Hi, we're Oscar. We're hiring a Team Lead, Member Escalations to join our CG&A 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 an expert on production team workflows and lead goals and KPIs for the team of support staff to meet business objectives while providing coaching and leadership. You will partner with stakeholders to assist members with their health insurance needs, while partnering with stakeholders to identify and develop workflow improvements to enhance efficiencies for the team.

You will report to the Concierge Operations Manager.

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, Kentucky, Maryland, Massachusetts, Michigan, Minnesota, 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: $64,400 - $71,400 per year. The base pay for this role in all other locations is: $48,960 - $64,260 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 Oscar colleagues with direct responsibility for performance management, their growth and development, and associated HR administrative tasks
• Manage your team's outcomes, monitor dashboards, and track operational KPIs, conducting root-cause analysis and constructing action plans when issues arise
• Understand and be connected to the type of work your team does daily, being able to make volume-based 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 your team by creating an inclusive and inviting culture that aligns with Oscar's core values
• Participate in continuous improvement activities that drive or influence the improvement and development of a production team
• Identify and closing gaps on existing operational workflows
• Work collaboratively across production and other Oscar teams to implement best practice
• Compliance with all applicable laws and regulations
• Other duties as assigned

Qualifications

• 2+ years experience in a customer service or escalations environment
• Prior healthcare and/or insurance experience
• 2+ year of direct people management experience
• 1+ years of experience using data and metrics to drive improvements
• 1+ years of experience working with teams in multiple locations and multiple disciplines
• 1+ years managing projects

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

Hi, we're Oscar. We're hiring an Associate, Delegate Oversight to join our 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 Associate, Delegate Oversight supports our compliance program and activities.  You will help develop all compliance program activities to ensure understanding of healthcare regulatory requirements.  You will assess business unit compliance to laws, regulations, standards, and their procedures by conducting audit and monitoring activities.

You will report to the Manager, Regulatory Audit.

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

• Help create a risk-based audit and monitoring plan for the healthcare organization.
• Review healthcare regulations, including HIPAA, Medicare, and Medicaid regulations to ensure compliance.
• Conduct assigned audits based on departmental audit plans.
• Partner with teams to understand their business operations and test their compliance with regulations.
• Evaluate compliance effectiveness and identify areas for improvement.
• Draft and complete accurate audit reports, ensuring that the audit findings and conclusions are communicated to the business unit.
• Help identify compliance gaps and risks, and contribute to the development of proactive strategies to address them.
• Help maintain compliance policies, procedures, and controls with regulatory requirements.
• Provide regular updates to leadership on compliance audit and monitoring activities and recommendations.
• Compliance with all applicable laws and regulations
• Other duties as assigned

Qualifications

• Bachelor’s Degree or equivalent work experience
• 3+ years experience working in health care or related field
• 3+ years experience in health plan compliance
• 3+ years driving compliance with regulatory and accreditation audit/policy requirements
• 3+ years experience working with regulation and translating into operational procedures
• 3+ years experience / background in a fast-paced environment

Bonus Points

• Certification in Healthcare Compliance (CHC), Certified Compliance and Ethics Professional CCEP, or similar
• Fluency with State DOI audit and/or reporting obligations
• State DOI audit management experience
• Experience in a start-up and/or health tech environment
• Experience in a TPA setting

Hi, we're Oscar. We're hiring a Utilization Review Registered Nurse to join our Clinical 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

As the Utilization Nurse you will perform frequent case reviews, check medical records and speak with care providers regarding treatment. You will also make recommendations regarding the appropriateness of care for identified diagnoses based on the research results for those conditions.

You will report to the Utilization Review Supervisor.

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, 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: $35.00 - $45.94 per year. You are also eligible for employee benefits, monthly vacation accrual at a rate of 10 days per year.

