The Manager, Client Services owns the day-to-day client experience for distribution partners, serving as the primary liaison between partners and internal teams. They are responsible for managing partner relationships from sales handoff through launch, adoption, and ongoing service while driving cross-functional execution.
You will manage complex member issues by applying technical tools and identifying trends to ensure compliance with regulations. Additionally, you will conduct workflow reviews and provide feedback to improve internal processes and department quality.
The Associate will support financial planning, analytics, and business insights for various divisions while partnering with leadership on projections and strategic initiatives. They are responsible for creating reporting, monitoring business metrics, and crafting data-driven recommendations to influence growth and profitability.
The Associate will support financial planning, analytics, and business insights for various divisions while partnering with leadership on projections and strategic initiatives. They will also craft data-driven recommendations and monitor key metrics to guide company-wide strategic decisions.
The Associate leads cross-functional projects to design and optimize internal processes while managing stakeholder relationships and project governance. They are responsible for analyzing departmental metrics and developing strategies to improve operational performance and mitigate risks.
The Associate leads end-to-end cross-functional projects and process improvements to support organizational goals. They are responsible for analyzing departmental metrics, managing stakeholder relationships, and developing strategies for risk mitigation and change management.
The associate will design and deliver bilingual sales training and enablement programs to improve agent performance and platform adoption. They will collaborate with cross-functional teams to create engaging learning experiences and track performance metrics for webinars.
The associate will design and deliver bilingual sales training and enablement programs to improve agent performance and platform adoption. They will collaborate with cross-functional teams to create tailored training materials and manage webinar logistics for internal and external stakeholders.
The Senior Manager develops and executes market-level strategies to drive growth, retention, and competitive positioning across the product portfolio. They lead strategic initiatives, perform market analyses, and provide actionable recommendations to executive leadership.
The role involves managing member and provider interactions through multiple channels while maintaining productivity and quality standards. You will also monitor assigned caseloads, resolve issues, and participate in process improvement projects to ensure compliance with operational standards.
The role involves managing member and provider interactions through multiple channels while maintaining productivity and quality standards. You will also monitor assigned caseloads, resolve issues, and participate in process improvement projects while ensuring compliance with health information regulations.
The role involves managing member and provider interactions through multiple channels while maintaining productivity and quality standards for assigned caseloads. You will also monitor work-in-progress issues, escalate concerns as needed, and participate in process improvement projects.
The role involves managing member and provider interactions through multiple channels while maintaining productivity and quality standards. You will also monitor work-in-progress issues, participate in process improvement projects, and ensure compliance with regulatory standards.
Define and design user experiences for the Lucie Marketplace, focusing on ICHRA tooling to support Oscar's mission. Collaborate with cross-functional teams including product managers, engineers, and data scientists to drive features from discovery through delivery.
Define and design intuitive experiences for Oscar's users, focusing on the ICHRA marketplace and employer health plan contribution tools. Partner with cross-functional teams including product managers, engineers, and data scientists to drive features from discovery through delivery.
The Senior Analyst will support payment integrity disputes and issue resolution by scoping, triaging, and executing process improvements within the claims infrastructure. They will collaborate cross-functionally to translate stakeholder friction into actionable opportunities and serve as a subject matter expert for reimbursement policies.
The role involves managing member and provider interactions through multiple channels while maintaining service delivery and quality expectations. You will also monitor assigned work-in-progress, resolve issues, and participate in process improvement projects.
The representative will manage assigned caseloads and interact with members, brokers, and providers to ensure service delivery and quality expectations. They will also monitor work-in-progress issues, participate in process improvement projects, and ensure compliance with regulatory standards.
The representative will manage member, broker, and provider interactions through multiple channels while maintaining service delivery and quality expectations. They will also monitor assigned work-in-progress issues and participate in process improvement projects to ensure compliance with regulatory standards.
The role involves managing member and provider interactions through multiple channels while maintaining service delivery and quality expectations. You will also monitor assigned work-in-progress issues and participate in process improvement projects to ensure operational compliance.
The Senior Director will lead a multi-disciplinary team to build and scale an operating model for escalated provider issue resolution. They will partner with cross-functional leaders to identify, route, and resolve high-impact provider issues while driving root-cause remediation.
The Senior Director will lead a multi-disciplinary team to build and scale an operating model for escalated provider issue resolution and root-cause remediation. They will partner with cross-functional leaders to improve operational workflows, reduce provider friction, and ensure high-impact issues are resolved effectively.
