Senior Specialist, Issue Management
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. The role provides day-to-day oversight to ensure that critical operational bottlenecks are resolved. It implements lean, repeatable, and scalable tools and techniques, and independently represents the team across the broader organization. The position is on Oscar’s Network Operations team and reports to the Senior Manager, Provider Data Operations. It is fully remote and open to candidates residing in Dallas, Texas, although Oscar notes that its approach to work may change and could potentially include a hybrid presence at the associated metro-area hub office.
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 ACA marketplace, provider network, 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 cost 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 management, stewardship, and analysis of data for compliant and performant business operations.
- Provide recommendations that support financial discipline and quality.
- Support 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.
Benefits
- Unlimited vacation program.
- Annual performance bonuses.
- Medical, dental, and vision benefits for full-time employees.
- 11 paid holidays.
- Paid sick time.
- Paid parental leave.
- 401(k) plan participation.
- Life and disability insurance.
- Paid wellness time and reimbursements.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
No Education Listed
