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Hi, we're Oscar. We're hiring a Utilization Management Liaison Lead to join our Clinical Review Team Operations.
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
As the Utilization Management (UM) Liaison Lead, you will become an expert on production team workflows to drive goals & key performance indicators for the team of support staff to meet business objectives while providing coaching & leadership. You will partners with team members to manage all appeal levels processed by the UM team & supporting the UM clinicians with post claim clinical review tickets. You will partner with teams to identify & develop workflow improvements to enhance efficiencies for the team.
You will report to the Manager of Utilization Management Processor & Liaison Teams
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 Tempe office (off the 101 at University Dr), we ask you 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, Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Mexico, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, or Washington, D.C. Note, this list of states is subject to change. #LI-Remote
Pay Transparency:
The base pay for this role is $48,960 - $64,260 per year. You are also eligible for employee benefits, participation in Oscars unlimited vacation program & annual performance bonuses.
Responsibilities
- Hire & manage a team of Oscar colleagues with direct responsibility for performance management, their growth & development, & associated HR administrative tasks
- Manage your teams outcomes, monitor dashboards, & track operational KPIs, conducting root-cause analysis & constructing action plans when issues arise
- Understand & be connected to the type of work your team does daily, being able to make volume-based decisions that best serve our customers.
- Lead team huddles with Oscar colleagues, connecting colleagues to the mission, vision, & values of Oscar, & providing guidance & motivation to achieve daily operational goals
- Promote team engagement by creating an inclusive & inviting culture that aligns with Oscars core values
- Participate in continuous improvement activities that influence the improvement & development of a production team
- Identify & close gaps on existing operational workflows
- Work collaboratively across production & other Oscar teams to implement best practice
- Compliance with all applicable laws & regulations
- Other duties as assigned
Qualifications
- 2+ years experience in a customer service environment
- 1+ year of direct people management experience
- 1+ years of experience using data & metrics to guide improvements
- 1+ years of experience working with teams in multiple locations & multiple disciplines
Bonus Points
- Bachelor's degree
- Lean Six Sigma or Process Improvement certification
- Prior healthcare or insurance experience
- Advanced Google Suite or Microsoft Office capabilities
- 2+ years experience solving complex inquiries
- 1+ years managing projects
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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