Senior Specialist, Issue Management

Oscar Health•Dallas, TX

2d•$67,813 - $80,000•Remote

About The Position

Oscar is a health insurance company built around a full-stack technology platform and a focus on serving its members. The Senior Specialist, Issue Management joins the Network Operations team and supports the design, optimization, and implementation of processes and improvements to provider operations in support of organizational goals. The role has day-to-day oversight of critical operational bottlenecks and implements lean, repeatable, and scalable tools and techniques, while independently representing the team across the organization. This is a fully remote position open to candidates residing in Dallas, Texas. Oscar notes that its approach to work may adapt over time and could potentially involve a hybrid presence at the hub office associated with the candidate’s metro area. The role reports to the Senior Manager, Provider Data Operations. The base pay is $67,813–$80,000 per year, with eligibility for employee benefits, participation in 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

With leadership support, 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 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.