives (SLOs) for systems they and their team are responsible for.
• Compliance with all applicable laws and regulations.
• Other duties as assigned.

Qualifications

• 7+ years of professional software engineering experience
• 5+ years of experience as a leader of cross-pod or cross-company deliverables
• 5+ years of experience leading technical contributions, improving the quality of what your teams create
• 5+ years of experience with practical application of CS concepts within their team.
• 5+ years of experience setting and enforcing the standard for writing stable, correct, and maintainable code 
• 5+ years of experience leading technical teams including mentoring and training more junior engineers.

Hi, we're Oscar. We're hiring a Staff Software Engineer 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 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

As a Staff Software Engineer you'll join our distributed team, leading the design and development of enhancements to our next-generation claims and payment processing systems. You will work on a broad problem space spanning contract and pricing configuration, system extensibility through our internally developed DSL, and data pipeline architecture and efficiency. You'll selective apply AI to solve hard problems, automating and improving processes that previously tedious and error-prone. Your focus will be on building scalable and reliable systems that ensure the accuracy and efficiency of our claims and payment processes.

You will report to the Director, Software Engineering.

Work Location: This position is based in our Tempe, AZ 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: $192,000 - $252,000 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, company equity grants, and annual performance bonuses.

Responsibilities

• Serve as the subject matter expert on business and technical domains.
• Lead the planning, execution and release of complex technical projects across multiple teams, including owning medium to large features or infrastructure projects from technical design through completion
• Work with partners, product managers, and designers to solve challenging problems.
• Lead and mentor engineers and engineering teams to improve technology, apply best practices and set overall team direction.
• Responsible for ensuring the team's delivery of large or complex technology capabilities (set of components or services) within their team's domain or spanning multiple domains.
• Facilitate, encourage, and enhance a culture of collaboration within the engineering team and its internal customers; recognizing when cross-team projects are at risk and actively mitigate risk to deliver on time.
• Prolific contributor to the objectives of their functional group, and plays a key role in driving outcomes for organization-wide projects.
• Work with leadership to assign prioritization of technical roadmap and influence prioritization of product roadmap and process enhancements within their area and across related areas.
• Actively identifies and reduces failure domains while working with their team to do the same.
• Builds software to minimize effort and business impact during maintenance and failures.
• Guide the development of Service-Level Objectives (SLOs) for systems they and their team are responsible for.
• Compliance with all applicable laws and regulations
• Other duties as assigned

Qualifications

• 7+ years of professional software engineering experience
• 5+ years of experience as a leader of cross-pod or cross-company deliverables
• 5+ years of experience leading technical contributions, improving the quality of what your teams create
• 5+ years of experience with practical application of CS concepts within their team.
• 5+ years of experience setting and enforcing the standard for writing stable, correct, and maintainable code
• 5+ years of experience leading technical teams including mentoring and training more junior engineers.

Hi, we're Oscar. We're hiring a Data Scientist II to join our Data 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:

Oscar's data team is focused on pushing our understanding of this complex landscape of health care and insurance business. Insurance companies sit on a trove of data that is both broad and deep, spanning financial claims, clinical medical records, and rich product interaction data from our members. Connecting the dots across these datasets gives us unique insight into how the healthcare system functions and allows us to improve care coordination, better manage risk, build higher-performing provider networks, and create a standout consumer experience in our product.

As a Data Scientist II you will drive data science projects across multiple teams and domains. In this role, you’ll take ownership of analytical and modeling work, contribute to technical direction, and partner closely with business, engineering, product and data stakeholders to deliver impactful solutions.

This is a mid-level role for data scientists who can operate independently, manage ambiguity, and apply advanced analytics or modeling techniques with minimal oversight.

​​You will report into a leader on the Data team (Senior Data Scientist and above). This posting is representative of multiple roles, and final team placement will be determined during the interview process.

Work Location: This position is a hybrid role based in our New York City office, Los Angeles Office, or Tempe 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: $131,200 - $172,200 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, company equity grants, and annual performance bonuses.

