Senior Specialist, Issue Management

Oscar Health•Tempe, AZ

2d•$67,813 - $80,000•Hybrid

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 the resolution of critical operational bottlenecks and implements lean, repeatable, and scalable tools and techniques. The Senior Specialist independently represents the team across the organization and reports to the Senior Manager, Provider Data Operations. The position is based in Oscar’s Tempe, Arizona office and follows a hybrid schedule with three in-office days per week. Thursdays are required for team meetings and events; the other two office days are flexible. The base pay range is $67,813–$80,000 per year. The role is eligible 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

Experience in the ACA marketplace, provider networks, claims, healthcare quality, or provider data.
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

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 intended to lower overall costs or improve 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 the identification and implementation of 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.