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Hi, we're Oscar. We're hiring a Manager, Utilization Management Design & Configuration to join our Clinical Optimization 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
This role is responsible for designing, optimizing & implementing processes & improvements for configuring Oscars technology stack. This role leads a team to identify, scope, build, test & implement solutions, with a focus on creating efficiency & scale through technology & automation.
You will report to the Senior Manager of Design & Configuration.
This is a remote / work-from-home role. You must reside in one of the following states: Arizona, California, Colorado, Connecticut, Florida, Georgia, Illinois, Iowa, Maryland, Massachusetts, Michigan, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, Tennessee, Texas, Utah, Virginia, Washington, or Washington, D.C. Note, this list of states is subject to change. #LI-Remote
The base pay for this role in the states of California, Connecticut, New Jersey, New York, & Washington is: $113,600 - $149,100 per year. The base pay for this role in all other locations is: $102,240 - $134,190 per year. You are also eligible for employee benefits, participation in Oscars unlimited vacation program, & annual performance bonuses.
Responsibilities
- Lead, coach & develop a high-performing team
- Support team & leadership by driving decisions, influencing team strategy, & ensuring accountability for deliverables on an ongoing basis
- Works cross functionally to gather business requirements in order to implement & improve the efficacy & efficiency of existing operational processes or to unlock new platform capabilities
- Utilizes data to independently drive business decisions, impact cross-functional strategy & develop KPIs to measure the effectiveness of your domain
- Proactively identify risks; responds to & resolves issues/errors/escalations through data-driven investigation to produce insights for short, medium, & long-term technology-enabled solutions
- Works with other team members to resolve issues, develop training, & create technical tooling to enable others
- Compliance with all applicable laws & regulations
- Other duties as assigned
Qualifications
- A bachelors degree or commensurate 4 years of operating experience
- 4+ years experience in operations, health insurance, data analysis, engineering and/or consulting
- 4+ years of experience using data software such as Excel, SQL or Python
- 4+ years experience developing project plans coordinating with internal & external stakeholders
- 4+ years experience designing & improving workflows as well as standing up accompanying operating & technical procedures
Bonus Points
- Process Improvement or Lean Six Sigma training
- Experience with healthcare utilization management & referral management systems & processes
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.
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