Responsibilities:

• Research, develop, and maintain data pipelines, statistical models, and advanced analytical solutions
• Own projects end-to-end, including problem definition, implementation, validation, and iteration
• Deliver high-quality analytical and modeling outputs with limited manager oversight
• Collaborate closely with data science peers and cross-functional partners across business units
• Help ensure data science processes and outputs align with broader team strategies and roadmaps
• Provide guidance or informal mentorship to junior data scientists or analysts when needed
• Contribute to improving data science practices, tooling, and documentation

Requirements:

• 3+ years of experience in data science, applied analytics, or a related quantitative field (industry, academia, or both)
• 2+ years of experience using SQL and Python and/or R to query, analyze, and manipulate data
• 2+ years of experience building data models, using more advanced analytics methods, statistical modeling, and/or data processing

Bonus points:

• Master’s degree in a quantitative or technical field
• Knowledge of or previous work experience in health care or health insurance
• Experience mentoring or supporting junior team members
• Experience deploying or supporting models in production environments

Hi, we're Oscar. We're hiring an Associate, Total Quality Management to join our Total Quality Management 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 cross-functionally with business and technical Oscar stakeholders and representing the needs and interests of the department in company wide strategic initiatives and in solving business problems related to internal processes. You will lead the design, optimization, and implementation of processes / improvements / platforms to operations in support of achieving organizational goals. This will require collecting and documenting business requirements, and building and managing project plans. Additionally, it will involve documenting key project decisions, managing project governance, and applying frameworks. Furthermore, it will necessitate analyzing data, and developing and communicating risk mitigation strategies. All of these tasks must be accomplished across disparate initiatives and stakeholders at the same time.

You will report into the Associate Director, Quality.

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: $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:

• Lead the end-to-end management of cross-functional implementations and projects. This includes creating project plans, engaging stakeholders, and managing cross-functional relationships to drive collaboration. Additionally, it involves mitigating edge cases and ensuring on-time completion.
• Evaluate overall departmental performance by creating, gathering (Big Data query writing & management), analyzing and interpreting data and metrics as well as assisting in development of departmental metrics and implementation of mitigation strategies.
• Develop, maintains, improves Key Performance Indicator (KPI) dashboards.
• Perform trend and variance analysis to identify performance drivers.
• Work with stakeholder teams to ensure audit forecasts align with business objectives and changes.
• Collaboratively works with all relevant internal and external stakeholder groups to formulate proactive implementation, communications, and program strategies for successful change management and risk mitigation initiatives
• Apply strong analytical and modeling skills to solve complex business problems.
• Analyze data to support business teams in making better informed, data-driven decisions. Mentor team members and promotes colleagues' growth and professional development.
• Support other strategic projects as assigned to meet business needs.
• Compliance with all applicable laws and regulations.
• Other duties as assigned.

Requirements:

• 3+ years of work experience in operations and/or health insurance
• 2+ years of experience using data software such as Excel/Google Sheets, SQL, or other data analytics tools
• 2+ years of experience with end-to-end project management with in a cross- functional environment
• 2+ years of experience in administering operational, quality, or analytics platforms, including requirements gathering, workflow documentation, vendor evaluation support, and leading User Acceptance Testing (UAT).
• Experience managing, presenting, and owning stakeholder management
• 2+ years of experience with process improvement methodologies such as Lean, Six Sigma and/or Theory of constraints

Bonus points:

• A bachelor's degree or 3+ years commensurate experience

Hi, we're Oscar. We're hiring an Associate, Total Quality Management to join our Total Quality Management 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 cross-functionally with business and technical Oscar stakeholders and representing the needs and interests of the department in company wide strategic initiatives and in solving business problems related to internal processes. You will lead the design, optimization, and implementation of processes / improvements / platforms to operations in support of achieving organizational goals. This will require collecting and documenting business requirements, and building and managing project plans. Additionally, it will involve documenting key project decisions, managing project governance, and applying frameworks. Furthermore, it will necessitate analyzing data, and developing and communicating risk mitigation strategies. All of these tasks must be accomplished across disparate initiatives and stakeholders at the same time.

You will report into the Associate Director, Quality.

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: $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:

• Lead the end-to-end management of cross-functional implementations and projects. This includes creating project plans, engaging stakeholders, and managing cross-functional relationships to drive collaboration. Additionally, it involves mitigating edge cases and ensuring on-time completion.
• Evaluate overall departmental performance by creating, gathering (Big Data query writing & management), analyzing and interpreting data and metrics as well as assisting in development of departmental metrics and implementation of mitigation strategies.
• Develop, maintains, improves Key Performance Indicator (KPI) dashboards.
• Perform trend and variance analysis to identify performance drivers.
• Work with stakeholder teams to ensure audit forecasts align with business objectives and changes.
• Collaboratively works with all relevant internal and external stakeholder groups to formulate proactive implementation, communications, and program strategies for successful change management and risk mitigation initiatives
• Apply strong analytical and modeling skills to solve complex business problems.
• Analyze data to support business teams in making better informed, data-driven decisions. Mentor team members and promotes colleagues' growth and professional development.
• Support other strategic projects as assigned to meet business needs.
• Compliance with all applicable laws and regulations.
• Other duties as assigned.

