Director, Provider Operations Process Improvement
Hi, we're Oscar. We're hiring a Director, Process Improvement to join our Provider Operations 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 lead a team in implementing process improvement opportunities while ensuring we remain compliant and meet our contractual goals. You will develop and implement an operating plan for improving efficiency, scaling operations and ensuring the achievement of departmental performance metrics and goals. You will deliver key strategic initiatives that not only optimize workflows but also allow Oscar to stay competitive in the market.
You will report to the Vice President, Network Operations.
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.
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, Arkansas, 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, and Washington is: $174,400 - $228,900 per year. The base pay for this role in all other locations is: $156,960 - $206,010 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, company equity grants, and annual performance bonuses.
Responsibilities
- Lead, coach and develop a high-performing team of managers and their reports
- Provide structure and support for your team, allowing them to keep their focus on delivering key initiatives
- Develop and improve foundational processes
- Ensure operational compliance with all relevant regulatory/ accreditation agencies and meet contractual requirements
- Lead team to surface data, process, and technology issues through proactive identification, measurement, and monitoring of operations; partner cross functionally to develop end-to-end strategy that leverages these insights to scale
- Manage, develop and maintain relationships cross-functionally to drive multi department collaboration to drive results for strategic initiatives
- Own team vision and strategy including quarterly vital setting and multi-year roadmap
- Compliance with all applicable laws and regulations
- Other duties as assigned
Qualifications
- 10+ years experience in end-to-end provider data management, including data integrity, data governance, reporting and analytics, and provider network adequacy support
- 5+ years experience collaborating with business & technical teams to support provider operations
- 6+ years of leadership experience
- 2+ years of experience in program management and/or process design or implementation
Bonus Points
- Master's degree
- Health Insurance, or Management Consulting experience with a focus on healthcare
- Lean / Six Sigma experience
- Financial modeling experience
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 and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.
Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.
Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant’s disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team ([email protected]) to make the need for an accommodation known.
Artificial Intelligence (AI) Guidelines: Please see our AI Guidelines for the acceptable use of artificial intelligence during the interview process at Oscar.
California Residents: For information about our collection, use, and 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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Oscar Health is an American health insurance company headquartered in New York City. Through telemedicine, healthcare-focused technology interfaces, and clear claims pricing systems, the company focuses on the health insurance market.
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