Senior Specialist, Issue Management
Oscar Health · Tempe, Arizona
What the posting says
Each fact was read from this posting and checked:Statedin the posting, quotedConflictsposted two ways, both shownNot mentionedwe looked; it is not there
- PayStated
- $67,813–$80,000 a year
- Employment typeStated
- Full time
- Work arrangementStated
- Hybrid
- ExperienceStated
- 0-2 years
Not mentioned in this posting
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- ShiftNot mentioned
- The posting does not say
- EducationNot mentioned
- The posting does not say
- Visa sponsorshipNot mentioned
- The posting does not say
Requirements, each with its sentence from the posting
These are the employer’s words. The index does not judge whether you meet them.
- Payer or provider operationsrequired
1+ years of professional experience in payer or provider operations
from the posting - Provider network managementrequired
1+ years of professional experience in payer or provider operations, provider network management
from the posting - Healthcare operationsrequired
1+ years of professional experience in payer or provider operations, provider network management, healthcare operations
from the posting - Data and metrics analysisrequired
1+ years of experience using data and metrics to drive improvements
from the posting - Process improvementrequired
1+ years of experience in process improvement and workflow design
from the posting - Workflow designrequired
1+ years of experience in process improvement and workflow design
from the posting - Executive communicationrequired
1+ years of experience in developing and presenting information and recommendations aimed at Senior Leadership
from the posting - Lean Six Sigmapreferred
Training or experience applying Continuous Process Improvement or Lean Six Sigma principles
from the posting - Project coordinationpreferred
Experience with project coordination or management in a matrixed organization
from the posting - Provider data managementpreferred
ACA marketplace, provider network, claims, healthcare quality, or provider data experience
from the posting
Read the full posting as the employer wrote it
Hi, we're Oscar. We're hiring a Senior Specialist, Issue Management to join our Network Operations team.
Oscar is the first health insurance company built around a full stack technology platform and a relentless 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:
The Senior Specialist, Issue Management supports the design, optimization, and implementation of processes and improvements to provider operations in support of achieving organizational goals. The Senior Specialist is responsible for day to day oversight of our most critical bottlenecks in Operations being resolved. The lead will implement lean, repeatable and scalable tools and techniques and independently represent the team within the broader organization.
You will report into the Senior Manager, Provider Data Operations
Work Location: This position is based in our Tempe, Arizona office, requiring a hybrid work schedule with 3 days of in-office work per week. Thursdays are a required in-office day for team meetings and events, while your other two office days are flexible to suit your schedule. #LI-Hybrid
Pay Transparency: The base pay for this role is: $67,813 - $80,000 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.
Responsibilities:
- With support from leadership, help identify risks; respond to and resolve issues/errors/escalations through investigation to inform insights for short/medium/long-term technology-enabled processes and solutions
- Coordinate projects and processes to help ensure key milestones and service levels are met
- Partner with leadership to strategize, implement, and manage arrangements aimed at lowering overall cost or improving outcomes
- Partner with cross-functional teams to ensure action plans align with continuous improvement goals, and participate in collaboration with peers and cross-functional stakeholders
- Support the management, stewardship, and analysis of data to support compliant and performant business operations
- Provide recommendations that ensure financial discipline and quality
- Support identifying and implementing process improvement initiatives, as well as mindset shifts, to optimize operational efficiency and achieve performance targets
- Compliance with all applicable laws and regulations
- Other duties as assigned
Requirements:
- 1+ years of professional experience in payer or provider operations, provider network management, healthcare operations, or a related field
- 1+ years of experience using data and metrics to drive improvements
- 1+ years of experience in process improvement and workflow design
- 1+ years of experience in developing and presenting information and recommendations aimed at Senior Leadership
Bonus points:
- ACA marketplace, provider network, claims, healthcare quality, or provider data experience
- Management consulting experience
- Training or experience applying Continuous Process Improvement or Lean Six Sigma principles
- Experience with project coordination or management in a matrixed organization
- Experience supporting RFP development and implementation of software or service solutions
This is an authentic Oscar Health job opportunity.
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.
Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.
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 (accommodations@hioscar.com) to make the need for an accommodation known.
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 Privacy Policy.
The posting text is reproduced as the employer wrote it; the index adds nothing to it.