Hi, we're Oscar. We're hiring a Senior Manager, Member Services to join our Member Services 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 lead a team of production leaders that are responsible for key indicators that drive the Provider Services business forward in a structured, collaborative, and strategic manner.

You will report to the Director, Provider 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: $113,600 - $154,450 per year. The base pay for this role in all other locations is: $92,880 - $121,905 per year. You are also eligible for employee benefits, participation in Oscar’s unlimited vacation program and annual performance bonuses.

Responsibilities

• Decipher key business insights and trends, utilizing those insights to better position the business culturally and operationally
• Create routines that surface opportunities and implement risk mitigation strategies and drive cross-functional collaboration.
• Collaborate with business leaders and internal stakeholders to set strategy, align on organization structure, and evaluate people-based business decisions
• Responsible for ongoing career development of your team, maintaining culture and employee satisfaction
• Compliance with all applicable laws and regulations
• Other duties as assigned

Qualifications

• 5+ years of experience managing and scaling large operations teams within a production or customer service-based environment
• 5+ years coaching and developing teams
• 5+ years experience with production-based operating models and KPI's
• 4+ years experience using data and metrics to drive process and program improvements
• Proficiency with data visualization tools (Tableau, Looker, Periscope, etc.)
• Operational Excellence Certification or demonstration of concepts (Lean Six Sigma Green Belt or similar)
• 3+ years Experience working with teams in multiple locations and within multiple disciplines

Bonus Points

• 2+ years Healthcare or related experience; specifically in high-volume insurance operations
• Bachelor's Degree
• Exceptional organizational skills and attention to detail
• Advanced Google Suite or Microsoft Office capabilities

Hi, we're Oscar. We're hiring a Senior Claims Quality Control Analyst to join our Total Quality 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 support process improvement and issue resolution in the Oscar claim environment for both the Oscar Insurance business and +Oscar clients. You will organize, scopes, triages, investigates and/or executes on solutions and process improvements.  This is accomplished by leveraging an understanding of Oscar’s claim infrastructure, workflows, workflow tooling, platform logic, data models, etc., to work cross-functionally to understand and translate friction from stakeholders into actionable opportunities for improvement

You will report to the Associate Audit Lead.

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: $72,800 - $95,550 per year. The base pay for this role in all other locations is: $65,520 - $85,995 per year. You are also eligible for employee benefits, participation in Oscar’s unlimited vacation program and annual performance bonuses.

Responsibilities

• Ingest information from internal and external partners regarding adverse claim outcomes; collaborate with partners to scope, size, prioritize items and deliver solutions.
• Utilize data analysis skills and tools to develop accurate, quantitative analyses of issues.
• Translate observations, findings and analysis results into detailed–often technical–business requirements; submit to and collaborate with internal partners to effectuate change.
• Use insights from partner submissions, data mining, process monitoring, etc., work with the team to proactively identify thematic areas of opportunity to solve problems.
• Perpetuate a culture of transparency and collaboration by keeping stakeholders well informed of progress, status changes, blockers, completion, etc.; field questions as appropriate.  
• Support Oscar run state objectives by providing speedy research, root cause analysis, training, etc. whenever issues are escalated and assigned by leadership.  
• Compliance with all applicable laws and regulations
• Other duties as assigned

Qualifications

• A bachelor’s degree or 4+ years of commensurate experience 
• 3+ years experience in a claims processing environment and/or auditing within claims in healthcare operations
• 2+ years of experience working with large data sets using excel or a database language
• 1+ years experience deriving business insights from datasets and solving problems 
• 1+ years experience improving business workflows and processes
• 1+ years experience collaborating with internal and/or external stakeholders

 Bonus Points

• 2+ years experience in a technical role (QA analyst, PM, operations analyst, finance, consulting, industrial engineering) or a process improvement role (Six Sigma or similar)
• An academic and/or professional background in engineering, data, or healthcare
• Experience in a professional healthcare claims organization
• Process Improvement or Lean Six Sigma training ands
• Experience using SQL

Hi, we're Oscar. We're hiring a Senior Manager to join our Data 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 the Senior Manager, Network Analytics, you will be responsible for evaluating and enhancing network performance through rigorous data analysis to ensure cost-effective and high-quality care for our members. You will focus on analyzing network-related performance trends to shape network and reimbursement strategies, and develop playbooks to optimize network performance and efficiency.

The Senior Manager, Network Analytics, works with key stakeholders across Finance, Market P&L and Provider Network to strategize, implement, and manage innovative solutions aimed at lowering overall cost-of-care and improving healthcare outcomes. This position requires frequent interaction with senior management and executives across the organization, to align the team's effort with the right strategic business needs.

