Hi, we're Oscar. We're hiring a Director, Network Contracting & Services to join our Network team.

Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.

About the role

Work Location: 

Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission. 

If you live within commutable distance to our New York City office (in Hudson Square), our Tempe office (off the 101 at University Dr), or our Los Angeles office (in Marina Del Rey), you will be expected to come into the office at least two days each week. Otherwise, this is a remote / work-from-home role.  

You must reside in one of the following states: Alabama, Arizona, California, Colorado, Connecticut, Florida, Georgia, Illinois, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, or Washington, D.C. Note, this list of states is subject to change. #LI-Remote

Pay Transparency:

The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $158,400 - $207,900 per year. The base pay for this role in all other locations is: $142,560 - $187,110 per year. You are also eligible for employee benefits, participation in Oscar’s unlimited vacation program, company equity grants, and annual performance bonuses.

Responsibilities

• Develop and implement contracting strategies in partnership with Market Leaders that align with the company’s overall network development and cost management objectives.
• Lead and mentor the provider contracting team, setting clear goals and expectations.
• Collaborate with the Network Monitoring & Performance team to identify network gaps and develop strategies to expand provider relationships and access to care.
• If necessary, be able to source and identify OON provider targets that align with Oscars overall Market strategy
• Lead contract negotiations with hospitals, physicians, ancillary service providers, and other healthcare entities.
• Develop and execute contracting agreements that drive financial performance, ensure access to quality care, and support cost control efforts.
• Ensure timely resolution of provider issues related to contract terms, reimbursement, and network participation.
• Ensure all provider agreements comply with relevant federal, state, and local regulations.
• Act as a primary point of contact between the organization and healthcare providers for contracting-related activities.
• Build and maintain strong working relationships with providers to foster collaboration and network stability.
• Compliance with all applicable laws and regulations
• Other duties as assigned 

Qualifications

• 10+ years of experience in healthcare provider contracting, network development, or related areas.
• 5+ years experience negotiating complex contracts with hospitals, physician groups, and other healthcare providers.
• 4+ years of leadership or managerial experience in a healthcare setting.

Bonus Points

• Strong understanding of healthcare delivery systems, reimbursement models, and managed care principles.

Travel required?

• As needed

Hi, we're Oscar. We're hiring a Senior Director, Network Contracting & Services to join our Network team.

Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.

About the role

Work Location: 

Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission. 

If you live within commutable distance to our New York City office (in Hudson Square), our Tempe office (off the 101 at University Dr), or our Los Angeles office (in Marina Del Rey), you will be expected to come into the office at least two days each week. Otherwise, this is a remote / work-from-home role.  

You must reside in one of the following states: Alabama, Arizona, California, Colorado, Connecticut, Florida, Georgia, Illinois, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, or Washington, D.C. Note, this list of states is subject to change. #LI-Remote

Pay Transparency:

The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $192,000 - $252,000 per year. The base pay for this role in all other locations is: $172,8000 - $226,800 per year. You are also eligible for employee benefits, participation in Oscar’s unlimited vacation program, company equity grants, and annual performance bonuses.

Responsibilities

• Develop and implement complex contracting strategies in partnership with multiple Market Leaders that align with the company’s overall network development and cost management objectives.
• Lead and mentor the provider contracting team, setting clear goals and expectations.
• Collaborate with the Network Monitoring & Performance team to identify network gaps and develop strategies to expand provider relationships and access to care.
• If necessary, be able to source and identify OON provider targets  that align with Oscars overall Market strategy
• Lead complex contract negotiations with hospitals, physicians, ancillary service providers, and other healthcare entities.
• Develop and execute standard and complex contracting agreements that drive financial performance, ensure access to quality care, and support cost control efforts.
• Ensure timely resolution of provider issues related to contract terms, reimbursement, and network participation.
• Ensure all provider agreements comply with relevant federal, state, and local regulations.
• Act as a primary point of contact between the organization and healthcare providers for contracting-related activities.
• Build and maintain strong working relationships with providers to foster collaboration and network stability.
• Compliance with all applicable laws and regulations
• Other duties as assigned 

Qualifications

• 12+ years of experience in healthcare provider contracting, network development, or related areas.
• 7+ years experience negotiating complex contracts with hospitals, physician groups, and other healthcare providers.
• 5+ years of leadership or managerial experience in a healthcare setting.

Bonus Points

• Strong understanding of healthcare delivery systems, reimbursement models, and managed care principles.

Travel required?

• As needed

Hi, we're Oscar. We're hiring a Operations Analyst, Plan Loading to join our Benefit Configuration team.

Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.

About the role

The Operations Analyst, Plan Loading supports incoming projects and work designed to improve the consistency, accuracy, and efficiency of system configuration. Through collaboration with stakeholders in the organization and gaining an understanding of Oscar’s platform capabilities, this role ensures information is loaded accurately and efficiently, all while furthering the mission of Oscar: making healthcare more affordable for all.

You will report to the Senior Operations Manager, Benefit Configuration.

Work Location:

Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission.

If you live within commutable distance to our New York City office (in Hudson Square), our Tempe office (off the 101 at University Dr), or our Los Angeles office (in Marina Del Rey), you will be expected to come into the office at least two days each week. Otherwise, this is a remote / work-from-home role.

