Senior Specialist, Issue Management

Oscar Health•Dallas, TX

10h•$67,813 - $89,004•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 achieving organizational goals. The Senior Specialist is responsible for day to day oversight of our most critical bottlenecks in Operations being resolved. The lead will implement lean, repeatable and scalable tools and techniques and independently represent the team within the broader organization. You will report into the Director, Process Improvement. 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.

Requirements

1+ years of professional experience in payer or provider operations, provider network management, healthcare operations, or a related field
1+ years of experience using data and metrics to drive improvements
1+ years of experience in process improvement and workflow design
1+ years of experience in 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 support from leadership, help identify risks; respond to and resolve issues/errors/escalations through investigation to inform insights for short/medium/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 participate in collaboration 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, as well as mindset shifts, to optimize operational efficiency and achieve performance targets
Compliance with all applicable laws and regulations
Other duties as assigned