Responsibilities

• Complete medical necessity reviews and level of care reviews for requested services using clinical judgment and Oscar Clinical Guidelines, Milliman Care Guidelines
• Obtain the information necessary (via telephone and fax) to assess a member's clinical condition, and apply the appropriate evidence-based guidelines
• Meet required decision-making Service level agreements
• Refer members for further care engagement when needed
• Compliance with all applicable laws and regulations
• Work schedule includes one weekend day per week
• Other duties as assigned

Qualifications

• Active, unrestricted RN licensure from the United States OR, active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC)
• Associate Degree - Nursing or Graduate of Accredited School of Nursing Or Successful completion of Diploma Program in Practical Nursing of Accredited School of Nursing
• Ability to obtain additional state licenses to meet business needs
• 1+ year of utilization review experience in a managed care setting
• 2+ years of clinical experience (including at least 1+ year clinical practice in an acute care setting, i.e., ER or hospital)

Bonus Points

• BSN
• Previous experience conducting concurrent or inpatient reviews for a managed care plan

Hi, we're Oscar. We're hiring a Manager, Member & Provider Compliance to join our Strategy 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 within Oscar’s operations, including acute and systemic challenges. You will analyzing problems, coordinating responses, and delivering positive outcomes by engaging with internal and external stakeholders. You will oversee the development, implementation, and continuous improvement of compliance policies and procedures, ensuring adherence to regulatory requirements within Member and Provider Operations.

You will culture of compliance and operational integrity, building relationships with regulatory bodies and preparing the organization for Market Conduct Exams and other reviews. You will collaborate closely with associates, senior leaders, auditors, and regulators, representing the organization and addressing any operational gaps. This position offers the opportunity to drive significant change and contribute to the organization’s overall success, requiring strong regulatory knowledge, leadership, and exceptional communication skills.

You will report to the Director, Strategy.

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: $103,200 - $135,450 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

• Be the subject matter expert for Insurances operations through knowledge and expertise of Oscar’s platform, regulatory requirements and operational workflows
• Manage a complex portfolio of initiatives and deliverables and proactively identify areas of opportunity to improve key performance indicators
• Develop team workflows and guidelines that produce consistent and measurable outcomes; train, teach and mentor team members to become more proficient and effective.
• Oversee and ensure accuracy of problem definition, acute error remediation, and root cause solution development created by team members 
• Certify accurate data is utilized to drive business decisions to impact cross-functional strategy
• Collaborate across the organization, including owning stakeholder relationships with internal and external leaders, to identify actions to achieve improvements and monitor initiative impact
• Support Oscar team members through knowledge sharing, process documentation, and tooling development 
• May lead a team of associates 
• Other duties as assigned
• Compliance with all applicable laws and regulations

Qualifications

• 5+ years of relevant experience in a compliance role within a Healthcare industry working with regulatory and Market Conduct Exams
• 5+ years experience cooperatively developing project plans with internal and external stakeholders
• 5+ years experience designing and improving workflows, including development of accompanying operating and technical procedures and tooling
• Experience with people management 
• Strong leadership skills with experience in managing and developing a compliance team.Bonus Points

• Experience managing complicated business challenges: developing understanding, distilling and communicating that understanding to technical and non-technical audiences.
• An academic and professional background in engineering, data, or healthcare
• Knowledge management, training, or content development in operational settings
• Process Improvement or Lean Six Sigma certification
• Structured, systematic, and critical thinking
• Strong verbal and written communications
• Experience with people management 
• 5+ years experience using data software (e.g. Excel, VGA, Macros, SQL and/or Python) to manipulate and analyze large data sets to solve business problems

Hi, we're Oscar. We're hiring a Manager, Market P&L to join our Market P&L 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, Market P&L supports membership growth and management, by executing the local network strategy and ensuring providers across our service area have the information and support they need to provide best-in-class member care and drive quality outcomes. 

You will report to the Director, Market P&L. 

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. 

You must reside in North or South Carolina and be willing to travel up to 40% within the two states #LI-Remote

Pay Transparency:

The base pay for this role is: $97,200 - $127,575 per year. You are also eligible for employee benefits, participation in Oscar’s unlimited vacation program, annual performance bonuses.

Responsibilities

• Manage the network development, provider contracting and key provider account relationship management for assigned market(s).
• Manage a network construction plan developed for assigned market(s).
• Generate industry relationships and outreach directly to potential network partners to coordinate growth efforts.
• Support overall contract negotiations and strategies to bring new partners into the network.
• Support and/or manage team members responsible for the servicing, education and communication to the provider network.
• Execute and help identify and guide team and org wide initiatives to improve quality and financial performance..
• Monitor assigned partners to gauge compliance with standards, implementing corrective actions to remediate deficiencies.
• Help inform key business strategies to achieve market goals and mitigate risks.
• Compliance with all applicable laws and regulations.
• Other duties as assigned.