The Senior Specialist will identify risks, resolve process issues, and coordinate projects to improve operational efficiency and meet organizational goals. They will also partner with leadership to develop strategies and translate data analysis into actionable insights for change management.
The Senior Specialist will identify process risks, resolve operational issues, and coordinate projects to meet organizational milestones. They will also partner with leadership to implement process improvements and data-driven strategies to enhance operational efficiency.
Provide virtual medical care via phone and messaging while adhering to company guidelines and policies. Collaborate with a multidisciplinary team of MAs, RNs, and other providers to ensure high-quality patient outcomes.
The Physician Reviewer determines the medical appropriateness of inpatient, outpatient, and pharmacy services by applying evidence-based guidelines. They also conduct peer-to-peer discussions with treating providers to clarify clinical information and explain review decisions.
The Senior Director of Network Contracting leads market provider contracting teams to develop and implement complex network strategies and cost management objectives. This role negotiates complex contracts with healthcare providers and fosters strong relationships to ensure network stability and high-quality care delivery.
The Senior Director of Network Contracting develops and manages complex provider network strategies and leads contract negotiations with healthcare entities. This role collaborates with internal stakeholders to enhance network performance, manage costs, and ensure high-quality care delivery.
The Senior Analyst manages the preparation and filing of certificates of authority while serving as an advisor to cross-functional teams. They are responsible for developing sustainable processes for tracking filings and maintaining strong relationships with state insurance regulators.
The associate will build and maintain detailed operational forecasts to optimize resourcing and financial planning for production teams. They will also collaborate with stakeholders to provide data-driven insights and support strategic business objectives.
The associate will build and maintain detailed operational forecasts for volumetric demand and resourcing needs to support financial planning. They will also collaborate with stakeholders to generate insights and drive data-informed decision-making across the organization.
The specialist supports daily risk adjustment operations, including medical record retrieval, provider outreach, and inventory management. They also represent the team to internal and external partners to ensure departmental goals and regulatory deadlines are met.
The role involves architecting resilient cloud infrastructure and leading technical projects to support the company's health insurance platform. You will mentor engineers, drive technical roadmaps, and ensure system reliability through SRE best practices.
The role involves architecting resilient cloud infrastructure and leading technical projects to support the company's health insurance platform. You will mentor engineers, drive technical roadmaps, and ensure system reliability through robust automation and observability practices.
The Senior Specialist is responsible for negotiating and managing Single Case Agreements with healthcare providers to build a robust network while optimizing costs. They also monitor provider performance, resolve provider issues, and support network stability through data-driven decision-making.
The coordinator will oversee program implementation, including configuration and monitoring of services administered by vendors. They will also manage inbound escalations, identify root causes, and coordinate audit requests with stakeholders.
The Coordinator will oversee program implementation, including configuration, testing, and monitoring of services administered by delegated vendors. They will also manage inbound escalations, coordinate audit requests, and provide cross-program support to stakeholders.
The Senior Director will define and execute the provider experience strategy while leading cross-functional initiatives to improve network impact. They will act as an advocate for providers, leveraging data-driven insights to operationalize strategic projects and drive organizational change.
The Senior Director will define and execute the provider experience strategy by leading cross-functional initiatives and analyzing strategic opportunities. They will act as an advocate for providers while leveraging data to drive insights and operationalize improvements across the organization.
The Provider Network Associate supports the accessibility and quality of the provider network by executing recruitment and engagement strategies. This role involves data-driven outreach to prospective providers and managing relationships to meet market growth and network adequacy targets.
The role involves providing telephonic case management to educate members on health outcomes and assisting with care transitions across various settings. You will also develop outcome-based care plans and collaborate with providers to ensure members receive appropriate care.
Define the vision, strategy, and roadmap for Oscar’s Member Coverage & Support platforms while leading a team of product managers. Partner with cross-functional teams to modernize legacy tools, improve platform scalability, and enhance the end-to-end member and agent experience.
Define the vision, strategy, and roadmap for Oscar’s Member Coverage & Support platforms while managing a team of product managers. Partner with cross-functional teams to modernize legacy tools, improve platform scalability, and enhance the end-to-end member and agent experience.
The VP will lead the strategic and operational growth of the Individual Coverage Health Reimbursement Arrangement (ICHRA) business for Lucie Health Marketplace. This includes driving go-to-market execution, expanding distribution channels, and aligning product development with market demand.
Provide virtual medical care via phone and messaging in alignment with company guidelines. Collaborate with medical assistants and nurses to ensure efficient and high-quality patient access to urgent care services.
