Senior Specialist, Issue Management

Oscar Health•Atlanta, GA

2d•$67,813 - $80,000•Remote

About The Position

The Senior Specialist, Issue Management supports the design, optimization, and implementation of processes and improvements to provider operations in support of organizational goals. This role provides day-to-day oversight of critical operational bottlenecks through resolution, implements lean, repeatable, and scalable tools and techniques, and independently represents the team across the organization. The position reports to the Senior Manager, Provider Data Operations. This is a fully remote position open to candidates residing in Atlanta, Georgia. Oscar notes that its approach to work may evolve, and future models could potentially involve a hybrid presence at the hub office associated with the candidate's metro area. The base pay is $67,813–$80,000 per year, with eligibility for employee benefits, Oscar's unlimited vacation program, and annual performance bonuses.

Requirements

At least 1 year of professional experience in payer or provider operations, provider network management, healthcare operations, or a related field.
At least 1 year of experience using data and metrics to drive improvements.
At least 1 year of experience in process improvement and workflow design.
At least 1 year of experience developing and presenting information and recommendations aimed at Senior Leadership.

Nice To Haves

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.

Responsibilities

With leadership support, help identify risks and investigate, respond to, and resolve issues, errors, and escalations to inform short-, medium-, and 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 collaborate 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 and mindset shifts to optimize operational efficiency and achieve performance targets.
Comply with all applicable laws and regulations.
Perform other duties as assigned.