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Hi, we're Oscar. We're hiring a Program Manager to join our Complex Issue Resolution team.
Oscar is the first health insurance company built around a full stack technology platform & a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselvesone that behaves like a doctor in the family.
About the role
The Complex Issue Resolution Program Manager is responsible for leading all activities related to program implementation goals to ensure success. Additionally, identifying & driving operational improvements for claims quality operations, including proper controls & monitoring, to ensure operational efficiency & effectiveness, overseeing & coordinating claims issue resolution projects across the organization.
You will report to the Associate Director, Claims Quality.
Work Location:
Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture & our mission.
If you live within commutable distance to our New York City office (in Hudson Square), our Tempe office (off the 101 at University Dr), or our Los Angeles office (in Marina Del Rey), you will be expected to come into the office at least two days each week. Otherwise, this is a remote / work-from-home role.
You must reside in one of the following states: Alabama, Arizona, California, Colorado, Connecticut, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, or Washington, D.C. Note, this list of states is subject to change. #LI-Remote
Pay Transparency:
The base pay for this role in the states of California, Connecticut, New Jersey, New York, & Washington is: $103,200 - $135,450 per year. The base pay for this role in all other locations is: $92,880 - $121,905 per year. You are also eligible for employee benefits, participation in Oscars unlimited vacation program & annual performance bonuses.
Responsibilities
- Organize & lead daily activities for claims issue resolution programs
- Identify, develop & implement program strategy, optimizations & tooling that support the organizations objectives.
- Meet with stakeholders to discuss program status & goals
- Oversee implementations end to end to ensure program success
- Partner with other departments & various stakeholders to ensure operational excellence
- Analyze program risks; ability to anticipate risks & issues. This includes proactive flagging of issues, managing escalations, & tracking & helping to resolve risks & issues.
- Ensure proper controls & monitoring are in place for the program
- Work with leadership & the program stakeholders to lead program retros & assess program strengths & weaknesses
- Ensure proper metrics are in place to measure program success
- Compliance with all applicable laws & regulations
- Other duties as assigned
Qualifications
- 4+ years of program & project management
- 4+ years experience in change management & process improvement
- Healthcare claims experience
Bonus Points
- PMP or Six Sigma certification
- Experience leading teams within claims
This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.
At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves & find both belonging & support. We're on a mission to change health care -- an experience made whole by our unique backgrounds & perspectives.
Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, & experience. Full-time employees are eligible for benefits including: medical, dental, & vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life & disability insurance, & paid wellness time & reimbursements.
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.
California Residents: For information about our collection, use, & disclosure of applicants personal information as well as applicants rights over their personal information, please see our Notice to Job Applicants.
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