You will report to the Senior Director, Data Analytics.

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: $144,000 - $189,000 per year. The base pay for this role in all other locations is: $129,600 - $170,100 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, and annual performance bonuses.

Responsibilities

• Serve as the data lead for Oscar's network and reimbursement design strategies from a financial modeling and analytic perspective
• Develop and manage the roadmap for network analytics roadmap, capturing the range of network and contracting strategies designed to optimize our network
• Build, maintain, and enhance KPI frameworks to closely monitor network performance and cost outliers and proactively detect emerging signals
• Leverage creative problem-solving and technical expertise to shape and scope new network affordability opportunities
• Measure and monitor the outcomes of network optimization initiatives, including return on investment quantification
• Oversee the build and design of models that track network performance to inform actual versus expected performance, and pricing and budget inputs
• Use data to tell a story that non-technical colleagues will be able to understand, including packaging and presenting findings in a clear, concise and compelling manner
• Leads and manages a small team of data scientists and/or analysts
• Compliance with all applicable laws and regulations
• Other duties as assigned

Qualifications

• Bachelor's degree in STEM field or data science, or 4 years commensurate experience
• 6+ years experience in healthcare, finance or the insurance industry
• 4+ years experience in SQL, with the ability to filter, aggregate, and build CTEs, or proficiency in R or Python, including experience with Pandas, for loops, and statistical tests
• 4+ years of technical work experience using analytical tools and writing analytical reports
• 4+ years demonstrated ability to work with large datasets and distill analyses into relevant insights with a structured and systematic thought process
• Strong verbal and written communication skills with leadership around business reporting impact and requirements
• 1+ years of people management experience

Bonus Points

• MBA or MS or equivalent advanced healthcare experience
• Experience with growth-stage enterprises
• 4+ years of experience in preparing healthcare analytics and reporting
• 4+ years of experience developing dashboards and working with Looker or other business intelligence/data visualization tools
• Strong familiarity with ACA-specific healthcare laws, regulations, and compliance requirements.

Hi, we're Oscar Medical Group. We’re hiring a Physician to join our Virtual Urgent Care. 

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:

This role delivers quality care to patients on Oscar’s platforms via phone and messaging. This role will serve as a supervising physician to other Advanced Practice Providers.

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: $99 - $149 per hour for patient consultations.

$200 per APP per month for APP Supervision duties.

Responsibilities:

• Provide medical care virtually (both by phone and message) in alignment with Oscar Medical Group guidelines, practices and policies
• Provide direct oversight and supervision of nurse practitioners and physician assistants within state by state regulations 
• Collaborate with MAs, RNs, and other providers across service lines
• Compliance with all applicable laws and regulations
• Other duties as assigned

Requirements:

• Board-certification in Internal Medicine, Family Medicine or Emergency Medicine 
• MD or DO from an accredited medical school
• Supervision experience of Nurse Practitioners (NP) and Physician Assistants (PA)
• Must be eligible for IMLCC (Interstate Medical Licensure Compact)
• Must be licensed in GA &TX
• 3+ years experience in urgent care, ER or outpatient family medicine practice

Bonus points:

• 2+ years of Telemedicine experience
• Fluent in Spanish
• Licensed in OMG states: AZ, CA, CT, FL, GA,  IA, IL, KS, MI, NC, NJ, NY, OH, OK, PA, TX, VA

Hi, we're Oscar. We're hiring a Director, BPO Strategy & Governance to join our to join our Shared Services & Transformation 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 lead a team of Program Managers responsible for core foundational and future -focused initiatives associated with the successful functionality of an internal BPO division. This team is an integral part of Oscar and our overall operations engine

You will play a critical role in the daily operations of both onshore and offshore production-based business units. You will exercise expertise and leadership that is instrumental in maintaining high standards and delivering exceptional service to our internal and external partners

You will oversee the execution of crucial deliverables that ensure the success of Oscar partnerships, managing matrixed, cross-functional work streams internally and informing stakeholders externally. You will build an operating model for any external partnerships that can scale with business growth

You will report to the Sr. Director, Shared Services & Transformation

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

• Shape the vision / strategy for the BPO Strategy & Governance team specifically around operationally sound principles and guidelines
• Adept in data analysis and reporting capabilities with an understanding of being able to sort through complex problems and initiatives
• Provide effective direction and inspiration to all levels across Oscar Operations
• Responsible for ongoing career development of direct reports while maintaining culture and employee satisfaction
• Utilize project management tracking techniques and tools and adjust approach based on measured outcomes across simultaneously operating projects
• Provides ongoing consultation, reflection, and business process adjustment support to operational counterparts and vendors alike
• Compliance with all applicable laws and regulations
• Other duties as assigned