Requirements:

• 3+ years of work experience in operations and/or health insurance
• 2+ years of experience using data software such as Excel/Google Sheets, SQL, or other data analytics tools
• 2+ years of experience with end-to-end project management with in a cross- functional environment
• 2+ years of experience in administering operational, quality, or analytics platforms, including requirements gathering, workflow documentation, vendor evaluation support, and leading User Acceptance Testing (UAT).
• Experience managing, presenting, and owning stakeholder management
• 2+ years of experience with process improvement methodologies such as Lean, Six Sigma and/or Theory of constraints

Bonus points:

• A bachelor's degree or 3+ years commensurate experience

Hi, we're Oscar. We're hiring an Associate, Total Quality Management to join our Total Quality Management 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 cross-functionally with business and technical Oscar stakeholders and representing the needs and interests of the department in company wide strategic initiatives and in solving business problems related to internal processes. You will lead the design, optimization, and implementation of processes / improvements / platforms to operations in support of achieving organizational goals. This will require collecting and documenting business requirements, and building and managing project plans. Additionally, it will involve documenting key project decisions, managing project governance, and applying frameworks. Furthermore, it will necessitate analyzing data, and developing and communicating risk mitigation strategies. All of these tasks must be accomplished across disparate initiatives and stakeholders at the same time.

You will report into the Associate Director, Quality.

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: $96,876 - $127,149 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, and annual performance bonuses.

Responsibilities:

• Lead the end-to-end management of cross-functional implementations and projects. This includes creating project plans, engaging stakeholders, and managing cross-functional relationships to drive collaboration. Additionally, it involves mitigating edge cases and ensuring on-time completion.
• Evaluate overall departmental performance by creating, gathering (Big Data query writing & management), analyzing and interpreting data and metrics as well as assisting in development of departmental metrics and implementation of mitigation strategies.
• Develop, maintains, improves Key Performance Indicator (KPI) dashboards.
• Perform trend and variance analysis to identify performance drivers.
• Work with stakeholder teams to ensure audit forecasts align with business objectives and changes.
• Collaboratively works with all relevant internal and external stakeholder groups to formulate proactive implementation, communications, and program strategies for successful change management and risk mitigation initiatives
• Apply strong analytical and modeling skills to solve complex business problems.
• Analyze data to support business teams in making better informed, data-driven decisions. Mentor team members and promotes colleagues' growth and professional development.
• Support other strategic projects as assigned to meet business needs.
• Compliance with all applicable laws and regulations.
• Other duties as assigned.

Requirements:

• 3+ years of work experience in operations and/or health insurance
• 2+ years of experience using data software such as Excel/Google Sheets, SQL, or other data analytics tools
• 2+ years of experience with end-to-end project management with in a cross- functional environment
• 2+ years of experience in administering operational, quality, or analytics platforms, including requirements gathering, workflow documentation, vendor evaluation support, and leading User Acceptance Testing (UAT).
• Experience managing, presenting, and owning stakeholder management
• 2+ years of experience with process improvement methodologies such as Lean, Six Sigma and/or Theory of constraints

Bonus points:

• A bachelor's degree or 3+ years commensurate experience

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. 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

As a Senior Software Engineer, you will build reliable and maintainable applications, infrastructure, and interfaces that make interacting with the health care system easier for members and providers. You will work with partners, product managers, and designers to solve challenging problems. Senior Engineers collaborate with other engineers on the team to improve technology and apply best practices.

Work Location: This position is based in our Tempe, AZ 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: $158,400 - $207,900 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, company equity grants, and annual performance bonuses.

Responsibilities

• Become the expert on your team's business and technical domains.
• Lead the planning, execution and release of complex technical projects.
• Work with partners, product managers, and designers to solve challenging problems.
• Collaborate with other engineers on the team to improve technology and apply best practices.
• Implement step-wise technical migrations of our existing services and applications.
• Own small to medium features or infrastructure projects from technical design through completion with little required guidance.
• Independent contributor to their team. Work effectively across the codebase with appropriate guidance from code owners.
• Make steady, well-paced progress without requiring frequent significant feedback from more senior engineers.
• Compliance with all applicable laws and regulations
• Other duties as assigned

Qualifications

• 5+ years of professional software engineering experience, working with a variety of technologies, and have increasingly impactful accomplishments
• Experience proposing, experimenting, and iterating, whether it be a new shiny technology or an arcane, ill-conceived data structure; our company may be new, but the health industry isn't!
• Experience with technical contributions, improving the quality of what you create, and are excited to build fault-tolerant, and scalable software systems.
• Demonstrates solid understanding of the practical application of CS concepts within their team.
• Consistently writes stable, correct, and maintainable code with little oversight; writes modular, adaptable code with guidance.