Qualifications

• Bachelor’s degree, or 4 years equivalent work experience.
• 4+ years of professional experience in healthcare client management, healthcare consulting, or provider healthcare contracting, healthcare finance, performance management, healthcare operations, or a related field.
• 2+ years experience in process improvement and workflow design.
• 2+ years experience running financial analyses on markets or product lines, and working cross-functionally to drive improvement opportunities and increase growth and profitability.

Bonus Points

• Affordable Care Act (ACA) marketplace, quality of care, and population health experience.
• Bilingual (Spanish)

Travel

• Up to 40% 

Hi, we're Oscar. We're hiring an Associate, Member & Provider Compliance to join our Insurance 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

You will support solutions to acute and systemic issues within Oscar’s operations, analyzing challenges, coordinating responses, and delivering positive outcomes based on inputs from stakeholders. You will advance compliance efforts by conducting data analysis, managing document reviews, and overseeing the policies & procedures review process.

You will report to the Manager, Member & Provider 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: $93,600 - $122,850 per year. The base pay for this role in all other locations is: $84,770 - $110,565 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities

• Leads and cross collaborates on problem definition, acute error remediation, and root cause solution development
• Utilize data to drive business decisions to impact cross-functional strategy  
• Develop trusting relationships with relevant internal/external stakeholders through effective communication and collaboration. 
• Draft detailed narratives and reports to communicate compliance findings and updates, including responses to Regulator/NCQA requests and examinations.
• Oversee the Policies & Procedures review process, ensuring that all policies and procedures are current and meet regulatory requirements.
• Support Oscar team members through knowledge sharing, process documentation, and tooling development 
• Other duties as assigned

• Compliance with all applicable laws and regulations

Qualifications

• 3+ years of relevant technical experience in compliance, regulatory, or data analysis role within healthcare or insurance industry.
• 3+ years experience cooperatively developing project plans with internal and external stakeholders
• 3+ years experience designing and improving workflows within, including development of accompanying operating and technical procedures and tooling

Bonus Points

• Experience managing complicated business challenges: developing understanding, distilling and communicating that understanding to technical and non-technical audiences.
• An academic and professional background in engineering, data, or healthcare
• Knowledge management, training, or content development in operational settings
• Process Improvement or Lean Six Sigma certification
• Structured, systematic, and critical thinking
• Strong verbal and written communications
• 3+ years experience using data software (e.g. Excel, VGA, Macros, SQL and/or Python) to manipulate and analyze large data sets to solve business problems

Hi, we're Oscar. We're hiring a Utilization Review Registered Nurse to join our Clinical 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

As the Utilization Nurse you will perform frequent case reviews, check medical records and speak with care providers regarding treatment. You will also make recommendations regarding the appropriateness of care for identified diagnoses based on the research results for those conditions.

You will report to the Utilization Review Supervisor.

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, 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: $35.00 - $45.94 per year. You are also eligible for employee benefits, monthly vacation accrual at a rate of 10 days per year.

Responsibilities

• Complete medical necessity reviews and level of care reviews for requested services using clinical judgment and Oscar Clinical Guidelines, Milliman Care Guidelines
• Obtain the information necessary (via telephone and fax) to assess a member's clinical condition, and apply the appropriate evidence-based guidelines
• Meet required decision-making Service level agreements
• Refer members for further care engagement when needed
• Compliance with all applicable laws and regulations
• Work schedule includes one weekend day per week
• Other duties as assigned

Qualifications

• Active, unrestricted RN licensure from the United States OR, active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC)
• Associate Degree - Nursing or Graduate of Accredited School of Nursing Or Successful completion of Diploma Program in Practical Nursing of Accredited School of Nursing
• Ability to obtain additional state licenses to meet business needs
• 1+ year of utilization review experience in a managed care setting
• 2+ years of clinical experience (including at least 1+ year clinical practice in an acute care setting, i.e., ER or hospital)

Bonus Points

• BSN
• Previous experience conducting concurrent or inpatient reviews for a managed care plan

Hi, we're Oscar. We're hiring an Associate Director, ICHRA Operations to join our Eligibility & Billing 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 Associate Director, Operations Strategy supports the company in implementing Oscar’s entrance into the employer marketplace through reimbursement based models such as ICHRA and QSHERA. As the expert on our direct enrollment channel and integrations with external partners, you will play a critical role in scaling the line of business and achieving growth objectives

You will report to the Senior Director, Eligibility & Billing.