You must reside in one of the following states: Alabama, Arizona, California, Colorado, Connecticut, Florida, Georgia, Illinois, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, or Washington, D.C. Note, this list of states is subject to change. #LI-Remote

Pay Transparency:

The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $60,000 - $78,750 per year. The base pay for this role in all other locations is: $54,000 - $70,875 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities

• Strong understanding of designs, builds, and configuration workflows and utilize this knowledge to develop insights into opportunities for workflow improvements.
• Understand aggregated configuration data to identify updates required and to measure the impact of any changes on internal operations and existing configuration 
• Load configuration data into the core system accurately and in a timely manner
• Leverage internal tools and technical processes, in particular database querying and benefit configuration concepts.
• Build SQL queries and translate technical analyses into easily digestible communications to a nontechnical audience
• Perform detailed oriented work with a high level of accuracy and adherence to all QA/QC protocols
• Identify and report on any data/data infrastructure gaps, deficiencies, or irregularities
• Compliance with all applicable laws and regulations 
• Other duties as assigned

Qualifications

• 1+ years of working knowledge of health plan benefit concepts (e.g., deductibles and other forms of cost sharing, etc.).
• 1+ years of proficiency in Microsoft Word, Excel and PowerPoint and/or comparable programs within the Google Docs Editors suite (e.g., Google Docs, Google Sheets, Google Slides). 
• 1+ years of experience manipulating and analyzing large data sets using excel or a similar database language to solve business problems
• Proficiency in SQL

Bonus Points

• A bachelor’s degree or 4 years commensurate experience 
• Working knowledge of medical coding concepts (e.g., CPT, HCPCs and ICD-10 coding)

Hi, we're Oscar. We're hiring a Manager, Risk Adjustment to join our Risk Adjustment team.

Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.

About the role

The Manager, Risk Adjustment monitors performance standards, implementing workflows, supporting strategic vision, and administering all aspects of Risk Adjustment Coding and Auditing Programs to meet our needs of Oscar and the requirements of our regulatory agencies.

You will report to the Senior Manager, Risk Adjustment Coding Accuracy and Auditing.

Work Location:

Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission.

If you live within commutable distance to our New York City office (in Hudson Square), our Tempe office (off the 101 at University Dr), or our Los Angeles office (in Marina Del Rey), you will be expected to come into the office at least two days each week. Otherwise, this is a remote / work-from-home role.

You must reside in one of the following states: Alabama, Arizona, California, Colorado, Connecticut, Florida, Georgia, Illinois, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, or Washington, D.C. Note, this list of states is subject to change. #LI-Remote

Pay Transparency:

The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $98,400 - $129,150 per year. The base pay for this role in all other locations is: $88,560 - $116,235 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities

• Monitor overall team performance; project production, coding quality, and pace of projects observing industry standards, regulatory deadlines, business objectives. 
• Collaborate and participate with multiple teams throughout the business to improve operations and promote business objectives. 
• Create and conduct risk adjustment training for new hires and existing direct reports to improve performance, quality, and team efficiency 
• Delegation, management, and ownership of risk adjustment project volumes and pace
• Evaluate a variety of medical records and provider documentation to ensure validity and accuracy of ICD-10- CM codes. 
• Review project performance; identify and escalate coding and platform trends to management, manner to promote resolution and convey education. 
• Align team performance following State and Federal regulatory guidance to ensure Risk Adjustment activities are compliant with all applicable laws, regulations, rules and policies.
• Support coding and auditing teams to meet our goals, CMS regulations and quality standards for Medicare Advantage and ACA Risk Adjustment, including provider education, coding, auditing and referrals along with the daily operations of the Risk Adjustment coders and auditors
• Support the review and delivery of provider audit results with education observing regulatory/accreditation/operational requirements.
• Compliance with all applicable laws and regulations
• Other duties as assigned

Qualifications

• Bachelor’s degree in a relevant field of study or commensurate work experience
• 4+ Years of experience in RA Coding and Auditing
• 2+ Years of experience managing teams
• 2+ Years experience as the subject matter expert in areas of Medicare Advantage and Commercial (ACA) Risk Adjustment 
• 2+ Years Experience with Electronic Health Records (EHRs) and Clinical Continuity of Care Documents (CCDs)
• Certified Professional Coder (CPC)

Bonus Points

• PAHM or other health related certification
• Additional clinical or coding certifications (CPMA, CRC, CCS - P, CCS, RHIA, RHIT) 
• Risk Adjustment Data Validation (RADV)
• Clinical Documentation Improvement (CDI) Education / Provider Education Feedback

Hi, we're Oscar. We're hiring an Operations Associate to join our Claims Design team.

Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.

About the role

This role is responsible for designing, optimizing and implementing processes and improvements for Oscar’s claims adjudication platform. This person will identify, scope, build, test and implement solutions, with a focus on creating efficiency and scale through technology and automation. They will understand Oscar’s infrastructure, underlying logic, and data models, and will work cross-functionally to understand and translate requirements/rules from business stakeholders to enable technical implementation.

You will report to the Manager, Claims Design.

Work Location:

If you live within commutable distance to our New York City office (in Hudson Square), our Tempe office (off the 101 at University Dr), or our Los Angeles office (in Marina Del Rey), you will be expected to come into the office at least two days each week. Otherwise, this is a remote / work-from-home role.

You must reside in one of the following states: Alabama, Arizona, California, Colorado, Connecticut, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, or Washington, D.C. Note, this list of states is subject to change.

Pay Transparency:

The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $98,400 - $129,150 per year. The base pay for this role in all other locations is: $88,560 - $116,235 per year. You are also eligible for employee benefits, participation in Oscar’s unlimited vacation program and annual performance bonuses.

Responsibilities

• Designs and prioritizes operational processes by working cross functionally to gather business requirements and implementing process- and technology-enabled solutions
• Leads and cross collaborates on iterative problem definition and technical design and scoping to build solutions with the end-user in mind
• Utilizes data to independently drive business decisions, impact cross-functional strategy and develop KPIs to measure the effectiveness of your domain
• Serve as a subject matter expert in the claims payments and overpayments process within the claims lifecycle
• Proactively identifies risks; responds to and resolves issues/errors/escalations through data-driven investigation to produce insights for short, medium, and long-term technology-enabled solutions
• Distills the requirements of new product and market expansions and designs automated workflows to reduce manual work requirements
• Works with engineers, analysts and other Operations team members to resolve escalations, develop training, and create technical tooling to enable others
• Understands the operations ecosystem, technology and data models; its current strengths, weaknesses, and gaps; and connects the dots for other teams
• Compliance with all applicable laws and regulations 
• Other duties as assigned

Qualifications

• A bachelor’s degree or 4+ years commensurate experience 
• 3+ years experience in a technical role (QA analyst, PM, operations analyst, finance, consulting, industrial engineering)
• 3+ years experience using data software such as SQL or Python
• Experience in analytics & ability to derive insights from complex, broad datasets 
• Proficiency in designing and improving workflows as well as standing up accompanying operating and technical procedures

Bonus Points

• An academic and professional background in coding, math, statistics, engineering or data science
• Knowledge management, training, or content development in operational settings
• Process Improvement or Lean Six Sigma training
• Experience in healthcare or startup environments - specifically with claims adjudication
• Proficiency with Python

Hi, we're Oscar. We're hiring a Clinical Supervisor to join our Transitions of Care Team.

Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.

About the role

The Clinical Supervisor leads a clinical team. You will be both clinical and leadership support for the team and will drive goals and metrics for the clinical team to meet our goals while providing coaching and leadership. You will guide process improvement and escalate trends or concerns to appropriate team members. Additionally, you will build relationships with external health systems and vendors.

You will report to the Clinical Manager of Clinical Care Navigation.

Work Location:

Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission.

If you live within commutable distance to our New York City office (in Hudson Square), our Tempe office (off the 101 at University Dr), or our Los Angeles office (in Marina Del Rey), you will be expected to come into the office at least two days each week. Otherwise, this is a remote / work-from-home role.

You must reside in one of the following states: Alabama, Arizona, California, Colorado, Connecticut, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, or Washington, D.C. Note, this list of states is subject to change. #LI-Remote

Pay Transparency:

The base pay for this role is: $88,800 - $116,550 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, and annual performance bonuses.

Responsibilities

• Lead team and department meetings and participate in meetings with operations management and within the current department.
• Be a clinical expert and resource for the team and other departments.
• Promote team strategy to achieve department goals.
• Provide detailed feedback to members of the team and company to produce positive results.
• Lead continuous improvement activities that influence the improvement and development of a high performing team.
• Manage team's outcomes, monitor dashboards, and track operational goals, conducting root-cause analysis and constructing action plans when issues arise.
• Manage daily needs of the team, personnel issues, payroll and attendance. Monitoring and approving PTO and sick time.
• Help interview, hiring, and training.
• Provide coaching and support to the team to ensure development.
• Monitor QI and provide individual QI feedback to the team in 1:1's.
• Uphold and enforce Oscar policies that create accountability and agreement.
• Compliance with all applicable laws and regulations
• Other duties as assigned

Qualifications

• 3+ years of experience in a healthcare setting as a nurse or social worker.
• 1+ years of case management experience at a managed care plan or provider organization
• Active, unrestricted Nursing license (RN) in your state of hire and ability to obtain additional licensure as needed OR Masters in Social Work

Bonus Points

• 1+ year of previous leadership experience in a health care environment
• Working knowledge of Milliman Care Guidelines or familiarity with UM guidelines
• CCM certification
• BSN or LMSW/LCSW
• Bilingual in Spanish
• Proficiency navigating Excel, JIRA, and SQL

Hi, we're Oscar Medical Group. We’re hiring a (LPN/LVN) Clinical Operations Lead to join our Oscar Primary Care team. 

At Oscar Medical Group, we are refactoring healthcare. We want to help each of our members achieve their healthcare goals in a personalized way. To help us achieve that goal we are looking for innovative leaders who think big and push boundaries to refactor healthcare and the healthcare delivery system.

About the role:

You will directly oversee a team of Licensed Practical Nurses/Licensed Vocational Nurses assisting in day to day patient care and operations in a virtual clinic setting. You will oversee the day to day performance of your team. You will partner with the Medical Director on overall practice team performance, metrics, and workflows.

You will report into the RN Manager.

Work Location:

Oscar Medical Group is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission. 

This is a remote / work-from-home role. You must reside in one of the following states: Arizona, California, Colorado, Florida, Georgia, Illinois, Massachusetts, Michigan, Nevada, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Texas, or Virginia. Note, this list of states is subject to change. #LI-Remote

Pay Transparency:

The base pay for this role is: $56,700 - $74,419 per year. You are also eligible for employee benefits, annual vacation grant of up to 18 days per year, and annual performance bonuses.

Responsibilities:

• Provide leadership, direction and support to the licensed practical nursing team in collaboration with the RN and clinical leadership team.
• Oversee the delivery of virtual nursing care services, ensuring adherence to established clinical protocols, guidelines, SLAs and best practices.
• Serve as a clinical resource for licensed practical nurses, providing guidance on complex cases, clinical decision-making, and evidence-based practice.
• Review patient assessments, care plans, and interventions to ensure quality, safety, and effectiveness.
• Collaborate with internal and external stakeholders to coordinate patient care, and facilitate interdisciplinary communication.
• Work cross functionally to drive operational efficiencies for the practice
• Participate in quality improvement initiatives, including chart reviews, clinical audits, and outcome assessments, to identify areas for improvement and implement evidence-based interventions.
• Compliance with all applicable laws and regulations
• Other duties as assigned

Requirements:

• Graduate of an accredited School of Practical/Vocational Nursing (LPN, LVN)
• Active, unrestricted LVN/LPN license in one of the following states: Georgia, Florida, Texas ORcompact/multistate license
• 4+ years of outpatient / ambulatory LVN/LPN experience
• 2+ years of nursing leadership or supervisory experience

Bonus points:

• Remote team management experience (or hybrid model thru COVID)

Hi, we're Oscar. We're hiring a Director, Member & Provider Program Operations to join our Member & Provider Programs team.

Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.

About the role

You will drive the strategy, program design and implementation of company strategy in Provider, Member and Broker Services. The primary responsibility for this role is to set the overall department strategy and deploy tactics that allow us to enhance our overall program value. You will also be responsible for program effectiveness to ensure the strategies we deploy drive intended results.

Work Location: 

Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission. 