Negotiate and manage contracts with healthcare providers to build and maintain a robust network in assigned regions. Analyze provider performance and reimbursement rates to optimize costs and ensure access to quality care.
Manage and negotiate contracts with healthcare providers to build a robust network while optimizing costs and ensuring quality care. Support network growth and recruiting efforts while monitoring compliance with regulatory guidelines and organizational standards.
Manage and negotiate contracts with healthcare providers to build a robust network while optimizing costs and ensuring quality care. Support network growth and recruiting efforts while monitoring compliance with organizational and regulatory standards.
Manage a team responsible for building and maintaining a robust healthcare provider network through contract negotiation and performance analysis. Execute local network strategies to optimize costs and ensure member access to quality care.
Develop and execute sales enablement strategies and marketing collateral to support membership acquisition across distribution channels. Design internal training programs and maintain a centralized resource repository based on feedback from sales loops.
Develop and execute sales enablement strategies and marketing collateral to support growth across distribution channels. Create internal training programs and maintain a centralized resource library to accelerate membership acquisition.
Execute end-to-end go-to-market activities and localized launch campaigns for the ICHRA business. Translate technical insurance features into messaging frameworks and sales enablement assets while coordinating across Product, Sales, and Legal teams.
Execute end-to-end go-to-market activities and localized launch campaigns for the ICHRA business. Translate technical insurance features into messaging frameworks and coordinate cross-functionally to drive broker adoption and member enrollment.
The Associate Director leads the corporate compliance program by monitoring federal and state regulations and enforcing policies across operational functions. They are responsible for conducting compliance investigations, developing training programs, and partnering with leadership to mitigate regulatory risk.
Lead the corporate compliance team in monitoring, investigating, and enforcing policies to ensure adherence to federal, state, and local regulatory requirements. Partner with operational leaders to identify risks, implement corrective action plans, and develop comprehensive compliance training programs.
Supervise associate recruiters and network specialists to execute local network strategies and identify high-quality healthcare providers. Manage lead generation, contract negotiations, and the technical application of network development tools while reporting performance metrics to leadership.
Coordinate care across various settings and develop care plans for members facing difficult health challenges. Educate members on health conditions and medications while collaborating with hospital case managers for discharge planning.
The role focuses on identifying business inefficiencies and monitoring key financial and utilization metrics to support data-driven decision-making. You will own insight generation for a major business unit and collaborate with stakeholders to implement improvements.
The role involves identifying business inefficiencies and monitoring key financial and utilization metrics to support data-driven decision-making. You will own insights generation for a major business unit and collaborate with stakeholders to implement improvements.
The role focuses on identifying business inefficiencies and monitoring key financial and utilization metrics to support data-driven decision-making. You will own insight generation for a major business unit and collaborate with stakeholders to implement improvements.
The role involves identifying business inefficiencies and monitoring key financial and utilization metrics to support data-driven decision-making. You will own insight generation for a major business unit and collaborate with stakeholders to implement improvements.
The Program Manager supports all vendor management activities and operational improvements to ensure efficiency and effectiveness. Key duties include leading program components, developing project plans, and monitoring controls across the organization.
The Program Manager supports all vendor management activities and operational improvements to ensure efficiency and effectiveness. This includes leading program components, managing project plans, and partnering with stakeholders to maintain operational excellence.
Provide regulatory oversight and direct supervision of nurse practitioners and physician assistants across various virtual service lines. Collaborate with medical assistants and nurses to ensure compliance with state laws and regulations.
The Project Manager supports program implementation goals, post-implementation monitoring, and operational improvements for pharmacy programs. They are responsible for managing stakeholder relationships, developing project plans, and ensuring operational efficiency and compliance.
The Project Manager supports program implementation goals, post-implementation monitoring, and operational improvements for pharmacy programs. They are responsible for managing stakeholder relationships, developing project plans, and ensuring operational efficiency and compliance.
Lead the design and implementation of cross-functional processes to optimize member and provider services. Analyze departmental performance data to develop metrics and risk mitigation strategies for organizational goals.
Responsible for preparing federal, state, and local tax returns, estimates, and payments for the corporate holding company and insurance subsidiaries. The role also involves managing tax journal entries, reconciliations, and supporting GAAP and Statutory tax provisions.
The role is responsible for preparing federal, state, and local tax returns and estimates for the corporate holding company and insurance subsidiaries. Additionally, the position involves managing tax journal entries, reconciliations, and supporting GAAP and Statutory tax provisions.