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

• Optimize Oscar direct (off-exchange) enrollment channel and ensure core processes scale with our membership growth and entrance to new markets and customer segments including ICHRA
• Responsible for all eligibility and billing business rules for direct enrollment channel and ensure all policies and procedures are documented and adhered to by processing teams
• Partner with tech on developing enrollment and billing file-feed specifications and APIs, and support implementation with external platform partners (e.g. ICHRA and QSHERA administrators)  
• Manage reconciliations of enrollment and financial data with integration partners and develop methodology to monitor and optimize data accuracy and other performance standards 
• Act as an internal and external thought partner on all matters related to direct enrollment channel and partner integrations, including engaging with external operational partners at exchanges, administration platforms, and industry trade groups 
• Support external partnerships with consultants, administrators, and others as needed to support business growth objectives

Qualifications

• Bachelor's degree or commensurate 4 years of experience
• 7+ years experience with 4+ of those years in an operational role in the healthcare industry supporting health plan enrollment, billing or related administrative functions

Bonus Points

• Master’s degree from top-tier program in business, health administration, or related field 

Hi, we're Oscar Medical Group. We’re hiring an Licensed Vocational Nurse or a Licensed Practical Nurse to join our 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 and coordinate care for Oscar members in a virtual practice. You will work with a care team of Physicians,  Advanced Practitioners, other Nurses, Social Workers, and Medical Assistants to provide collaborative care.

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 pay for this role is: $30 per hour. You are also eligible for employee benefits, and monthly vacation accrual up to 10 days per year.

Responsibilities:

• Manage patients’ healthcare needs through traditional phone calls, video calls, and asynchronous messaging
• Maintain quality standards on all documentation and communications using the appropriate platforms.
• Communicate with clinicians and care team members frequently regarding patient care and escalate cases
• Perform transition of care outreaches to facilitate post-discharge goals 
• Provide clinical assistance to determine appropriate support based on patient’s health needs
• Identify and engage barriers to achieving optimal member health and apply strategies to reduce patient risk
• Assist clinicians with administrative paperwork, fax orders or prescriptions to hospitals, pharmacies, or other vendors and schedule patient appointments
• Suggest services or preventive screenings relevant to each patient and coach patients  to reach their care goals by following medical treatment plans
• Manage pre-visit offerings by patient type and disease status 
• Support development of expanded nursing services.
• Follow all member privacy and confidentiality standards of practice (i.e. HIPAA)
• 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 or compact/multistate license
• Experience in virtual based practice 
• 3+ years of in person outpatient or ambulatory LVN/LPN experience

Bonus points:

• Experience in basic behavioral health interventions used in primary care 
• Experience in healthcare, medical management, change management, and/or leadership
• Working knowledge of Milliman Care Guidelines
• Knowledge or familiarity with the principles of project and program management
• Willingness to obtain additional state licenses as needed
• Spanish language fluency

Hi, we're Oscar Medical Group. We're hiring a Medical Assistant 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 support/assistance to a Care Team of physicians and Advanced Practice Providers (APPs) providing care to patients. You will be responsible for collecting all relevant medical information from patients and performing administrative tasks relative to practice and patient needs.

This is a part time position requiring 20 hours minimum per week, 30 hours maximum. Working hours will be between 7am - 10pm EST depending on needs.

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, Nevada, New York, Ohio, Pennsylvania, Texas, or Virginia. Note, this list of states is subject to change. #LI-Remote

Pay Transparency:

The pay for this role is $20/hr. You are also eligible for some voluntary employee benefits.

Responsibilities:

• Provide live video virtual check in and check out support for patients
• Provide live phone and messaging support for patients
• Provide support for your Care Team, including virtual physicians, APPs and RNs
• Plan for each patient's medical needs from initial outreach, care coordination, to resolution
• Assist with the order process, including sending requisition forms and coordinating referrals
• Close the loop with providers after referrals are made, including collecting patient notes from providers
• Schedule appointments with patients for follow up care
• Call providers and facilities to clarify information and help solve complex cases
• Coordinate with internal and external parties to ensure patients needs are met (Laboratories, Imaging Facilities, Pharmacies, Vendors)
• Compliance with all applicable laws and regulations
• Other duties as assigned

Requirements:

• 1+ year of experience working as a Medical Assistant in a primary care, urgent care or multi-specialty clinic
• Medical Assistant Certification or Diploma

Bonus points:

• Experience in a virtual practice environment
• Spanish language fluency (read, write & speak)

Hi, we're Oscar. We're hiring a Member Escalations Operations Manager to join our Member Escalations 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 our mission by driving a best-in-class service-focused production operation through overseeing a team that is responsible for the engagement, development, and results of their Service Operations colleagues.