Bonus Points

• Experience supporting libraries and writing in Python and Golang.
• Experience owning observability stack tooling, e.g. Grafana, BigQuery, Kubernetes.
• Experience working in data and engineering tooling, e.g. discovery libraries, data replication, data transfer tools, authentication, authorization libraries.

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 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

We are hiring for Staff Software Engineers, Fullstack (with a frontend lean) to join several teams across the Oscar Engineering organization.

In this role, you will lead technical efforts to build reliable and maintainable applications, infrastructure, and interfaces that make interacting with the health care system easier for both members and providers.

You will report into a leader within the Engineering Organization (Associate Director+).

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 in is: $192,000 - $252,000 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, company equity grants, and annual performance bonuses.

Responsibilities

• Serve as the subject matter expert on business and technical domains.
• Lead the planning, execution and release of complex technical projects across multiple teams, including owning medium to large features or infrastructure projects from technical design through completion.
• Work with partners, product managers, and designers to solve challenging problems.
• Lead and mentor engineers and engineering teams to improve technology, apply best practices and set overall team direction.
• Responsible for ensuring the team's delivery of large or complex technology capabilities (set of components or services) within their team's domain or spanning multiple domains.
• Facilitate, encourage, and enhance a culture of collaboration within the engineering team and its internal customers; recognizing when cross-team projects are at risk and actively mitigate risk to deliver on time.
• Prolific contributor to the objectives of their functional group, and plays a key role in driving outcomes for organization-wide projects.
• Work with leadership to assign prioritization of technical roadmap and influence prioritization of product roadmap and process enhancements within their area and across related areas.
• Actively identifies and reduces failure domains while working with their team to do the same.
• Builds software to minimize effort and business impact during maintenance and failures.
• Guide the development of Service-Level Objectives (SLOs) for systems they and their team are responsible for.
• Compliance with all applicable laws and regulations.
• Other duties as assigned.

Qualifications

• 7+ years of professional software engineering experience
• 5+ years of experience as a leader of cross-pod or cross-company deliverables
• 5+ years of experience leading technical contributions, improving the quality of what your teams create
• 5+ years of experience with practical application of CS concepts within their team.
• 5+ years of experience setting and enforcing the standard for writing stable, correct, and maintainable code
• 5+ years of experience leading technical teams including mentoring and training more junior engineers.

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 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

We are hiring for Staff Software Engineers, Fullstack (with a frontend lean) to join several teams across the Oscar Engineering organization.

In this role, you will lead technical efforts to build reliable and maintainable applications, infrastructure, and interfaces that make interacting with the health care system easier for both members and providers.

You will report into a leader within the Engineering Organization (Associate Director+).

Work Location: This position is based in our Tempe, AZ 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 in is: $192,000 - $252,000 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, company equity grants, and annual performance bonuses.

Responsibilities

• Serve as the subject matter expert on business and technical domains.
• Lead the planning, execution and release of complex technical projects across multiple teams, including owning medium to large features or infrastructure projects from technical design through completion.
• Work with partners, product managers, and designers to solve challenging problems.
• Lead and mentor engineers and engineering teams to improve technology, apply best practices and set overall team direction.
• Responsible for ensuring the team’s delivery of  large or complex technology capabilities (set of components or services) within their team's domain or spanning multiple domains.
• Facilitate, encourage, and enhance a culture of collaboration within the engineering team and its internal customers; recognizing when cross-team projects are at risk and actively mitigate risk to deliver on time.
• Prolific contributor to the objectives of their functional group, and plays a key role in driving outcomes for organization-wide projects.
• Work with leadership to assign prioritization of technical roadmap and influence prioritization of product roadmap and process enhancements within their area and across related areas.
• Actively identifies and reduces failure domains while working with their team to do the same.
• Builds software to minimize effort and business impact during maintenance and failures.
• Guide the development of Service-Level Objectives (SLOs) for systems they and their team are responsible for.
• Compliance with all applicable laws and regulations.
• Other duties as assigned.

Qualifications

• 7+ years of professional software engineering experience
• 5+ years of experience as a leader of cross-pod or cross-company deliverables
• 5+ years of experience leading technical contributions, improving the quality of what your teams create
• 5+ years of experience with practical application of CS concepts within their team.
• 5+ years of experience setting and enforcing the standard for writing stable, correct, and maintainable code 
• 5+ years of experience leading technical teams including mentoring and training more junior engineers.

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. 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

As a Senior Software Engineer, you will build reliable and maintainable applications, infrastructure, and interfaces that make interacting with the health care system easier for members and providers. You will work with partners, product managers, and designers to solve challenging problems. Senior Engineers collaborate with other engineers on the team to improve technology and apply best practices.