If you live within commutable distance to our New York City office (in Hudson Square), our Tempe office (off the 101 at University Dr), or our Los Angeles office (in Marina Del Rey), you will be expected to come into the office at least two days each week. Otherwise, this is a remote / work-from-home role.  

You must reside in one of the following states: Alabama, Arizona, California, Colorado, Connecticut, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, or Washington, D.C. Note, this list of states is subject to change. #LI-Remote

Pay Transparency:

The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $174,400 - $228,900 per year. The base pay for this role in all other locations is: $156,960 - $206,010 per year. You are also eligible for employee benefits, participation in Oscar’s unlimited vacation program, company equity grants and annual performance bonuses.

Responsibilities

• Set, drive, and execute on the department strategy and vision to enhance program’s overall value including determining and uncovering new opportunities
• Develop and administer a program effectiveness pillar aimed at ensuring our cross functional business is aligned on outcomes, that we have the right measurement and methodology to demonstrate our success and agreement on accountability in support of our operations in Provider and Member Services.
• Understand the competitive landscape of the department and act as a thought leader for the particular SME the department runs 
• Work cross functionally with other departments to bring new ideas to life and hold accountable through indirect management 
• Program management of key company and department strategy initiatives 
• Own and continuously evaluate financial and performance of the department
• Report to  Senior Leadership on the health of the business 
• Drive the budgeting process and the fiscal performance for the team in association with the leadership team
• Development and growth of direct reports, ensuring that colleagues are supported in professional development 
• Compliance with all applicable laws and regulations
• Other duties as assigned

Qualifications

• 10+ years experience in healthcare strategy and operations, and/or related field
• 6+ years of direct management experience 
• 3+ years experience in leading large-scale cross functional initiatives

Bonus Points

• Master’s degree 

• Clinical licensure
• Management Consulting experience with a focus on healthcare 
• Experience modeling in Excel / Google Sheets
• Experience in a growth-stage company

Hi, we're Oscar. We're hiring a Senior Learning Specialist to join our Decentralized Learning team.

Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.

About the role

You will design and facilitate training content to foster an agile workforce. You will play a crucial role in achieving high-quality training standards aligned to key business outcomes.

You will report to the Associate Operations Manager, Decentralized Learning.

Work Location:

Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission.

If you live within commutable distance to our New York City office (in Hudson Square), our Tempe office (off the 101 at University Dr), or our Los Angeles office (in Marina Del Rey), you will be expected to come into the office at least two days each week. Otherwise, this is a remote / work-from-home role.

You must reside in one of the following states: Alabama, Arizona, California, Colorado, Connecticut, Florida, Georgia, Illinois, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, or Washington, D.C. Note, this list of states is subject to change. #LI-Remote

Pay Transparency:

The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $72,800 - $95,550 per year. The base pay for this role in all other locations is: $65,520 - $85,955 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities

• Create, design, and build both instructor-led and eLearning content via authoring tools, applying adult learning theory to maximize learner success
• Collaborate with subject matter experts to source key content needed to design trainings
• Audit and update training content, leveraging subject matter experts and learning feedback to ensure accuracy and effectiveness
• Identify opportunities to reduce waste in training content through consolation and standardization
• Facilitate instructor-led courses across multiple audiences, ensuring engagement from both in-person and remote learners
• Compliance with all applicable laws and regulations
• Other duties as assigned

Qualifications

• 2+ years experience developing training in a production environment, including eLearning design
• 2+ years experience facilitating or presenting in company meetings
• 2+ years experience working with teams in multiple locations within multiple disciplines 
• 2+ years working in a collaborative environment with a diverse set of people

Bonus Points

• Instructional Design Certification
• PMP and/or Six Sigma Certified
• Bachelor’s degree
• Experience working in a call center support function
• Experience in health insurance 
• Experience working in a regulated industry
• Experience working with BPOs

Hi, we're Oscar. We're hiring a Team Lead, Knowledge Management Operations to join our Knowledge Management team.

Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.

About the role

You will manage the success of Knowledge Management teams by driving performance, effectiveness, and operational improvements to daily workflows and strategies.

You will report to the Manager, Knowledge Management.

Work Location:

Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission.

If you live within commutable distance to our New York City office (in Hudson Square), our Tempe office (off the 101 at University Dr), or our Los Angeles office (in Marina Del Rey), you will be expected to come into the office at least two days each week. Otherwise, this is a remote / work-from-home role.

You must reside in one of the following states: Alabama, Arizona, California, Colorado, Connecticut, Florida, Georgia, Illinois, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, or Washington, D.C. Note, this list of states is subject to change. #LI-Remote

Pay Transparency:

The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $60,000 - $78,750 per year. The base pay for this role in all other locations is: $54,000 - $70,875 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities

• Hire and manage a team of colleagues with direct responsibility for performance management, their growth and development, and associated HR administrative tasks.
• Manage team’s outcomes, monitor dashboards, track operational KPIs, conduct root-cause analysis and construct action plans as issues arise.
• Understand and be connected to the type of work the team does on a daily basis, being able to make quality decisions that best serve our customers. 
• Serve as a central communicator by leading team huddles with Oscar colleagues, connecting colleagues to the mission, vision, and values of Oscar, and providing guidance and motivation to achieve daily operational objectives
• Be a culture carrier, driving engagement with the team to create an inclusive and inviting culture that aligns with Oscar’s core values
• Actively lead and participate in continuous improvement activities that drive or influence the improvement and development of a high performing knowledge management team and system
• Compliance with all applicable laws and regulations
• Other duties as assigned

Qualifications

• 3+ years experience working with a knowledge management system
• 2+ years experience developing policies or procedures
• 2+ years experience in a fast-paced operations or customer service environment
• 2+ years of direct people management experience
• 2+ years of experience using data and metrics to drive improvements

Bonus Points

• Bachelor's degree
• Lean Six Sigma or Process Improvement certification
• Prior healthcare and/or insurance experience
• Advanced Google Suite or Microsoft Office capabilities
• 2+ years experience solving complex inquiries
• 1+ years experience managing projects
• Experience working with teams in multiple locations and multiple disciplines
• Strong verbal and written communication skills

Hi, we're Oscar. We're hiring a Workforce Management Project Lead to join our Workforce Management team.

Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.

About the role

The Workforce Management Project Lead supports the design, optimization, and implementation of processes and improvements to operations to support achieving organizational goals. You will implement lean, repeatable and scalable tools and techniques and independently represent the team within the broader organization.

You will report to the Workforce Manager.

Work Location:

Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission. 

If you live within commutable distance to our Tempe office (off the 101 at University Dr), we ask you to come into the office at least two days each week. Otherwise, this is a remote / work-from-home role.

You must reside in one of the following states: Alabama, Arizona, Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Mexico, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, or Washington, D.C. Note, this list of states is subject to change. #LI-Remote

Pay Transparency:

The base pay for this role is: $65,520.00 - $85,995.00 per year. You are also eligible for employee benefits, participation in Oscar’s unlimited vacation program and annual performance bonuses.

Responsibilities

• Identify risks with support from leadership to 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 important milestones and service levels are met
• Partner with leadership to strategize, implement, and manage projects aimed at lowering overall cost-of-care or improving healthcare outcomes
• Partner with teams to ensure action plans align with continuous improvement goals, and participate in collaboration with peers and team members
• Gather and analyze data, finding insights, to root cause problems and identify countermeasures.
• Provide recommendations that result in operation admin savings and improved quality.
• Support identifying and implementing process improvement projects, and mindset shifts, to improve operational efficiency and achieve performance targets
• Compliance with all applicable laws and regulations
• Other duties as assigned

Qualifications

• 1+ years of professional experience in Workforce Management
• 1+ years of experience using data to guide improvements
• 1+ years of experience in process improvement and workflow design
• 1+ years of experience creating and presenting information and recommendations aimed at Senior Leadership

Bonus Points

• Affordable Care Act (ACA) marketplace, provider network, claims, healthcare quality, or provider data experience
• Experience with NICE IEX or InContact systems
• Contact center leadership experience
• Training or experience applying Continuous Process Improvement or Lean Six Sigma principles
• Experience with project coordination or management in a matrixed organization

Hi, we're Oscar. We're hiring a Operations Associate, Claim Design & Configuration to join our Claims Design team.

Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.

About the role

This role is responsible for designing, optimizing and implementing processes and improvements for configuring Oscar’s claims adjudication platform. This role identifies, scopes, builds, and implements solutions, with a focus on creating efficiency and scale through technology and automation. They will understand Oscar’s infrastructure, underlying logic, and data models, and will work cross-functionally to enable improvements of Oscar’s claim adjudication.

You will report to the Manager, Claims Design.

Work Location: 

Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission. 

If you live within commutable distance to our New York City office (in Hudson Square), our Tempe office (off the 101 at University Dr), or our Los Angeles office (in Marina Del Rey), you will be expected to come into the office at least two days each week. Otherwise, this is a remote / work-from-home role.  

You must reside in one of the following states: Alabama, Arizona, California, Colorado, Connecticut, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, or Washington, D.C. Note, this list of states is subject to change. #LI-Remote

Pay Transparency:

The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $98,400 - $129,150 per year. The base pay for this role in all other locations is: $88,560 - $116,235 per year. You are also eligible for employee benefits, participation in Oscar’s unlimited vacation program and annual performance bonuses.

Responsibilities

• Designs and prioritizes operational processes by working cross functionally to gather business requirements and implementing process and technology-enabled solutions
• Leads and cross collaborates on iterative problem definition and technical design and scoping to build solutions with the end-user in mind
• Utilizes and analyzes data to independently drive business decisions, impact cross-functional strategy and develop KPIs to measure the effectiveness of your domain
• Proactively identify risks; responds to and resolves issues/errors/escalations through data-driven investigation to produce insights for short, medium, and long-term technology-enabled solutions
• Distills the requirements of new product and designs automated workflows to reduce manual work requirements
• Works with other team members to resolve issues, develop training, and create technical tooling to enable others
• Compliance with all applicable laws and regulations
• Other duties as assigned

Qualifications

• A bachelor’s degree or 4+ years commensurate experience 
• 3+ years experience in operations, health insurance, data analysis, engineering and/or consulting
• 3+ years experience using data software such as SQL or Python
• 3+ years experience in analytics & ability to derive insights from complex, broad datasets 
• 1+ years experience designing and improving workflows as well as standing up accompanying operating and technical procedures

Bonus Points

• Process Improvement or Lean Six Sigma training
• Experience with healthcare claims processing

Hi, we're Oscar. We're hiring a Physician Reviewer to join our Utilization Management team.

Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.

About the role

This role determines the medical appropriateness of inpatient, outpatient, and pharmacy services by reviewing clinical information and applying evidence-based guidelines.

You will report to the Medical Director, Utilization Management.

Work Location: 

Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission. 

If you live within commutable distance to our New York City office (in Hudson Square), our Tempe office (off the 101 at University Dr), or our Los Angeles office (in Marina Del Rey), you will be expected to come into the office at least two days each week. Otherwise, this is a remote / work-from-home role.  

You must reside in one of the following states: Alabama, Arizona, California, Colorado, Connecticut, Florida, Georgia, Illinois, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, or Washington, D.C. Note, this list of states is subject to change. #LI-Remote

Pay Transparency:

The base pay for this role is: $211,200 - $277,200 per year. You are also eligible for employee benefits, participation in Oscar’s unlimited vacation program and annual performance bonuses.