You will report to the Associate Director, CG&A.

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: $76,320 - $100,170. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities

• Use frameworks to coach, develop, motivate and collaborate with 100+ team members including but not limited to onshore and offshore colleagues.
• Ensure appropriate escalation procedures are in place and adhered to to reduce customer friction
• Influence and drive core operational improvements with cross-functional leaders in all areas of the business to solve complex problems
• Initiate and lead projects to drive efficiencies that directly impact financials for fixed and variable costs
• Create foundational stability and scalability within your direct area of influence
• Build an understanding of various customer journeys associated with Oscar operations
• Take a proactive, forward-thinking and data-driven approach to identify concerns, inefficiencies, and operational improvement initiatives throughout operations that drive desired cultural and operational outcomes and improve customer experience
• Develop and maintain the critical skills necessary to resolve complex problems and support a best-in-class lean operation
• Oversee operations teams and functions across Oscar's vendor partners
• Compliance with all applicable laws and regulations
• Other duties as assigned

Qualifications

• 4+ years of experience leading and developing a team of leaders within a production within a service-based environment or contact center
• 3+ years experience working with teams in multiple locations and within multiple disciplines
• 3+ years experience working in a collaborative environment
• 3+ years experience implementing operational excellence as a manager
• 3+ year experience using data to drive decision making
• 2+ years of experience leveraging data visualization tools (Tableau, Looker, Periscope, PowerBI etc.)
• 2+ years of applying Lean Six Sigma practices or Green Belt Certified
• 2+ years prior healthcare or insurance-related experience

Bonus Points

• Bachelor's Degree
• Advanced Google Suite or Microsoft Office capabilities

Hi, we're Oscar. We're hiring an Appian Developer to join our Appian Development 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 Appian Developer delivers and supports several internal apps on the Appian platform for Oscar. This role builds robust Business Process Management (BPM) tooling to support the scaling of the Appian platform. The role develops and rolls out moderately complex apps on the Appian platform, which will transform the business teams by reducing processing times, connecting teams across the organization, and enforcing rigid escalation and approval processes. This job supports all aspects of the software development lifecycle including requirements gathering, technical design, implementation, documentation, testing, deployment, and production support of applications. You will be joining a 2024 Appian Innovation Award Winningteam.

You will report to the Vice President, Data Integrations.

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: $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

• Develop, test, and deploy applications on the Appian platform
• Create, maintain, and update applications in accordance with Appian best practices
• Stay up to date with the latest Appian features and implement them as necessary
• Create thorough technical documentation to outline key decisions and implementation strategies for new features
• Assess user requirements and communicate feasibility of implementation with business and technical stakeholders
• Compliance with all applicable laws and regulations
• Other duties as assigned

Qualifications

• 1+ years of experience with production app delivery on Appian's platform
• Appian Associate Developer Certification or higher
• 1+ years of experience with Appian SAIL, Records, Process Models, Integrations, and UI's
• 1+ years of experience working with databases (such as MySQL) and moderately complex data structures
• 1+ years of experience working in an Agile environment
• 1+ years of experience writing custom code within Appian to support intricate business processes
• 1+ years of experience with UX design and information architecture

Bonus Points

• Experience with Appian's automation and data fabric tools
• Experience with organizing and executing complex deployments

Hi, we're Oscar. We're hiring a Senior Analyst to join our Utilization Management Regulatory 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 Senior Analyst, UM Regulatory Operations supports the design, optimization, and implementation of processes and improvements to operations to support achieving organizational goals. The Senior Specialist implements lean, repeatable and scalable tools and techniques and independently represent the team within the broader organization.