Work Location: This position is based in our Los Angeles 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: $158,400 - $207,900 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, company equity grants, and annual performance bonuses.

Responsibilities

• Become the expert on your team's business and technical domains.
• Lead the planning, execution and release of complex technical projects.
• Work with partners, product managers, and designers to solve challenging problems.
• Collaborate with other engineers on the team to improve technology and apply best practices.
• Implement step-wise technical migrations of our existing services and applications.
• Own small to medium features or infrastructure projects from technical design through completion with little required guidance.
• Independent contributor to their team. Work effectively across the codebase with appropriate guidance from code owners.
• Make steady, well-paced progress without requiring frequent significant feedback from more senior engineers.
• Compliance with all applicable laws and regulations
• Other duties as assigned

Qualifications

• 5+ years of professional software engineering experience, working with a variety of technologies, and have increasingly impactful accomplishments
• Experience proposing, experimenting, and iterating, whether it be a new shiny technology or an arcane, ill-conceived data structure; our company may be new, but the health industry isn't!
• Experience with technical contributions, improving the quality of what you create, and are excited to build fault-tolerant, and scalable software systems.
• Demonstrates solid understanding of the practical application of CS concepts within their team.
• Consistently writes stable, correct, and maintainable code with little oversight; writes modular, adaptable code with guidance.

Bonus Points

• Experience supporting libraries and writing in Python and Golang.
• Experience owning observability stack tooling, e.g. Grafana, BigQuery, Kubernetes.
• Experience working in data and engineering tooling, e.g. discovery libraries, data replication, data transfer tools, authentication, authorization libraries.

Hi, we're Oscar. We're hiring a Staff Software Engineer 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 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

As a Staff Software Engineer you'll join our distributed team, leading the design and development of enhancements to our next-generation claims and payment processing systems. You will work on a broad problem space spanning contract and pricing configuration, system extensibility through our internally developed DSL, and data pipeline architecture and efficiency. You'll selective apply AI to solve hard problems, automating and improving processes that previously tedious and error-prone. Your focus will be on building scalable and reliable systems that ensure the accuracy and efficiency of our claims and payment processes.

You will report to the Director, Software Engineering.

Work Location: This position is based in our Los Angeles 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: $192,000 - $252,000 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, company equity grants, and annual performance bonuses.

Responsibilities

• Serve as the subject matter expert on business and technical domains.
• Lead the planning, execution and release of complex technical projects across multiple teams, including owning medium to large features or infrastructure projects from technical design through completion
• Work with partners, product managers, and designers to solve challenging problems.
• Lead and mentor engineers and engineering teams to improve technology, apply best practices and set overall team direction.
• Responsible for ensuring the team's delivery of large or complex technology capabilities (set of components or services) within their team's domain or spanning multiple domains.
• Facilitate, encourage, and enhance a culture of collaboration within the engineering team and its internal customers; recognizing when cross-team projects are at risk and actively mitigate risk to deliver on time.
• Prolific contributor to the objectives of their functional group, and plays a key role in driving outcomes for organization-wide projects.
• Work with leadership to assign prioritization of technical roadmap and influence prioritization of product roadmap and process enhancements within their area and across related areas.
• Actively identifies and reduces failure domains while working with their team to do the same.
• Builds software to minimize effort and business impact during maintenance and failures.
• Guide the development of Service-Level Objectives (SLOs) for systems they and their team are responsible for.
• Compliance with all applicable laws and regulations
• Other duties as assigned

Qualifications

• 7+ years of professional software engineering experience
• 5+ years of experience as a leader of cross-pod or cross-company deliverables
• 5+ years of experience leading technical contributions, improving the quality of what your teams create
• 5+ years of experience with practical application of CS concepts within their team.
• 5+ years of experience setting and enforcing the standard for writing stable, correct, and maintainable code
• 5+ years of experience leading technical teams including mentoring and training more junior engineers.

Hi, we're Oscar. We're hiring a Senior Analyst to join our Payment Integrity 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:

This role is responsible for supporting process improvement and issue resolution in the Oscar claim environment for both the Oscar Insurance business and +Oscar clients. The Senior Analyst, Payment Integrity role organizes, scopes, prepares, investigates and/or executes on solutions and process improvements within edits and ideation. This is accomplished by leveraging a deep understanding of Oscar's claim infrastructure, workflows, workflow tooling, platform logic, data models, etc., to work cross-functionally to understand and translate friction from stakeholders into actionable opportunities for improvement.

You will report into the Sr. Manager, Payment Integrity.