Responsibilities

• Provide timely medical reviews that meet Oscar’s stringent quality parameters. 
• Provide clinical determinations based on evidence-based criteria and Oscar internal guidelines and policies, while utilizing clinical acumen.
• Clearly and accurately document all communication and decision-making in Oscar workflow tools, ensuring a member could easily reference and understand your decision (Flesch-Kincaid grade level).
• Use correct templates for documenting decisions during case review.
• Meet the appropriate turn-around times for clinical reviews.
• Receive and review escalated reviews.
• Conduct timely peer-to-peer discussions with treating providers to clarify clinical information and to explain review outcome decisions, including feedback on alternate treatment based on medical necessity criteria and evidence-based research.
• Compliance with all applicable laws and regulations 
• Other duties as assigned 

Qualifications

• Board certification as an MD or DO with a current unrestricted license to practice medicine is required
• 6+ years of clinical practice
• 1+ years of utilization review experience in a managed care plan (health care industry)

Bonus Points

• Licensure in multiple Oscar states
• Board Certified in Cardiology or Neurology
• Experience with care management within the health insurance industry
• Willing and able to obtain additional state licensure as business needs, with Oscar’s support

Hi, we're Oscar Medical Group. We’re hiring an Advanced Practice Provider (NP or PA) to join our Virtual Urgent Care team. 

At Oscar Medical Group, we are refactoring healthcare. We want to help each of our members achieve their healthcare goals in a personalized way. To help us achieve that goal we are looking for innovative leaders who think big and push boundaries to refactor healthcare and the healthcare delivery system.

About the role:

We are looking for virtual care providers who can provide telemedicine services and are always looking to explore new ways we can provide virtual care. You will deliver patient care on Oscar’s platform(s) both via messaging and phone. As an Oscar Medical Group provider, you’ll have the opportunity to re-imagine how we diagnose, treat and follow up with members virtually. You will work remotely, and work hand in hand with our team to provide exceptional patient care.

Overnight shift: 

11p - 7a EST / 8p - 4a PST (shift is available in all time zones)

8hr shifts, 5 days a week

You will report into the Medical Director, Virtual Urgent Care.

Work Location:

Oscar Medical Group is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission. 

This is a remote / work-from-home role. You must reside in one of the following states: Arizona, California, Colorado, Florida, Georgia, Illinois, Massachusetts, Michigan, Nevada, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Texas, or Virginia. Note, this list of states is subject to change. #LI-Remote

Pay Transparency:

The base pay for this role is: $104,000 - $146,500 per year. You are also eligible for employee benefits, annual vacation grant up to 18 days per year, and annual performance bonuses.

Responsibilities:

• Provide medical care virtually (both by phone and message)
• Provide patient care in alignment with Oscar Medical Group guidelines, practices and policies
• Focus on efficiency and quality of care delivery 
• Ensure patient access to VUC services 
• Collaborate with MAs, RNs, and other providers across service lines (e.g. primary care and health assessments)

Requirements:

• DNP, FNP, ENP, or PA from accredited program
• Board Certification (NCCPA or AANP or ANCC)
• Licensed in GA, TX, AND FL
• Bilingual (Spanish - read, write, and speak)
• 3+ years experience in urgent care, ER or outpatient family medicine practice.

Bonus points:

• 2+ years of Telemedicine experience
• Licensed in other OMG states: AZ, CO, CT, IA, IL, KS, MI, MO, NC, NJ, NY, OH, OK, PA, TN, VA

Hi, we're Oscar. We're hiring a Medical Coding Auditor, SIU, to join our SIU team.

Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.

About the role

The Senior Specialist, Medical Coding Auditor, SIU, works to support in assessing trends and patterns in FWA across the healthcare industry using deep coding knowledge to audit prepayment and/or post payment claims. The Senior Specialist runs and coordinates activities across Oscar to reduce the incidence and effect of fraud, waste, and/or abuse (“FWA”) on all our operations.

You will report to the Associate Director, SIU.

Work Location:

Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission.

If you live within commutable distance to our New York City office (in Hudson Square), our Tempe office (off the 101 at University Dr), or our Los Angeles office (in Marina Del Rey), you will be expected to come into the office at least two days each week. Otherwise, this is a remote / work-from-home role.

You must reside in one of the following states: Alabama, Arizona, California, Colorado, Connecticut, Florida, Georgia, Illinois, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, or Washington, D.C. Note, this list of states is subject to change. #LI-Remote

Pay Transparency:

The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $63,200 - $82,950 per year. The base pay for this role in all other locations is: $56,880 - $74,655 per year.  You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities

• Develops and maintains a depth of expertise on CPT, HCPCS, and ICD-10 Coding guidelines and other insurance billing submission requirements.
• Perform complex policy updates or audits of assigned documentation (i.e. medical records or claims) on both a prepayment and/or post payment basis to determine accuracy of claims submitted to Oscar.
• Document findings including reference to sources used to support decision making and in a way that can be easily understood by non clinicians or coders.
• Create reports and reference guides that can be used by other team members to communicate findings or more effectively perform similar reviews.
• Help draft written communications to providers to convey findings.
• Participate in educational calls with providers.
• Help train new team members.
• Develop and document processes to improve the effectiveness of the team.
• Compliance with all applicable laws and regulations
• Other duties as assigned

Qualifications

• 1+ years of coding or auditing experience across multiple specialties.
• Bachelor’s degree or 4+ years of work experience

Bonus Points

• Certified Professional Coder (CPC) designation or similar certification (required for SIU)
• Certified Professional Medical Auditor
• Additional certification applicable to this work such as Certified Fraud Examiner (CFE), Accredited Healthcare Fraud Investigator (AHFI), Certified AML [Anti-Money Laundering] and Fraud Professional (CAFP), other coding certifications or similar
• Knowledge of applicable fraud statutes and regulations, and of federal guidelines on recoupments and other anti-FWA activity
• Demonstrated experience translating technical jargon to non-technical end users.
• Experience working in health insurance specifically with claims processing, billing, reimbursement, or provider contracting.
• Experience with HIPAA, data privacy, and/or data security processes
• Experience working with regulators governing (public or private) health insurance carriers

Hi, we're Oscar. We're hiring a Vice President, Network Operations to join our Network team.

Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.