The role involves analyzing regional trends and integrated claims data to identify cost drivers and provide actionable insights for market performance. You will build retrospective studies and repeatable analytical processes to optimize the total cost of care and drive affordability.
The role involves analyzing regional trends and integrated claims data to identify cost drivers and provide actionable insights for market performance. You will build retrospective studies to measure the effectiveness of affordability initiatives and develop scalable analytical processes.
Develop and execute the annual risk-based internal audit plan and shape the IA strategic roadmap. Provide advisory services on risk and internal controls while collaborating with corporate risk functions and reporting to the Audit Committee.
Develop and execute the annual risk-based internal audit plan and provide advisory services on risk and internal controls. Collaborate with corporate risk functions and present findings and recommendations to senior management and the Audit Committee.
Develop and execute the annual risk-based internal audit plan and provide advisory services on risk and internal controls. Collaborate with corporate risk functions and present findings and recommendations to senior management and the Audit Committee.
Perform virtual health assessments, preventative screenings, and medication reconciliation for members. Provide diagnosis, treatment, and health coaching while identifying opportunities to improve member access to care.
Manage a team responsible for building and maintaining a robust healthcare provider network in Florida through contract negotiation and performance analysis. Execute local network strategies to optimize costs and ensure member access to quality care.
Deliver quality medical care to patients via phone, video, and messaging on Oscar's platforms. Provide direct oversight and supervision of nurse practitioners and physician assistants according to state regulations.
Provide virtual medical care to patients via phone, video, and messaging. Serve as a supervising physician for nurse practitioners and physician assistants in accordance with state regulations.
Perform virtual health assessments, preventative screenings, and medication reconciliation for insurance members. Provide diagnosis, treatment, and health coaching while identifying opportunities to improve member access to care.
The role focuses on designing and optimizing provider operations processes to resolve critical bottlenecks and achieve organizational goals. It involves coordinating cross-functional projects and implementing scalable tools to improve operational efficiency and financial discipline.
The role focuses on designing and optimizing provider operations processes to resolve critical bottlenecks and achieve organizational goals. It involves coordinating cross-functional projects and implementing scalable tools to improve operational efficiency and financial discipline.
Manage and negotiate contracts with healthcare providers to build a robust network while optimizing costs and ensuring quality care. Support network growth and recruiting efforts while ensuring compliance with regulatory guidelines and organizational standards.
The Associate supports financial planning, analytics, and business insights for corporate, operations, and technology divisions. Key duties include creating reporting for spending patterns, developing portfolio strategies, and providing data-driven recommendations for pricing decisions.
Support financial planning, analytics, and business insights for corporate, operations, and technology divisions. Create reporting and data-driven recommendations to guide pricing decisions and strategic growth for senior leadership.
Coordinate Regulatory Affairs work within the Evidence of Coverage team and support annual QHP filings. Manage internal tracking of legislative deliverables and coordinate working groups to ensure timely completion of regulatory requirements.
Coordinate Regulatory Affairs work within the Evidence of Coverage team and contribute to annual QHP filings. Manage internal tracking of legislative deliverables and coordinate working groups to ensure timely completion of regulatory requirements.
Perform medical necessity and level of care reviews using clinical judgment and evidence-based guidelines. Coordinate with care providers to assess member conditions and make recommendations on the appropriateness of care.
Perform virtual health assessments, preventative screenings, and medication reconciliation for insurance members. Provide diagnosis, treatment, and health coaching while supporting virtual primary and urgent care service lines.
Own the end-to-end development and performance of insurance plan designs across assigned markets, translating strategy into compliant benefit structures. Lead the product lifecycle from design and regulatory filing through implementation and post-launch optimization.
Lead the strategy, development, and scaling of innovative health solutions and member incentive platforms for the individual market portfolio. Translate enterprise strategies into compliant product offerings while managing the end-to-end product lifecycle and cross-functional dependencies.
Lead the development of innovative insurance product concepts focusing on lifestyle-based, multicultural, and condition-specific health plans. Translate high-level strategy into testable concepts and coordinate cross-functional efforts to move pilots toward scalable opportunities.
Lead the execution of the ACA individual and small group QHP product lifecycle, overseeing regulatory filing delivery and quality assurance. Serve as the central hub between Product, Technology, Actuarial, and external vendors to ensure compliant and accurate product implementation.
Perform virtual health assessments, preventative screenings, and medication reconciliation for insurance members. Provide diagnosis, treatment, and health coaching while supporting virtual primary and urgent care service lines.
