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:

You will lead activities related to Network Operations and initiatives to support Network Contracting functions at Oscar to ensure success. Additionally, identifying and driving operational improvements for core operations, including proper controls and monitoring, to ensure operational efficiency and effectiveness, overseeing and coordinating the program across the organization and helping identify and implement project management fundamentals and standards across the organization.

You will report into the Director, Network Operations, Governance & Oversight.

Work Location: This position is based in our New York City 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: $111,780 - $146,711 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, and annual performance bonuses.

Responsibilities:

Organize and lead daily activities for your programs
Identify, develop and implement program strategy, optimizations and tooling that support the organization's objectives.
Meet with stakeholders to discuss program status and goals
Oversee implementations end to end to ensure program success
Using a cross-functional lens and subject matter expertise, drive end-to-end operational excellence to ensure efficient, repeatable processes leading to a sound program
Leverage subject matter expertise to drive targeted program standardization, operationalization, and issue resolution and/or root cause analysis efforts while collaborating with key internal stakeholders to optimize efficiency, including training resources and other key process decisions
Lead, oversee, and coordinate projects and strategic initiatives related to network operations and contracting. This includes supporting the development of technical tools.
Manage cross-functional work groups that support and optimize end-to-end Network Contracting processes
Partner with other departments and various stakeholders to ensure operational excellence
Analyze program risks; ability to anticipate risks and issues. This includes proactive flagging of issues, managing escalations, and tracking and helping to resolve risks and issues.
Ensure proper controls and monitoring are in place for the your program
Work with leadership and the program stakeholders to lead program retros and assess program strengths and weaknesses
Ensure proper metrics are in place to measure program success
Compliance with all applicable laws and regulations
Other duties as assigned

Requirements:

4+ years of program and project management in the health insurance space
4+ years experience in change management and process improvement
2+ years in provider relations/provider contracting space

Bonus points:

Health Insurance experience
PMP or Six Sigma certification
Experience working within a rapidly scaling organization
Training new functionality and building training materials

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.

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.

See more open positions at Oscar Health

Privacy policy Cookie policy