About the role

The Vice President of Network Operations is responsible for overseeing the design, implementation, and management of the provider network strategy. This role includes leading teams dedicated to Provider Data Management, Provider Network Monitoring & Performance Management (including access/adequacy), and the Provider Network Center of Excellence. The VP drives network optimization, ensures quality and compliance, and enhances operational efficiency within the provider network. This leader collaborates with executive stakeholders to align network performance with organizational goals, leveraging analytics to make data-driven decisions.

You will report to the Senior Vice President, Network and Provider Management.

Work Location: 

Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission. 

If you live within commutable distance to our New York City office (in Hudson Square), our Tempe office (off the 101 at University Dr), or our Los Angeles office (in Marina Del Rey), you will be expected to come into the office at least two days each week. Otherwise, this is a remote / work-from-home role.  

You must reside in one of the following states: Alabama, Arizona, California, Colorado, Connecticut, Florida, Georgia, Illinois, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, or Washington, D.C. Note, this list of states is subject to change. #LI-Remote

Pay Transparency:

The base pay for this role is: $255,200 - $334,950 per year. You are also eligible for employee benefits, participation in Oscar’s unlimited vacation program, company equity grants and annual performance bonuses.

Responsibilities

• Lead the Provider Data Management team to ensure provider information is accurate, complete, and continuously updated.
• Develop and implement data quality controls and governance processes to maintain data integrity across systems.
• Collaborate with Tech and data partners to optimize systems for efficient data handling, integration, and reporting.
• Establish standards and protocols for data collection, validation, and management.
• Design and lead strategies for real-time monitoring and periodic assessment of provider performance, utilization, and quality.
• Develop KPIs, benchmarks, and reporting dashboards to track network performance and identify areas for improvement.
• Oversee periodic provider audits, ensuring alignment with organizational and regulatory standards.
• Work with contract management teams to set performance-based incentives, penalties, or corrective action plans when needed.
• Build and maintain a Provider Network Center of Excellence to standardize best practices and drive network efficiencies.
• Drive consistency in workflows, tools, and methodologies to promote scalability and efficiency.
• Serve as a key partner in developing long-term strategies for network operations, capacity planning, and geographic expansion.
• Provide leadership, coaching, and mentorship to department leaders
• Establish and maintain relationships with external providers, vendors, and key industry stakeholders.
• Compliance with all applicable laws and regulations
• Other duties as assigned

Qualifications

• 15+ years of experience in healthcare provider network operations, with a focus on provider data management, network performance, and process improvement.
• 10+ years of leadership experience
• 5+ years of experience with health information systems, data governance, and reporting tools.

Hi, we're Oscar. We're hiring an Associate Director, Member Experience Strategy to join our Operations team.

Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.

About the role

As an Associate Director, Member Experience Strategy, you will be responsible for driving the strategy and implementation of Oscar’s member experience. The primary responsibility for this role would be to set the overall department strategy and deploy tactics that allow us to enhance our overall program value.

You will report to the Vice President, Member Experience.

Work Location: 

Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission. 

If you live within commutable distance to our New York City office (in Hudson Square), our Tempe office (off the 101 at University Dr), or our Los Angeles office (in Marina Del Rey), you will be expected to come into the office at least two days each week. Otherwise, this is a remote / work-from-home role.  

You must reside in one of the following states: Alabama, Arizona, California, Colorado, Connecticut, Florida, Georgia, Illinois, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, or Washington, D.C. Note, this list of states is subject to change. #LI-Remote

Pay Transparency:

The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $158,400 - $207,900 per year. The base pay for this role in all other locations is: $142,560 - $187,110 per year. You are also eligible for employee benefits, participation in Oscar’s unlimited vacation program and annual performance bonuses.

Responsibilities

• Set, drive and execute on member experience strategy to enhance program’s overall value including determining and uncovering new opportunities 
• Identify and drive execution of cost-savings opportunities by collaborating with key business units 
• Program management of key company and department member strategy initiatives 
• Continuously evaluate financial and performance metrics dashboards to drive performance improvement and create dashboards for Senior Leadership report outs
• Drive the budgeting process and the fiscal performance for the team in association with the leadership team
• Development and growth of direct reports, ensuring that colleagues are supported in professional development 
• Compliance with all applicable laws and regulations
• Other duties as assigned

Qualifications

• 7+ years experience in healthcare strategy and operations, and or related field
• 4+ years of experience managing individual contributors 
• 3+ years project planning experience

Bonus Points

• Master’s degree 
• Management Consulting experience with a focus on healthcare
• Experience in leading large-scale cross functional initiatives
• Experience with Excel and financial modeling experience

Hi, we're Oscar. We're hiring a Manager, Business Operations & Strategy to join our Business Operations team.

Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.

About the role

The Manager, Business Operations & Strategy  is  responsible for working cross functionally with internal and external Oscar stakeholders and representing the needs and interests of the department in company wide initiatives. The position requires project management, implementation and communication skills with an ability to work across disparate initiatives and stakeholders at the same time.

You will report to the Associate Director, Business Operations.

Work Location: 

Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission. 

If you live within commutable distance to our New York City office (in Hudson Square), our Tempe office (off the 101 at University Dr), or our Los Angeles office (in Marina Del Rey), you will be expected to come into the office at least two days each week. Otherwise, this is a remote / work-from-home role.  

You must reside in one of the following states: Alabama, Arizona, California, Colorado, Connecticut, Florida, Georgia, Illinois, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, or Washington, D.C. Note, this list of states is subject to change. #LI-Remote

Pay Transparency:

The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $108,000 - $141,750 per year. The base pay for this role in all other locations is: $97,200 - $127,575 per year. You are also eligible for employee benefits, participation in Oscar’s unlimited vacation program, and annual performance bonuses.