Qualifications

• 10+ years of experience with direct BPO interaction or vendor specific experience
• 10+ years of experience with Procurement or Contract Management functions
• 8+ years of experience working with teams in multiple locations and within multiple disciplines
• 8+ years of experience managing and scaling large projects and business processes
• 8+ years coaching and developing project-based teams
• 6+ years of experience in LEAN, Six Sigma, Project Management or other improvement methodologies
• 6+ years of experience using data and metrics to drive appropriate root cause analysis and action planning

Bonus Points

• Experience in Healthcare, Contact Center, or related field with a BPO presence
• Operational improvement certification - Green or Advanced belt certification
• LEAN or Project Management certification
• Bachelor's Level Education

Hi, we're Oscar. We're hiring two Technical Implementation Associates to join our +Oscar 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

+Oscar is an engagement and automation platform that enables scalable, personalized interventions and automates workflows to drive growth and retention, improve patient/member outcomes, and optimize admin operations. Built for non-technical users, payors and providers can use the tool to build omni-channel “campaigns” that deliver interventions with multiple touch points over time to drive behavior change. 

As a Technical Implementation Associate, you will be a member of the +Oscar team and will be responsible for core technical tasks and functions associated with building and launching campaigns. Your work will increase speed to market on client campaigns, reduce the time it takes to build and launch campaigns, and ensure campaigns remain error-free before and after launch. 

You will report to a Director, Business Solutions.

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 is: $98,400 - $129,150 per year. You are also eligible for employee benefits, participation in Oscar’s unlimited vacation program, company equity grants, and annual performance bonuses.

Responsibilities

• Design and implement new campaign development processes while anticipating potential future use cases to ensure long-term scalability in solution design.
• Become an expert in our client and campaign data, leveraging SQL to identify trends in client populations to deliver campaigns that drive value to their business. 
• Own and operate core client data pipeline — including building standardized data models, managing client data discussions, and reviewing data for accuracy.
• Execute on operational tasks, such as building, reviewing and approving drafted Campaigns, Templates, and Automation scripts to ensure they drive intended business outcomes.
• Act as the technical representative of +Oscar in relevant client calls, ensuring campaigns are scoped effectively and clients understand relevant technical capabilities. 
• Aggregate and synthesize client insights and feedback to help influence Product roadmap.
• Dive into data and systems using SQL to understand trends and troubleshoot client campaign issues with the Product and Engineering team.
• Create and maintain documentation to make +Oscar operational processes sustainable and scalable.

Qualifications

• 3+ years of work experience in a cross-functional role in technology or operations, including work with product/engineering teams.
• Previous experience partnering closely with marketing, technology, or operations teams.
• You’ve demonstrated your ability to pick up technical concepts and have experience with SQL.

Bonus Points

• Previous healthcare experience. 

Hi, we're Oscar. We're hiring a Compliance Project Coordinator to join our Regulatory Compliance 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 Project Coordinator works with teams to support multiple administrative and project/program related tasks of varying size and individual work on small scale projects

You will report to the Manager, Risk/Compliance.

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: $35.00 - $45.94 per hour. The base pay for this role in all other locations is: $31.50 - $41.34 per hour. You are also eligible for employee benefits and monthly vacation accrual at a rate of 10 days per year.

Responsibilities

• Maintain and monitor project plans and project schedules
• Organize, attending, and participating in multiple meetings
• Document and follow up on important actions from meetings
• Prepare necessary presentation materials for meetings
• Ensure project deadlines are met
• Provide administrative support
• Undertake project tasks
• Plan and organize departmental events
• Manage team’s calendars
• Support team members
• Compliance with all applicable laws and regulations 
• Other duties as assigned

Qualifications

• 1+ years of experience in a project management and/or administrative assistance functions

Bonus Points

• Experience working with a project management team 
• Document and following up on important actions and decisions from meetings
• Experience preparing  presentation materials for meetings
• Experience ensuring project deadlines are met

Hi, we're Oscar. We're hiring a Utilization Review Processor to join our Utilization Review 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 solve complex issues or concerns impacting our providers and the members they serve. You will communicate with our Providers and work with teams across Oscar to provide efficient and thorough resolution by providing world class service. You will understand the importance of a world-class member experience when seeking care and actively identifies barriers to member care and member and provider satisfaction to solve for the future. You will manage their workload effectively by setting timely outreaches and actively communicating roadblocks to their team.

