Manager, Provider Process Design

Hi, we're Oscar. We're hiring a Manager, Provider Process Design 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:

You will work closely with a cross functional team of leaders, project managers, and Business Stakeholders to solve business problems related to internal processes. You will be responsible for identifying critical processes to the business, defining the business' requirements, process mapping and assessing the overall effectiveness and efficiency of the process, developing new or reengineering existing processes, and supporting implementation. This includes an E2E approach and direct ownership of the program being developed. You will help supportsour teams in driving a best-in-class, service-focused operation by designing and guiding the use of operational frameworks and ideologies.

You will report into the Director, Process Improvement.

Work Location: This is a remote position, open to candidates who reside in: Dallas, Texas. You will be fully remote; however, our approach to work may adapt over time. Future models could potentially involve a hybrid presence at the hub office associated with your metro area. #LI-Remote

Pay Transparency: The base pay for this role is: $105,818 - $138,886 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, and annual performance bonuses.

Responsibilities:

• Be the example of the continuous improvement mindset, providing effective direction and influence, while demonstrating actual results of organizational behavior change in this area


• Demonstrate the proper approach with implementation of Continuous Improvement Tools both internal to the organization and aligned to industry standards and best practices


• Partner cross functionally with various leaders in all areas of the business to support the drive towards core operational improvements


• Utilize and implement programmatic frameworks and tools while adjusting your approach based on measured outcomes across simultaneous operating improvement projects


• Creating and sustaining foundational stability and ensuring scalability within your area of responsibility


• Use process improvement best practices, such and Lean and Six Sigma principles, to engineer/reengineer and implement consistent organizational processes and clear engagement models


• Provide clear context, in the form of BusinessRequirements Documents (BRDs), process maps, standard operating procedures and policy documents on what is being built and why it's being built.


• Compliance with all applicable laws and regulations


• Other duties as assigned

Requirements:

• 4+ years of work experience in provider operations in a payer setting


• Experience and strong understanding of NCQA, CMS, NUCC requirements

• 3+ years of experience using data software such as google platforms, SQL, or other data analytics tools


• 3+ years of experience with end to end project management


• 3+ years of experience in designing and improving workflows as well as standing up accompanying operating and technical procedures


• 3+ years of experience working cross-functionally as a program ownership with vendor engagement and internal teams to achieve operational business objectives/KPIs/OKRs

Bonus points:

• Bachelor's degree in Engineering, Business Administration, or other related field


• Lean Six Sigma Green Belt certification or higher


• A bachelor's degree or 4+ years commensurate 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.

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 ([email protected]) to make the need for an accommodation known.

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