Responsibilities

• Leads the end-to-end management of cross-functional implementations/projects, including project plan creation, stakeholder engagement, managing cross-functional relationships to drive collaboration, edge case mitigation, and on-time completion. 
• Evaluates overall departmental performance by creating, gathering, analyzing and interpreting data and metrics as well as assisting in development of departmental metrics and implementation of mitigation strategies.
• Collaboratively works with all relevant internal and external stakeholder groups to formulate proactive implementation, communications, and program strategies for successful change management and risk mitigation initiatives. 
• Identifies potential project risks and develops comprehensive contingency plans to mitigate them, while effectively communicating any barriers or challenges to leadership to ensure informed decision-making and project success.
• May oversee team members directly as well as mentors team members and promotes colleagues’ growth and professional development.
• Compliance with all applicable laws and regulations.
• Other duties as assigned.

Qualifications

• 4+ years of experience in program management
• 3+ years of experience in delivering projects / programs

Bonus Points

• Experience using data and metrics to drive improvements in programs  
• Experience / background in a fast-paced operations environment 
• Successfully executed enterprise-wide initiatives: defined project plans, coordinated resources, managed implementation activities, and developed all processes associated with program rollout and ongoing support
• Master’s Degree
• PMP Certifications or Program Management Certifications
• Lean/Six Sigma Certifications
• Healthcare experience (Health Insurance, Health Systems, or Healthcare Consulting)

Hi, we're Oscar. We're hiring a Medical Records Retrieval Specialist to join our Risk Adjustment team.

Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.

About the role

The Specialist, Risk Adjustment for the Affordable Care Act (ACA) line of business supports the Risk Adjustment team and management to meet communicated personal and departmental goals, deadlines set forth by Centers for Medicare & Medicaid Services (CMS) and Health and Human Services (HHS) , and be active and engaged in establishing Risk Adjustment processes. You will provide support  to our daily operations and deliverables related to our Retrospective and/or Prospective Risk Adjustment Programs.

You will report to the Director, Risk Adjustment.

Work Location:

Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission.

If you live within commutable distance to our New York City office (in Hudson Square), our Tempe office (off the 101 at University Dr), or our Los Angeles office (in Marina Del Rey), you will be expected to come into the office at least two days each week. Otherwise, this is a remote / work-from-home role.

You must reside in one of the following states: Alabama, Arizona, California, Colorado, Connecticut, Florida, Georgia, Illinois, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, or Washington, D.C. Note, this list of states is subject to change. #LI-Remote

Pay Transparency:

The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $28.85 - $37.86 per hour. The base pay for this role in all other locations is: $25.96 - $34.07 per hour. You are also eligible for employee benefits and monthly vacation accrual at a rate of 10 days per year.

Responsibilities

• Support daily operations about Risk Adjustment including: medical record retrieval, provider outreach, researching contact information, creating provider level reports and presentations. 
• Maintain a grasp of our medical records inventory and deliverables to ensure we are keeping/exceed pace against goal
• Make outreach to internal and external partners to improve our ability to hit retrieval goals
• Represent Risk Adjustment to our internal and external partners and help influence positive outcomes
• Support team with overseeing, tracking, and status of our inventory
• Develop an in-depth understanding of daily workflows at Oscar
• Become acquainted with internal tools and technical processes, and highlight areas of opportunity for improvement
• Support your manager by guiding decisions on an ongoing basis
• Compliance with all applicable laws and regulations
• Other duties as assigned

Qualifications

• Bachelor’s degree in a relevant field of study or commensurate work experience. 
• 1+ years experience in chart retrieval or provider outreach
• 1+ years of experience in Healthcare Operations
• 2+ years of experience being held to and accomplishing goals

Bonus Points

• 1+ years of experience in risk adjustment

Hi, we're Oscar Medical Group. We're hiring an NP or PA to join our Virtual Health Assessment team.

At Oscar Medical Group, we are refactoring healthcare. We want to help each of our members achieve their healthcare goals in a personalized way. To help us achieve that goal we are looking for innovative clinicians who think big and push boundaries to refactor healthcare and the healthcare delivery system.

About the role:

Oscar Medical Group currently runs a Virtual Health Assessment (VHA) program that outreaches and virtually engages Oscar Health Insurance members in an evaluation and management visit. The program is designed to 1) Outreach members who are more chronically ill based on historical and/or suspected health information and 2) Engage members who have a lower probability of regularly seeing their PCP. Top priorities of the VHA program are to identify areas in the member's medical journey that can be improved by increasing their access to care with a licensed provider. During the VHA appointment the licensed provider will perform preventative care screenings, complete medication reconciliation, diagnose medical conditions and provide health coaching, referrals and treatment when clinically appropriate. This role will also help to support teams across Oscar Medical Group, including but not limited to, Virtual Primary Care and Virtual Urgent Care when needed.

Business Hours:

8a-8p ET M-F

8a-6p Sat & Sun

You will report into the Director, Virtual Health Assessment.

Work Location:

Oscar Medical Group is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission.

This is a remote / work-from-home role. You must reside in one of the following states: Arizona, California, Colorado, Florida, Georgia, Nevada, New York, Ohio, Pennsylvania, Texas, or Virginia. Note, this list of states is subject to change. #LI-Remote

Pay Transparency:

The base pay for this role is: $104,000 - $136,500 per year. You are also eligible for employee benefits, annual vacation grant of up to 18 days per year and annual performance bonuses.

Responsibilities:

• Conduct virtual health assessment where the provider reviews the member’s current medical diagnosis, medications, preventative screening and overall health history. 
• Cross-train into urgent care and/or virtual primary care service line 
• Interact with members virtually, including virtual assessment, diagnosis and treatment.

Requirements:

• DNP, FNP, ENP, or PA from accredited program
• Board Certification (NCCPA or AANP or ANCC)
• Licensed in Texas
• Fluent in Spanish
• Ability to obtain licensure in additional states 
• 3+ years experience in Family Medicine, Internal Medicine, or Primary Care

Bonus points:

• Experience with Clinical Documentation Improvement and/or managing HEDIS quality measures
• 1+ year Telemedicine experience
• Additionally Licensed in: New York, Oklahoma, Connecticut, Florida, Georgia, North Carolina, Iowa, Pennsylvania, Virginia, New Jersey, Ohio, Nebraska, Arizona, Illinois, Kansas, Michigan, Nebraska, and/or California