You will report to the Utilization Review Lead.

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: $19.00 per hour. You are also eligible for employee benefits and monthly vacation accrual at a rate of 10 days per year.

Responsibilities

• Manage queue work and and assigned caseload through efficient dashboard management
• Identify, investigate, and resolve issues within determined SLAs
• Collaborate with colleagues, Specialists, Experts, and Leads to identify trends and roadblocks
• Use internal tools and resources seamlessly
• Communicate findings and resolutions with providers and internal departments
• Compliance with all applicable laws and regulations
• Other duties as assigned

Qualifications

• 1+ years of customer support/service experience

Bonus Points

• Advanced computer literacy skills with experience using CRM and knowledge management tools to resolve client issues
• Experience using ticket management and reporting tools
• Experience managing an assignment caseload
• Customer service experience
• Healthcare and/or SAAS experience

Hi, we're Oscar. We're hiring a Senior Paralegal to join our Litigation 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 Paralegal is a key member of the Legal team and supports the corporate legal team with all aspects of Oscar’s corporate legal work (including litigation, securities and public company, corporate governance, strategic transactions, vendor contracting, and/or employment matters).

You will report to the VP, General Counsel, Regulatory Affairs, Government Affairs.

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, You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities

• Manage corporate governance matters, including preparation, organization and maintenance of materials for board and committee meetings. 
• Handle corporate secretarial management through the entire lifecycle (formation, mergers, dissolutions) and other corporate secretarial matters, including secretary certificates, data requests, and officer appointments. 
• Assist in all areas related to securities, equity trading, and public company matters. 
• Partner with members of the legal team in order to draft, review, assess, and edit a variety of legal documents, including service agreements, vendor agreements, contracts, NDAs, BAAs, and employment documents. 
• Support end-to-end litigation processes, including active management of discovery. 
• Provide legal and administrative support to attorneys, including legal research. 
• Compliance with all applicable laws and regulations.
• Other duties as assigned.

Qualifications

• Bachelor’s degree or equivalent work experience  
• 3+ years of paralegal experience at a top tier law firm and/or in-house, ideally at a publicly traded company
• 3+ years experience performing legal research under attorney supervision and proficient with redlining and editing capabilities of Word and Google Docs

Hi, we're Oscar. We're hiring a Manager to join our Clinical Policy 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 help Oscar develop and review our policies given the fast pace of changes in medical literature and standards. You are responsible for our growing pharmacy policy program and driving high quality, cost-effective decision-making. You will play an essential part in our clinical organization to ensure our members receive high quality care.

You will report to the Senior Manager, Clinical Policy Development.

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: $131,200 - $172,200 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, and annual performance bonuses.

Responsibilities

• Be accountable for the end-to-end process for development and review of pharmacy and medical drug guidelines and lead a team of contracted and/or matrixed reports to ensure timely review and submission of guideline updates in close partnership with our Pharmacy Operations team.
• Take the lead in drafting, obtaining approval, and maintaining pharmaceutical and medical drug policies based on current clinical evidence and nationally-recognized standards
• Manage direct, contracted, and matrixed team members
• Responsible for ensuring processes and policies are streamlined and adhere to larger departmental strategy.
• Prepare and present all materials for executive external view and feedback. Summarize changes and track evolution of pharmacy policy changes to support audit functions. Effectively communicates and presents results and recommendations across disciplines.
• Responsible for high-complexity reviews that require extensive up to date industry expertise or contextual knowledge.
• Partner with vendors to ensure accuracy of pharmacy code edits in claims system and prior authorization tooling and take an active role in policy customizations
• Maintain high levels of subject matter expertise on pharmaceutical pipeline trends, approvals, and changes in evidentiary standards. Track evidence submissions and feedback on policies, and prioritize policy updates
• Develop an in-depth understanding of regulatory and quality requirements applicable to our programs
• Ensure processes and documentation are in place and in compliance with State, Federal and NCQA requirements
• Provide support on regulatory audits and quality accreditation surveys, as needed
• Support our clinical leaders in disseminating feedback and conducting remediation
• Provide support on monitoring quality trends and identifying gaps to drive quality improvement activities
• Compliance with all applicable laws and regulations
• Other duties as assigned

Qualifications

• PharmD degree
• Active, unrestricted pharmacist license
• 4+ years of experience with UM reviews.
• 4+ years of experience with clinical research, policy development, and/or medical writing
• 3+ years of experience in Excel

Bonus Points

• Experience working with the CVS portal and criteria, or with MCG
• Experience working in a fast-paced, collaborative environment
• Residency training completed from an accredited ASHP or AMCP program

Travel

• 10% of the time

Hi, we're Oscar. We're hiring a Data Scientist to join our Data 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 be responsible for developing dashboards, models, and tools to understand cost and utilization trends, and to influence and inform business strategies through effective data visualization and storytelling. You will partner closely with our Market P&L, Tech and Actuarial teams to visualize, segment and analyze claims data to better understand Oscar's medical costs, including building frameworks to quantify avoidable spend and measure and monitor outcomes.