Work Location: This is a remote position, open to candidates who reside in: Atlanta, Georgia; Chicago, Illinois; Dallas, Texas; Louisville, Kentucky; Minneapolis, Minnesota; Philadelphia, Pennsylvania; Salt Lake City, Utah. 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: $64,832 - $85,092 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities:

• Contribute as a subject matter expert for Oscar reimbursement policies, payment integrity internal claims processing edits and external vendor edits.
• Respond to internal and external inquiries and disputes regarding policies and edits.
• Research industry standard coding rules, summarize and provide input into reimbursement policy language and scope.
• Use knowledge gained through research and claims review to ideate payment integrity opportunities. Translate into business requirements; submit to and collaborate with internal partners to effectuate change.
• Ingest information from internal and external partners regarding adverse claim outcomes; collaborate with partners to scope, size, prioritize items and deliver solutions.
• Use insights from partner submissions, data mining, process monitoring, etc., work with the team to proactively identify thematic areas of opportunity to solve problems.
• Perpetuate a culture of transparency and collaboration by keeping stakeholders well informed of progress, status changes, blockers, completion, etc.; field questions as appropriate.
• Support Oscar run state objectives by providing speedy research, root cause analysis, training, etc. whenever issues are escalated and assigned by leadership.
• Compliance with all applicable laws and regulations
• Other duties as assigned

Requirements:

• A bachelor's degree or 4+ years of commensurate experience
• 3+ years of experience in claims processing, coding, auditing or health care claims operations
• 3+ years experience in medical coding within payment integrity
• Medical coding certification through AAPC (CPC, COC) or AHIMA (CCS, RHIT, RHIA)
• Experience with reimbursement methodologies, provider contract concepts and common claims processing/resolution practices.
• 2+ years experience deriving business insights from datasets and solving problems
• 1+ years experience improving business workflows and processes
• 1+ years experience collaborating with internal and/or external stakeholders

Bonus points:

• 2+ years experience in a technical role (QA analyst, PM, operations analyst, finance, consulting, industrial engineering) or a process improvement role (Six Sigma or similar)
• Process Improvement or Lean Six Sigma training
• Experience using SQL

Hi, we're Oscar. We're hiring a Data Scientist II to join our Data 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:

Oscar's data team is focused on pushing our understanding of this complex landscape of health care and insurance business. Insurance companies sit on a trove of data that is both broad and deep, spanning financial claims, clinical medical records, and rich product interaction data from our members. Connecting the dots across these datasets gives us unique insight into how the healthcare system functions and allows us to improve care coordination, better manage risk, build higher-performing provider networks, and create a standout consumer experience in our product.

As a Data Scientist II you will drive data science projects across multiple teams and domains. In this role, you’ll take ownership of analytical and modeling work, contribute to technical direction, and partner closely with business, engineering, product and data stakeholders to deliver impactful solutions.

This is a mid-level role for data scientists who can operate independently, manage ambiguity, and apply advanced analytics or modeling techniques with minimal oversight.

​​You will report into a leader on the Data team (Senior Data Scientist and above). This posting is representative of multiple roles, and final team placement will be determined during the interview process.

Work Location: This position is a hybrid role based in our New York City office, Los Angeles Office, or Tempe 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: $131,200 - $172,200 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, company equity grants, and annual performance bonuses.

Responsibilities:

• Research, develop, and maintain data pipelines, statistical models, and advanced analytical solutions
• Own projects end-to-end, including problem definition, implementation, validation, and iteration
• Deliver high-quality analytical and modeling outputs with limited manager oversight
• Collaborate closely with data science peers and cross-functional partners across business units
• Help ensure data science processes and outputs align with broader team strategies and roadmaps
• Provide guidance or informal mentorship to junior data scientists or analysts when needed
• Contribute to improving data science practices, tooling, and documentation

Requirements:

• 3+ years of experience in data science, applied analytics, or a related quantitative field (industry, academia, or both)
• 2+ years of experience using SQL and Python and/or R to query, analyze, and manipulate data
• 2+ years of experience building data models, using more advanced analytics methods, statistical modeling, and/or data processing

Bonus points:

• Master’s degree in a quantitative or technical field
• Knowledge of or previous work experience in health care or health insurance
• Experience mentoring or supporting junior team members
• Experience deploying or supporting models in production environments

Hi, we're Oscar. We're hiring a Senior Analyst to join our Payment Integrity 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:

This role is responsible for supporting process improvement and issue resolution in the Oscar claim environment for both the Oscar Insurance business and +Oscar clients. The Senior Analyst, Payment Integrity role organizes, scopes, prepares, investigates and/or executes on solutions and process improvements within edits and ideation. This is accomplished by leveraging a deep understanding of Oscar's claim infrastructure, workflows, workflow tooling, platform logic, data models, etc., to work cross-functionally to understand and translate friction from stakeholders into actionable opportunities for improvement.