You will report to the UM Manager Regulatory 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, 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

• With support from leadership, help identify risks; respond to and resolve issues/errors/escalations through investigation to inform insights for short/medium/long-term technology-enabled processes and solutions
• Coordinate projects and processes to help ensure important milestones and service levels are met
• Partner with leadership to strategize, implement, and manage arrangements aimed at lowering overall cost or improving outcomes
• Partner with teams to ensure action plans align with continuous improvement goals, and participate in collaboration with peers and team members
• Support the management, stewardship, to support compliant and performant business operations
• Provide recommendations that ensure financial discipline and quality
• Support identifying and implementing process improvement projects, and mindset shifts, to optimize operational efficiency and achieve performance targets
• Compliance with all applicable laws and regulations
• Other duties as assigned

Qualifications

• 1+ years of professional experience in payer or provider healthcare contracting, provider network management, healthcare operations, or a related field
• 1+ years of experience using data and metrics to drive improvements
• 1+ years of experience in process improvement and workflow design
• 1+ years of experience in developing and presenting information and recommendations aimed at Senior Leadership

Bonus Points

• ACA marketplace, provider network, claims, healthcare quality, or provider data experience
• Management consulting experience
• Training or experience applying Continuous Process Improvement or Lean Six Sigma principles
• Experience with project coordination or management in a matrixed organization
• Experience supporting RFP development and implementation of software or service solutions

Hi, we're Oscar. We're hiring a Senior Manager, Insurance Product Development to join our insurance product development 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 report to the Senior Director, Insurance Product 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, 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

• Design, launch and manage a product portfolio based on current product performance, competitive market, and new industry trends
• Play a key role in recommending which products should be added, modified, or discontinued based on product performance results. 
• Pull, decipher, and help drive action on key insights from models to forecast membership growth and retention rates in support of market, pricing, plan design, and strategic decisions
• Use, create, and always improve upon models and tools to pull and decipher actionable business insights to drive company-wide strategic decisions, including understanding profitability tradeoffs, market trends, and competitor insights
• Key in identifying and driving the development of a market-specific product portfolio as well as new enhancements and capabilities to meet the needs of Individual health insurance consumers.
• Analyze and synthesize external data and be held accountable to internal metrics by region.
• Collaborate with Sales, Regional Leaders, and Actuarial teams to develop plan design strategies. 
• Lead and develop multi-functional teams to develop business requirements and support implementation.
• Play a key role in creating an annual product plan and roadmap including integration of market research, competitive analysis, product positioning, and product performance.
• Infuse original and differentiating insights into the product strategy resulting in new/modified products that lead the market.
• Provides leadership oversight for direct report(s), including but not limited to coaching, conducting frequent meetings, direction, etc.
• Compliance with all applicable laws and regulations
• Other duties as assigned

Qualifications

• 6+ years developing and managing commercial insurance products.
• Strong proficiency with Excel and SQL required to manipulate and analyze data, (R, and/or Python beneficial)
• Prior experience in Health Insurance (Individual and/or Small Employer) and/or Healthcare industry 

Bonus Points

• BS/BA degree in a quantitative or healthcare field such as Business, Healthcare, Economics, Mathematics, Statistics, Actuarial Science and Finance or equivalent years of experience.
• 6+ years in a fast-paced, cross-functional environment such as consulting, finance, economics, or business development, with a minimum of 5+ years in a supervisory / management position
• Proven analytical experience with the analytical skills to translate hard data into insight and action
• Demonstrated ability to navigate ambiguity to drive to outcomes, work with large datasets and distill analyses into actionable business insights with a structured and systematic thought process

Travel required?

• Up to 25% of the time

Hi, we're Oscar. We're hiring an Associate to join our Provider Success 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 Associate, Provider Success drives solutions to acute and systemic issues within Oscar’s operations. The Associate owns end-to-end solutioning of provider escalations, orchestrating efforts cross-functionally with multiple internal partners while building strong relationships through effectiveness and trust.

You will report to the Manager, Provider Success.

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: $93,600 - $122,850 per year. The base pay for this role in all other locations is: $84,240 - $110,565 per year. You are also eligible for employee benefits, participation in Oscar’s unlimited vacation program and annual performance bonuses.

Responsibilities

• Leads and cross collaborates on problem definition, acute error remediation, and root cause solution development
• Utilizes data to drive business decisions to impact cross-functional strategy  
• Develops trusting relationships with relevant internal/external stakeholders through effective communication, collaboration and positive outcomes. 
• Supports Oscar team members through knowledge sharing, process documentation, and tooling development 
• Other duties as assigned
• Compliance with all applicable laws and regulations

Qualifications

• 3+ years of relevant technical experience in operations, data analysis, and/or consulting
• 2+ years experience using SQL to manipulate and analyze large data sets to solve business problems
• 3+ years experience cooperatively developing project plans with internal and external stakeholders
• 3+ years experience designing and improving workflows, including development of accompanying operating and technical procedures and tooling
• Experience managing complicated business challenges: developing understanding, distilling and communicating that understanding to technical and non-technical audiences.
• Healthcare experience