You will report to the Associate Director, Data Analytics.

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: $119,200 - $156,450 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, company equity grants, and annual performance bonuses.

Responsibilities

• Apply data visualization best practices to build user-friendly dashboards that highlight medical cost utilization trends and outliers
• Use data to tell a story that non-technical colleagues will be able to understand, including packaging and presenting findings clearly and concisely
• Build, maintain, and enhance KPI frameworks to closely monitor financial performance
• Develop standardized, highly governed data sets that are comprised of the most commonly used fields and metrics needed to evaluate medical costs
• Build utilization benchmarks to help drive understanding of actual versus expected performance
• Collaborate with data leaders and business teams to enhance data processes, providing necessary data support to develop strategies for monitoring cost and utilization trend
• Develops data structures and pipelines to organize, collect and standardize data that helps generate insights and addresses reporting needs
• Create models and tools that generate insights to detect healthcare inefficiencies and recommend actions to mitigate them
• Compliance with all applicable laws and regulations
• Other duties as assigned

Qualifications

• A bachelor's degree in a technical field OR 1+ years of relevant work experience
• 1+ years experience working with SQL, with the ability to filter, aggregate, and build CTEs, or proficiency in R or Python, including experience with Pandas, for loops, and statistical tests
• 1+ years experience in healthcare, finance or the insurance industry
• 1+ years experience building data models and using more advanced analytics methods, including conducting in depth analysis, rather than simple descriptive analysis

Bonus Points

• Strong communication skills, verbal and written, around business reporting impact and requirements, as demonstrated by experience on at least 2 reporting projects requiring communication between technical and non-technical users
• Master's degree in a technical field
• 1+ years of experience developing dashboards and working with Looker or other business intelligence/data visualization tools
• Knowledge of or previous work experience in medical economics or health insurance
• Exposure to ACA-specific healthcare laws, regulations, and compliance requirements

Hi, we're Oscar. We're hiring a Senior Director, Insurance Financial Management to join our Finance 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 a Senior Director, Insurance Financial Management you will coordinate, monitor, analyze, and forecast business unit & overall company financial performance. As a Senior Director, Insurance Financial Management you will consolidate financial results, influence strategic decisions, and provide valuable insights to senior leadership about the company’s financial trajectory. You will regularly interact extensively with senior leadership, including Finance senior leadership.

You will report to the Vice President, Financial 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: $192,000 - $252,000 per year. The base pay for this role in all other locations is: $172,800- $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

• Budgeting & Forecasting:
  • Support members of Insurance Leadership team across Insurance function (Medical, Network, Contracting, Growth) to enable the effective execution of the annual and multi-year operating plan.
  • Provide valuable insights of performance on an ongoing basis to leadership.
• Management Reporting:
  • Lead the production and analysis of monthly, quarterly, and annual management reports, highlighting key trends and variances for leadership and investor relations.
• Financial Analysis:
  • Execute business-unit financial strategy including the identification, validation, and tracking of initiatives that improve overall financial performance.
• Strategy Evaluation
  • Drive multi-year strategy planning process in close partnership with business-unit leadership, including ownership of all investment/business cases, evaluation of strategic growth opportunities, establishing targets and evaluating progress against achievement, etc.
• Financial Innovation:
  • Consistently evaluate FP&A processes, systems, and tools to improve efficiency, accuracy, and strategic analysis.
• Leadership: 
  • Develop, manage, and coach a high performing finance team; own cross-functional Finance team processes on ad hoc basis.
• Communication & Collaboration:
  • Communicate financial results, trends, and recommendations to leadership, employees, and other stakeholders in a clear and concise manner.

Qualifications

• 12+ years of public or large company experience in FP&A roles within healthcare.
• 7+ years of demonstrated ability using expert financial modeling skills to effectively translate data into actionable insights, strategies, and financial plans.
• 5+ years of experience leading budgeting and planning processes.
• 5+ years of proficiency with building and enhancing core FP&A tools.
• 5+ years of proven ability to build and develop high-functioning finance teams.

