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Oscar Health // health insurance
 
New York City    Posted: Wednesday, September 02, 2020
 
   
 
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JOB DETAILS
 

Hi, we're Oscar. Were hiring an Associate Director to join our Insurance Operations team in our New York City office.

Oscar is a technology-driven, consumer-focused health insurance startup founded in 2012 & headquartered in New York City. Our goal is to make health insurance simple, transparent, & human. We need your help to do so.

About this role:

Great health insurance starts with a great network. We partner with providers & outstanding health systems to change healthcare for the better. As an Associate Director on Insurance Operations, you will build & optimize processes in the Provider Lifecycle to ensure Oscars provider networks are adequately serving our members healthcare needs. You will review end-to-end processes that support expansion goals, maintaining adequacy of our networks, managing underlying Provider data, & ensuring members have access to the care they need . You will also ensure all parties understand their role in operationalizing these processes. Your work will have a direct impact on Oscars ability to provide a great member experience.

You will report into the Senior Director of Operations.

Responsibilities:

  • Design & improve the end-to-end process for Oscars expansion into new markets including identifying markets, executing contracting, & on-boarding new providers
  • Design & improve the end-to-end process for how Oscar ensures regulatory & member experience adequacy is being met by filling gaps when they arise
  • Improve an end to end System Case Agreement (SCA) process to improve compliance, member & provider experience, & clinical & MLR outcomes.
  • Identify & project manage Network/Provider projects including Open Enrollment preparation
  • Work with leaders across the organization to ensure successful implementation of the projects
  • Improve the quality of our provider data & set up monitoring & metrics to accurately track our network

Requirements:

  • Bachelor's degree or equivalent work experience
  • 7+ years experience in a Healthcare provider/payer operations environment
  • Experience in process / workflow building, operational improvement, & project management
  • Experience working cross functionally & communicating with peers at all levels
  • Proficient in Excel - build models to answer your own questions, to form data-driven, concrete answers in a world with imperfect information
  • Experience managing a team

Bonus points:

  • Experience working with product, engineering & data teams to create & improve processes
  • Experience in management consulting, strategy, or investment banking
  • Python & SQL
  • Experience or qualifications in Lean methodology

Life at Oscar:

At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves & find both belonging & support. We're on a mission to change health care -- an experience made whole by our unique backgrounds & perspectives.

We encourage our members to care for their whole selves, & we encourage our employees to do the same with comprehensive medical benefits, generous paid-time off, paid parental leave, retirement plans, company social events, stocked kitchens, wellness programs, & volunteer opportunities.

Reasonable Accommodation

Oscar applicants are considered solely based on their qualifications, without regard to applicants disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known.

Pay Transparency Policy

Oscar ensures that you won't be discharged or discriminated against based on whether you've inquired about, discussed, or disclosed your pay. Read the full policy here.

 
 
 
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