Bonus Points

• Knowledge management, training, or content development in operational settings
• Process Improvement or Lean Six Sigma certification
• Structured, systematic, and critical thinking
• Strong verbal and written communications

Hi, we're Oscar Medical Group. We're hiring a Lead Physician to join our 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 deliver quality care to a panel of patients as part of a multidisciplinary team of Physicians, Advanced Practice Providers (APPs), Registered Nurses (RNs), and Medical Assistant in a virtual environment. You will oversee a team of APPs (NPs and PAs) delivering care to their patients and supporting them in Oscar strategic initiatives.

You will report into the Medical Director, Oscar Primary 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: $210,560 - $276,360 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 direct high quality, safe patient care via telemedicine (video, phone, messaging) while working with a multidisciplinary team
• Provide supervision to a group of APPs (NPs and PAs) who are delivering care in a virtual environment and provide professional & clinical growth
• Clinical escalation point for the care delivery team as needed (APPs, RNs, MAs)
• Support development of clinical guidelines, continuous improvement of care model, and participate in collaborative projects with Operations and Product team members as a clinical leader
• Conduct quality assurance audits in addition to required state supervisory audit requirements
• Ensure a culture of patient safety
• Be accountable for the quality of care of your patients and ensure superior member experience
• Conduct service recovery needs for Oscar patients
• Provide growth and development of your team including management of poor performance
• Compliance with all applicable laws and regulations
• Other duties as assigned

Requirements:

• MD or DO from an ACGME accredited medical school
• Board Certified in Internal Medicine, Family Medicine, or Med/Peds
• 5+ years of outpatient primary care experience
• Prior telehealth experience
• 1+ years experience in supervising teams, including other clinical staff
• Unrestricted license to practice medicine in GA, TX, FL or IMLCC
• Experience in APP supervision

Bonus points:

• Spanish language fluency
• Experience being metrics driven in a practice setting as it relates to population health management, quality benchmarks, cost of care, and productivity
• Six sigma or programmatic management experience

Hi, we're Oscar. We're hiring an Associate Director, Data Management and Insights to join our Provider 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 Associate Director, Data Management and Insights will play a critical role in driving our data strategy, overseeing data management processes, and providing valuable insights to support business decisions and growth. You will collaborate with cross-functional teams, manage data analytics projects, and ensure data integrity and accuracy. This role requires excellent technical skills, strong leadership abilities, and a deep understanding of data management and analytics methodologies.

You will report to the Senior 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: $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

• Execute a comprehensive data management strategy to capture, organize, and maintain large volumes of structured and unstructured data.
• Oversee data collection, validation, cleansing, and integration processes to ensure data accuracy and consistency across multiple systems and platforms.
• Collaborate with Design and strategy teams to implement and optimize data management systems, tools, and technologies.
• Lead a team of data associates and consultants, providing guidance, mentorship, and performance evaluations.
• Conduct data quality assessments and establish data governance practices to ensure compliance with regulatory requirements and industry best practices.
• Identify, design and direct your team to deliver on the most highly beneficial data analytics projects, leveraging statistical techniques and advanced analytics tools to extract meaningful insights and drive business decisions.
• Collaborate with business stakeholders to identify data requirements, develop key performance indicators (KPIs), and create dashboards and reports to monitor performance and track business metrics.
• Stay up-to-date with industry trends, emerging technologies, and data management techniques, and provide recommendations for continuous improvement and innovation.
• Partner with cross-functional teams to identify business opportunities and develop data-driven strategies to enhance operational efficiency, customer experience, and revenue generation.
• Present data insights, reports, and recommendations to senior leadership and other stakeholders in a clear and concise manner.

Qualifications

• Bachelor's degree in Data Science, Computer Science, Statistics, or a related field or 4+ years of commensurate experience.
• 7+ years of experience in data management, data governance, and data analytics
• 7+ years experience using data analytics tools and programming languages (e.g., SQL, Python, R) and experience with data visualization tools (e.g., Tableau, Power BI)
• 4+ years of experience building, coaching and developing technical or operational teams
• 3+ years experience in analytics & ability to derive insights from complex, broad datasets
• 3+ years in designing and improving workflows as well as standing up accompanying operating and technical procedures

Bonus points

• In-depth knowledge of statistical analysis, predictive modeling, and machine learning techniques
• Ability to translate complex data insights into actionable strategies and recommendations and present complex information to non-technical stakeholders.