Bonus Points

• Masters Degree; Business Administration, Finance, or Financial Analysis.
• Consulting experience. 
• Experience at a public company.
• Experience in the managed care, healthcare or insurance space.
• Strong analytical & problem solving mindset.
• Excellent communication skills and executive presence. 
• Engages and executes against priorities with a strong sense of accountability and urgency.

Hi, we're Oscar. We're hiring a Data Scientist to join our Data 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 work across the organization to help develop data pipelines, models, reports and analytics that can help improve our processes.

You will report to the Director, Data Science.

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: $119,200 - $156,450 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, company equity grants, and annual performance bonuses.

Responsibilities

• Responsible for the creation, implementation, and maintenance of data pipelines. This includes ensuring the accuracy, reliability, and timeliness of data flow with the support of a manager.
• Support upkeep and enhancement of our models. This involves regular model testing, validation, and refinement to ensure the models remain effective and up-to-date with the latest industry standards and practices.
• Develop advanced analytics and validation checks on data and statistical model outputs under the review of a manager at critical points. This includes identifying potential issues, anomalies, or inconsistencies in the data, and implementing corrective measures to ensure the integrity of our models and analyses.
• Collaborate closely with data leaders and business teams to enhance overall data processes. This involves understanding their needs and requirements, providing them with the necessary data support, and working together to develop strategies and solutions that improve our risk adjustment processes and outcomes.
• Compliance with all applicable laws and regulations
• Other duties as assigned

Qualifications

• A bachelor's degree in a technical field OR 1+ years of relevant work experience
• 1+ years experience working with SQL or Python
• 1+ years experience building data models and using more advanced analytics methods, including conducting in depth analysis, rather than simple descriptive analysis

Bonus Points

• Master's degree in a technical field
• Knowledge of or previous work experience in health care or health insurance

Hi, we're Oscar. We're hiring a Analyst,Government Affairs to join our Regulatory/Gov Affairs 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 Analyst, Government Affairs is a contributor and navigator who coordinates Gov/Regulatory Affairs work. The Analyst, Government Affairs tracks and resolves Regulatory complaints. The Analyst, Government Affairs supports the Gov/Regulatory Affairs (i.e. Regulatory Complaints function) by serving as a resource on Oscar processes and systems, and identifies risks and issues.

You will report to the Regulatory Leader

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: $30.38- $35.89 per hour. Base pay for this role in all other locations is: $27.35-$36.89 per hour. You are also eligible for employee benefits and monthly vacation accrual at a rate of 10 days per year.

Responsibilities

• Support research, tracking, and intake in Gov/Regulatory Affairs (i.e.Regulatory Complaints)
• Coordinate case assignment
• Supports identification of escalated issues by using Oscar systems and processes
• Researches and resolves low risk complaints
• Compliance with all applicable laws and regulations.
• Other duties as assigned.

Qualifications

• 2+ years of experience in health insurance customer service, claims, appeals, or Regulatory team
• 2+ years experience with JIRA, ROSCO, Appian or similar systems
• 2+ years of experience using Westlaw, legislative tracking software, and Google Workspace.

Bonus Points

• Familiarity with health insurance claims and appeals
• Experience with the individual market health insurance plans
• Experience working with attorneys and internal stakeholders.
• Experience working with regulators

Hi, we're Oscar Medical Group. We're hiring a LCSW or LPC 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 provide direct patient care to a panel of Oscar Primary Care patients with Primary Care Providers (PCPs) under the collaborative care model, to deliver high quality, evidence-based, integrated behavioral health care in an integrated primary care setting. You will work as a primary member of a collaborative primary care team that involves the patient's primary care provider, a psychiatric consultant (i.e. psych nurse practitioner) and a behavioral health coordinator (i.e non-licensed team member) in the primary care clinic. You will report into our Behavioral Health Program Supervisor, under the direction of the Oscar Primary Care Medical Director.

You will report into the Supervisor, Integrated Behavioral Health Program.

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. 

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: $64,000 - $84,000 per year. You are also eligible for employee benefits, and annual vacation grant of up to 18 days per year and annual performance bonuses.

Responsibilities:

• Manage a panel of patients with mild to moderate behavioral health conditions in close collaboration with the primary care provider (200-250 per month for 1.0 FTE = 40 hrs / week)
• Provide brief interventions using evidence-based techniques such as Behavioral Activation, Problem-Solving Treatment, Motivational Interviewing, or other treatments appropriate for primary care settings.
• Support psychotropic medication management prescribed by PCPs, focusing on treatment adherence, side effects and other complications, and effectiveness of treatment.
• Perform assessments, and brief, short-term treatment interventions to patients meeting program criteria
• Work with medical assistants, behavioral health coordinators and PCPs to support care plans
• Document patient progress and treatment recommendations so they can be easily shared with PCPs, the psychiatric consultant, and other treating providers
• Facilitate treatment plan changes and referrals for patients not improving/progressing or needing a higher level of care
• Participate in ongoing care collaboration, through team-based case conferences, maintaining a patient registry, electronic communication channels, and with provider partners.
• Additional responsibilities may include presenting on behavioral health topics at staff meetings, and covering for the supervisor in clinical support of non-licensed staff when needed.

