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

The Associate, Claims Account Services drives solutions to acute and systemic issues within Oscar’s operations. The Associate owns end-to-end solutioning of provider escalations, orchestrating efforts cross-functionally with multiple internal partners. Accountable to provider partners, building strong relationships through effectiveness and trust.

You will report to the Manager, Claims Account Services.

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, California, Colorado, Connecticut, Florida, Georgia, Illinois, 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: $93,600 - $122,850 per year. The base pay for this role in all other locations is: $84,240 - $110,565 per year. You are also eligible for employee benefits, participation in Oscar’s unlimited vacation program and annual performance bonuses.

Responsibilities

Leads and cross collaborates on problem definition, acute error remediation, and root cause solution development
Utilizes data to drive business decisions to impact cross-functional strategy
Develops trusting relationships with relevant internal/external stakeholders through effective communication, collaboration and positive outcomes.
Supports Oscar team members through knowledge sharing, process documentation, and tooling development
Other duties as assigned
Compliance with all applicable laws and regulations

Qualifications

3+ years of relevant technical experience in operations, data analysis, and/or consulting within healthcare
2+ years experience using SQL to manipulate and analyze large data sets to solve business problems
3+ years experience cooperatively developing project plans with internal and external stakeholders
3+ years experience designing and improving workflows, including development of accompanying operating and technical procedures and tooling
Experience managing complicated business challenges: developing understanding, distilling and communicating that understanding to technical and non-technical audiences.

Bonus Points

Knowledge management, training, or content development in operational settings
Process Improvement or Lean Six Sigma certification
Structured, systematic, and critical thinking
Strong verbal and written communications

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 (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 Notice to Job Applicants.

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