You will report into the Sr. Manager, Payment Integrity.

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: $64,832 - $85,092 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities:

• Contribute as a subject matter expert for Oscar reimbursement policies, payment integrity internal claims processing edits and external vendor edits.
• Respond to internal and external inquiries and disputes regarding policies and edits.
• Research industry standard coding rules, summarize and provide input into reimbursement policy language and scope.
• Use knowledge gained through research and claims review to ideate payment integrity opportunities. Translate into business requirements; submit to and collaborate with internal partners to effectuate change.
• Ingest information from internal and external partners regarding adverse claim outcomes; collaborate with partners to scope, size, prioritize items and deliver solutions.
• Use insights from partner submissions, data mining, process monitoring, etc., work with the team to proactively identify thematic areas of opportunity to solve problems.
• Perpetuate a culture of transparency and collaboration by keeping stakeholders well informed of progress, status changes, blockers, completion, etc.; field questions as appropriate.
• Support Oscar run state objectives by providing speedy research, root cause analysis, training, etc. whenever issues are escalated and assigned by leadership.
• Compliance with all applicable laws and regulations
• Other duties as assigned

Requirements:

• A bachelor's degree or 4+ years of commensurate experience
• 3+ years of experience in claims processing, coding, auditing or health care claims operations
• 3+ years experience in medical coding within payment integrity
• Medical coding certification through AAPC (CPC, COC) or AHIMA (CCS, RHIT, RHIA)
• Experience with reimbursement methodologies, provider contract concepts and common claims processing/resolution practices.
• 2+ years experience deriving business insights from datasets and solving problems
• 1+ years experience improving business workflows and processes
• 1+ years experience collaborating with internal and/or external stakeholders

Bonus points:

• 2+ years experience in a technical role (QA analyst, PM, operations analyst, finance, consulting, industrial engineering) or a process improvement role (Six Sigma or similar)
• Process Improvement or Lean Six Sigma training
• Experience using SQL

Hi, we're Oscar. We're hiring a Senior Analyst to join our Payment Integrity 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:

This role is responsible for supporting process improvement and issue resolution in the Oscar claim environment for both the Oscar Insurance business and +Oscar clients. The Senior Analyst, Payment Integrity role organizes, scopes, prepares, investigates and/or executes on solutions and process improvements within edits and ideation. This is accomplished by leveraging a deep understanding of Oscar's claim infrastructure, workflows, workflow tooling, platform logic, data models, etc., to work cross-functionally to understand and translate friction from stakeholders into actionable opportunities for improvement.

You will report into the Sr. Manager, Payment Integrity.

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: $72,036 - $94,547 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities:

• Contribute as a subject matter expert for Oscar reimbursement policies, payment integrity internal claims processing edits and external vendor edits.
• Respond to internal and external inquiries and disputes regarding policies and edits.
• Research industry standard coding rules, summarize and provide input into reimbursement policy language and scope.
• Use knowledge gained through research and claims review to ideate payment integrity opportunities. Translate into business requirements; submit to and collaborate with internal partners to effectuate change.
• Ingest information from internal and external partners regarding adverse claim outcomes; collaborate with partners to scope, size, prioritize items and deliver solutions.
• Use insights from partner submissions, data mining, process monitoring, etc., work with the team to proactively identify thematic areas of opportunity to solve problems.
• Perpetuate a culture of transparency and collaboration by keeping stakeholders well informed of progress, status changes, blockers, completion, etc.; field questions as appropriate.
• Support Oscar run state objectives by providing speedy research, root cause analysis, training, etc. whenever issues are escalated and assigned by leadership.
• Compliance with all applicable laws and regulations
• Other duties as assigned

Requirements:

• A bachelor's degree or 4+ years of commensurate experience
• 3+ years of experience in claims processing, coding, auditing or health care claims operations
• 3+ years experience in medical coding within payment integrity
• Medical coding certification through AAPC (CPC, COC) or AHIMA (CCS, RHIT, RHIA)
• Experience with reimbursement methodologies, provider contract concepts and common claims processing/resolution practices.
• 2+ years experience deriving business insights from datasets and solving problems
• 1+ years experience improving business workflows and processes
• 1+ years experience collaborating with internal and/or external stakeholders

Bonus points:

• 2+ years experience in a technical role (QA analyst, PM, operations analyst, finance, consulting, industrial engineering) or a process improvement role (Six Sigma or similar)
• Process Improvement or Lean Six Sigma training
• Experience using SQL