Requirements:

• LCSW or LPC with 2+ years of outpatient work experience 
• Spanish language fluency
• Experience with brief, structured intervention techniques (e.g., Motivational Interviewing, Behavioral Activation, Problem Solving Treatment).
• Must be licensed in Texas 

Bonus points:

• Experience in an integrated primary care setting
• Screening skills, assessment, and knowledge for common mental health and substance use disorders
• Basic awareness and familiarity of psychopharmacology for common mental health disorders
• Willingness to obtain licensure in current + expansion states if not licensed (CT, FL, OK, GA, NY, CA)
• Understand primary care pace and focus on patient access
• Understanding of Counseling Compact licensing requirements in 2024

Hi, we're Oscar. We're hiring a Claims Quality Senior Analyst to join our Claims Quality 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 Claims Quality Senior Analyst is responsible for supporting process improvement and issue resolution in the Oscar claim environment. The Senior Analyst organizes, scopes, triages, investigates and/or executes on solutions and process improvements related to claims. This is accomplished by leveraging a deep understanding of Oscar’s end-to-end claim infrastructure, workflows, workflow tooling, platform logic, data models, etc.

You will report to the Manager, Claims Quality.

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: $72,800 - $95,550 per year. The base pay for this role in all other locations is: $65,520 - $85,995 per year. You are also eligible for employee benefits, participation in Oscar’s unlimited vacation program and annual performance bonuses.

Responsibilities

• Ingest information from internal and external partners regarding adverse claim outcomes; collaborate with partners to scope, size, prioritize items and deliver solutions.
• Utilize data analysis skills and tools to develop accurate, quantitative analyses of claims issues.
• Translate observations, findings and analysis results into business requirements; submit to and collaborate with internal partners to effectuate change.
• Use insights from partner submissions, data mining, process monitoring, etc., work with the team to proactively identify thematic areas of opportunity to solve problems.
• Perpetuate a culture of transparency and collaboration by keeping stakeholders well informed of progress, status changes, blockers, completion, etc.; field questions as appropriate.  
• Support Oscar run state objectives by providing speedy research, root cause analysis, training, etc. whenever issues are escalated and assigned by leadership.  
• Compliance with all applicable laws and regulations
• Other duties as assigned

Qualifications

• 3+ years of experience in claims processing or auditing within healthcare operations
• 2+ years experience improving business workflows and processes
• 1+ years experience collaborating with internal and/or external stakeholders

Bonus Points

• A bachelor’s degree or 4+ years of commensurate experience 
• An academic and/or professional background in engineering, data, or healthcare
• Experience in a professional healthcare claims organization
• Knowledge management, training, or content development in operational settings
• Process Improvement or Lean Six Sigma training ands
• Experience using SQL

Hi, we're Oscar. We're hiring a Project Lead, Learning and Training 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 oversee learning initiatives to implement repeatable and scalable tools and techniques and independently represent the team within the broader organization.

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

Work Location:

This is a remote 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 - $85,995 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities

• Establish and sustain working relationships with Operations Managers, team leads, and frontline colleagues, influence and follow-up with business leaders to ensure action plans align with continuous improvement goals, and participate in collaboration with peers and cross-functional stakeholders.
• Implement tools and processes supporting the success of outcomes
• Evaluate daily production outcomes using continuous improvement methodologies and help build learning-based remediation plans when outcomes are not aligned to expectations 
• Serve as a central communicator, promoting vision and strategy, providing feedback, raising awareness, and driving a continuous improvement mindset across the organization while demonstrating behavioral change and fostering a culture aligned with Oscar's core values.

• Participate in continuous improvement activities that drive or influence the improvement and development of a high performing production team through targeted learning programs

• Compliance with all applicable laws and regulations 
• Other duties as assigned 

Qualifications

• 2+ years of experience in delivering projects / programs in a Learning environment 
• 1+ years of leadership accountability/experience encompassing direct reports or project teams
• 2+ years of experience using data and metrics to drive insights & improvements
• 2+ years experience with remote teams and within multiple disciplines

Bonus Points

• Bachelor’s degree or coursework in business, economics, or related fields

• Operational improvement/Lean Six Sigma certification - Green or advanced belt certification 
• PMP Certification or Project Management Certification 
• Project management software experience 
• Experience working in a regulated industry
• Experience working with BPOs

Hi, we're Oscar. We're hiring a Community Health Worker to join our Case 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

As a Community Health Worker you will support members by providing resources and education towards reaching chronic disease self-management goals.