Hi, we're Oscar. We're hiring an Associate, Process Improvement to join our Eligibility & Billing Optimization 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 cross functionally with business and technical Oscar stakeholders and representing the needs and interests of the department in company wide strategic initiatives and in solving business problems related to internal processes. You will lead the design, optimization, and implementation of processes and improvements to operations to support achieving organizational goals. This requires collecting and documenting business requirements, building and managing project plans, documenting key project decisions, managing project governance, applying frameworks, analyzing data, and developing and communicating risk mitigation strategies across different initiatives and stakeholders at the same time.

You will report to the Manager, Process Improvement.

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: $93,600 - 122,850 per year. The base pay for this role in all other locations is: $84,240 - 110,565 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 completion.
• Evaluate overall departmental performance by creating, gathering, analyzing and interpreting data and metrics and assisting in development of departmental metrics and implementation of mitigation strategies
• Collaboratively work with all relevant internal and external stakeholder groups to create proactive implementation, communications, and program strategies for successful change management and risk mitigation initiatives
• Mentor team members and promotes colleagues' growth and professional development
• Compliance with all applicable laws and regulations
• Other duties as assigned

Qualifications

• 3+ years of work experience in operations, health insurance, data analysis, engineering and/or consulting
• 2+ years of experience using data software such as Excel, SQL, Python or other data analytics tools
• 2+ years of experience with end-to-end project management
• 2+ years of experience in designing and improving workflows and standing up accompanying operating and technical procedures
• 2+ years of experience with process improvement methodologies such as Lean, Six Sigma and/or Theory of constraints

Bonus Points

• Bachelor's degree in Engineering, Business Administration, or other related field
• Lean Six Sigma Green Belt certification or higher
• A bachelor's degree or 3+ years commensurate experience

Hi, we're Oscar. We're hiring a Litigation Paralegal II 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 Litigation Paralegal II is an important member of the Litigation team and supports the team with several aspects of Oscar’s litigation work and processes (including litigation and arbitration, subrogation, invoice review and support, standard and ad hoc reporting, mail, subpoena, and notice triaging, vendor relationship support, and administrative tasks ).

You will report to the Managing Senior Counsel.

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 hybrid role in our New York City office. You will work part of the time in the office and part of the time remote / work-from-home. #LI-Hybrid

Pay Transparency:

The base pay for this role is: $36.92 - $48.46 per hour. You are also eligible for employee benefits and monthly vacation accrual at a rate of 10 days per year.

Responsibilities

• Support end-to-end litigation and arbitration processes, including assistance with all aspects of intake, file set-up, organization and maintenance, tracking, litigation holds, hearing/trial calendar maintenance, discovery, hearings/trials, and active case support.
• Gather, organize, review, summarize, and index documents from multiple sources.
• Handle subrogation, mail and subpoena triage processes.
• Develop and prepare reports.
• Maintain and administer litigation support databases.
• Help with vendor implementation, onboarding, and support.
• Provide legal and administrative support to attorneys, including legal research and coordination of requests. 
• Communicate with internal partners and external entities.
• Compliance with all applicable laws and regulations.
• Other duties as assigned.

Qualifications

• Bachelor’s degree or equivalent work experience  
• 2+ years of paralegal experience at a top tier law firm and/or in-house+ years experience performing legal research under attorney supervision and proficient in redlining and editing capabilities of Word and Google Docs and other Google Suite applications.

Bonus points

• Time management skills to handle multiple tasks efficiently and accurately.

Hi, we're Oscar Medical Group. We’re hiring a Physician 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 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 Advanced Practice Providers.

You will report into the Associate 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, 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 consults. 

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
• Must be licensed in Pennsylvania
• Supervision experience of Nurse Practitioners (NP) and Physician Assistants (PA)
• 3+ years experience in urgent care, ER or outpatient family medicine practice

Bonus points:

• 2+ years of Telemedicine experience
• Supervision experience of Nurse Practitioners (NP) and Physician Assistants (PA)
• Compact physician license
• Fluent in Spanish
• Licensed in OMG states: AZ, CA, CT, FL, GA,  IA, IL, KS, MI, MO, NC, NJ, NY, OH, OK, PA, TN, TX, VA