Hi, we're Oscar. We're hiring an Associate, Total Quality Management to join our Total Quality Management 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 cross-functionally with business and technical Oscar stakeholders and representing the needs and interests of the department in company wide strategic initiatives and in solving business problems related to internal processes. You will lead the design, optimization, and implementation of processes / improvements / platforms to operations in support of achieving organizational goals. This will require collecting and documenting business requirements, and building and managing project plans. Additionally, it will involve documenting key project decisions, managing project governance, and applying frameworks. Furthermore, it will necessitate analyzing data, and developing and communicating risk mitigation strategies. All of these tasks must be accomplished across disparate initiatives and stakeholders at the same time.

You will report into the Associate Director, Quality.

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: $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:

• Lead the end-to-end management of cross-functional implementations and projects. This includes creating project plans, engaging stakeholders, and managing cross-functional relationships to drive collaboration. Additionally, it involves mitigating edge cases and ensuring on-time completion.
• Evaluate overall departmental performance by creating, gathering (Big Data query writing & management), analyzing and interpreting data and metrics as well as assisting in development of departmental metrics and implementation of mitigation strategies.
• Develop, maintains, improves Key Performance Indicator (KPI) dashboards.
• Perform trend and variance analysis to identify performance drivers.
• Work with stakeholder teams to ensure audit forecasts align with business objectives and changes.
• Collaboratively works with all relevant internal and external stakeholder groups to formulate proactive implementation, communications, and program strategies for successful change management and risk mitigation initiatives
• Apply strong analytical and modeling skills to solve complex business problems.
• Analyze data to support business teams in making better informed, data-driven decisions. Mentor team members and promotes colleagues' growth and professional development.
• Support other strategic projects as assigned to meet business needs.
• Compliance with all applicable laws and regulations.
• Other duties as assigned.

Requirements:

• 3+ years of work experience in operations and/or health insurance
• 2+ years of experience using data software such as Excel/Google Sheets, SQL, or other data analytics tools
• 2+ years of experience with end-to-end project management with in a cross- functional environment
• 2+ years of experience in administering operational, quality, or analytics platforms, including requirements gathering, workflow documentation, vendor evaluation support, and leading User Acceptance Testing (UAT).
• Experience managing, presenting, and owning stakeholder management
• 2+ years of experience with process improvement methodologies such as Lean, Six Sigma and/or Theory of constraints

Bonus points:

• A bachelor's degree or 3+ years commensurate experience

Hi, we're Oscar. We're hiring a Data Scientist II to join our Data 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:

Oscar's data team is focused on pushing our understanding of this complex landscape of health care and insurance business. Insurance companies sit on a trove of data that is both broad and deep, spanning financial claims, clinical medical records, and rich product interaction data from our members. Connecting the dots across these datasets gives us unique insight into how the healthcare system functions and allows us to improve care coordination, better manage risk, build higher-performing provider networks, and create a standout consumer experience in our product.

As a Data Scientist II you will drive data science projects across multiple teams and domains. In this role, you’ll take ownership of analytical and modeling work, contribute to technical direction, and partner closely with business, engineering, product and data stakeholders to deliver impactful solutions.

This is a mid-level role for data scientists who can operate independently, manage ambiguity, and apply advanced analytics or modeling techniques with minimal oversight.

​​You will report into a leader on the Data team (Senior Data Scientist and above). This posting is representative of multiple roles, and final team placement will be determined during the interview process.

Work Location: This position is a hybrid role based in our New York City office, Los Angeles Office, or Tempe 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: $131,200 - $172,200 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, company equity grants, and annual performance bonuses.

Responsibilities:

• Research, develop, and maintain data pipelines, statistical models, and advanced analytical solutions
• Own projects end-to-end, including problem definition, implementation, validation, and iteration
• Deliver high-quality analytical and modeling outputs with limited manager oversight
• Collaborate closely with data science peers and cross-functional partners across business units
• Help ensure data science processes and outputs align with broader team strategies and roadmaps
• Provide guidance or informal mentorship to junior data scientists or analysts when needed
• Contribute to improving data science practices, tooling, and documentation

Requirements:

• 3+ years of experience in data science, applied analytics, or a related quantitative field (industry, academia, or both)
• 2+ years of experience using SQL and Python and/or R to query, analyze, and manipulate data
• 2+ years of experience building data models, using more advanced analytics methods, statistical modeling, and/or data processing

Bonus points:

• Master’s degree in a quantitative or technical field
• Knowledge of or previous work experience in health care or health insurance
• Experience mentoring or supporting junior team members
• Experience deploying or supporting models in production environments