You will report to the Case Management 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 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: $26.67 per hour. The base pay for this role in all other locations is: $24.00 per hour. You are also eligible for employee benefits and monthly vacation accrual at a rate of 10 days per year.

Responsibilities

• Assist members in following an outcome-based plan of care, based on the member's input and assessment results and identify/address current needs of the member, using outlined escalation pathways when needed.
• Outreach identified members to identify and help solve for barriers that may affect their care by phone outreach, secure messaging and mail.
• Monitor care and services provided to members to ensure that quality care is being delivered in the most appropriate setting
• Ensure the "Plan of Care" moves with the member and update the care plan as the member's health status changes
• Assist members by providing resources, education and information promptly.
• Compliance with all applicable laws and regulations
• Other duties as assigned

Qualifications

• High school diploma or GED
• CHW certification required from approved Community Health Certification Program, or two years of equivalent work experience
• 1+ years experience care coordination and navigation

Bonus Points

• Bilingual [English and Spanish or Creole]
• AA or Bachelor's degree in social science or health related field
• Behavioral Health Experience

Hi, we're Oscar. We're hiring a Senior Sales Executive to join our Sales 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 Sales Executive is responsible for driving membership growth through the management of traditional insurance sales channels, as well as the pursuit of innovative sales strategies. On the traditional side, the Senior Sales Executive is in charge of  driving the broker strategy, ensuring insurance brokers across our coverage area have the information and tools to effectively understand and sell our product. On the creative side, the Senior Sales Executive is responsible for iterating on ideas to drive buzz at a local level and create partnerships with local organizations.

You will report to the Director, Sales.

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. 

This is a remote role, with the ideal candidate residing in the state of Texas. We will consider hiring outside of Texas for the right candidate.  

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: $88,800 - $111,000 per year. You are also eligible for employee benefits, participation in Oscar’s unlimited vacation program, and sales commissions.

Responsibilities

• Building and managing broker and GA (General Agent) relationships in the assigned geographic market and as required to support growth goals
• Identifying distribution partners to invest in and building relationships over time
• Training brokers and GA partners on our product
• Representing our product in the market at local broker and community events, which may take place during evening and/or weekend hours
• Identifying and testing new growth opportunities and sharing learnings with broader sales team
• Partner with teams to build and improve tools and processes that make our product the easiest to work with in the market
• Meeting or exceeding sales goals while providing great service to distribution partners
• Providing local competitive intelligence and market research
• Being the voice of brokers and consumers within our product

Qualifications

• 4+ years of healthcare industry in an outside sales role
• 3+ years of experience presenting and communicating with stakeholders at all levels
• Must be a licensed insurance professional

Bonus Points

• Bachelor's Degree or 4 years of relevant experience
• Proficient in Salesforce
• Bilingual [Spanish speaking]

   

Travel required?

• Up to 25%

Hi, we're Oscar. We're hiring a Claims Quality & Audit Trainer to join our Claims Quality 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 Claims Quality & Audit Trainer is responsible for facilitating training content to foster a competent, agile workforce within claims quality. The trainer plays a crucial role in achieving high-quality training standards aligned to key business outcomes.

You will report to the Manager, Claims Quality.

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: $72,800 - $95,550 per year. The base pay for this role in all other locations is: $65,520 - $85,995 per year. You are also eligible for employee benefits, participation in Oscar’s unlimited vacation program and annual performance bonuses.

Responsibilities

• Facilitate instructor-led courses for claims audit teams
• Monitor quality metrics on an ongoing basis
• Collaborate with subject matter experts to source key content needed to facilitate trainings
• Proactively audit and update training content, leveraging subject matter experts and learning feedback to ensure accuracy and effectiveness
• Present auditor quality scores and provide feedback to the team
• Compliance with all applicable laws and regulations
• Other duties as assigned

Qualifications

• 2+ years end-to-end claims experience 
• 2+ years experience presenting to diverse audiences 
• 2+ years experience facilitating training/coaching in a production environment

Bonus Points

• Instructional Design Certification
• Bachelor’s degree
• Experience facilitating or building training
• Experience working in a call center support function
• Experience working in a regulated industry within healthcare
• Claims auditing experience