Senior Specialist, Issue Management

United States·Atlantasenior

OperationsManagement

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Quick Summary

Key Responsibilities

With support from leadership,

Requirements Summary

1+ years of professional experience in payer or provider operations, provider network management, healthcare operations,

Technical Tools

OperationsManagement

Hi, we're Oscar. We're hiring a Senior Specialist, Issue Management to join our Network Operations team.

Oscar is the first health insurance company built around a full stack technology platform and a relentless 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

~1 min read

The Senior Specialist, Issue Management supports the design, optimization, and implementation of processes and improvements to provider operations in support of achieving organizational goals. The Senior Specialist is responsible for day to day oversight of our most critical bottlenecks in Operations being resolved. The lead will implement lean, repeatable and scalable tools and techniques and independently represent the team within the broader organization.

You will report into the Director, Process Improvement

Responsibilities

~1 min read

→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 key milestones and service levels are met
→Partner with leadership to strategize, implement, and manage arrangements aimed at lowering overall cost or improving outcomes
→Partner with cross-functional teams to ensure action plans align with continuous improvement goals, and participate in collaboration with peers and cross-functional stakeholders
→Support the management, stewardship, and analysis of data to support compliant and performant business operations
→Provide recommendations that ensure financial discipline and quality
→Support identifying and implementing process improvement initiatives, as well as mindset shifts, to optimize operational efficiency and achieve performance targets
→Compliance with all applicable laws and regulations
→Other duties as assigned

Requirements

~1 min read

1+ years of professional experience in payer or provider operations, 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

Nice to Have

~2 min read

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

This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.

At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.

Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.

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