Provide virtual medical care via phone and messaging in alignment with company guidelines. Collaborate with medical assistants and nurses to ensure efficient and high-quality patient access to urgent care services.
Lead cross-functional implementations and optimize internal processes to achieve organizational goals. Analyze departmental performance using Big Data queries and develop KPI dashboards to drive data-driven decision making.
Lead the end-to-end management of cross-functional projects and process optimizations to achieve organizational goals. Analyze departmental performance using big data queries and develop KPI dashboards to drive data-driven decision making.
Provide virtual medical care to patients via phone, video, and messaging. Supervise nurse practitioners and physician assistants in accordance with state regulations.
Conduct internal and external quality audits focused on ICD-10 code abstraction accuracy and completeness. Manage risk adjustment operations, including medical record reviews and the implementation of process improvements to maximize risk adjustment factors.
Conduct internal and external quality audits focused on ICD-10 code abstraction and clinical documentation improvement. Manage daily risk adjustment operations, including medical record reviews and reporting audit trends to leadership.
Provide high-quality, evidence-based virtual care to insurance members using audio, video, and written communication. Collaborate with a multidisciplinary care team and utilize remote monitoring tools to conduct virtual exams and follow up on diagnostics.
Provide virtual medical care via phone and messaging in alignment with company guidelines. Collaborate with medical assistants and nurses to ensure efficient and high-quality patient access to urgent care services.
Conduct primary and secondary market research to analyze healthcare trends, consumer behaviors, and competitor activity. Translate complex data into strategic insights and dashboards to support insurance product development and business planning.
Lead the strategy and scaling of employer-subsidized (ICHRA) and emerging health insurance solutions. Translate enterprise strategies into actionable product concepts and manage the end-to-end product lifecycle from design to performance optimization.
Lead intelligence programs to monitor market trends, competitor strategies, and regulatory developments within Oscar's operating geographies. Translate market insights into strategic recommendations to improve product retention, growth, and portfolio performance.
Develop and execute health insurance plan designs by translating market strategy and regulatory requirements into detailed benefit configurations. Partner with cross-functional teams to ensure accuracy across internal systems, regulatory filings, and member-facing materials.
Define and execute the vision, strategy, and roadmap for product investments to expand the provider network nationwide. Collaborate with engineering and operations teams to improve operational efficiency and ensure regulatory compliance.
Define and execute the vision, strategy, and roadmap for product investments to expand the provider network nationwide. Collaborate with engineering and operations teams to improve operational efficiency and ensure regulatory compliance.
Lead market-specific strategy development and own the enterprise market intelligence function to guide product strategy and expansion. Serve as a strategic advisor to executive leadership by translating complex data into actionable recommendations for portfolio optimization.
Provide high-quality, evidence-based virtual urgent care to members using audio, video, and written communication. Collaborate with a multidisciplinary care team and utilize remote diagnostic tools to manage patient health.
The Director will architect the global outsourcing strategy and govern external operations across multiple contact centers and business process functions. This includes managing vendor selection, negotiating contracts, and ensuring adherence to quality, compliance, and cost objectives.
The Market Manager supports membership growth and provider network management by ensuring stakeholders have the necessary support to achieve quality health outcomes. They also develop and analyze market trends to drive profitability, sustainability, and affordability while maintaining compliance with regulations.
Provide virtual medical care to members via messaging and phone while adhering to company guidelines and policies. Collaborate with a multidisciplinary team of MAs, RNs, and other providers to ensure high-quality, efficient patient care.
The Senior Manager will lead technical accounting operations, including the creation of accounting policies and the provision of guidance on complex transactions. They will also partner with cross-functional teams and external auditors to ensure compliance with US GAAP and statutory reporting requirements.
The Senior Manager will lead technical accounting operations, including providing guidance on complex transactions and ensuring compliance with US GAAP and statutory reporting. They will also develop accounting policies, oversee new pronouncements, and collaborate with cross-functional teams and external auditors.
The Senior Manager will lead technical accounting operations, including the creation of accounting policies and providing guidance on complex transactions. They will also collaborate with cross-functional teams and external auditors to ensure compliance with US GAAP and statutory reporting requirements.
The Senior Manager will lead technical accounting operations, including the development of accounting policies and providing guidance on complex transactions. They will also partner with cross-functional teams and external auditors to ensure compliance with US GAAP and statutory reporting requirements.
The associate supports end-to-end product strategy, research, and delivery for Individual & Family and employer-subsidized health insurance solutions. They collaborate across departments to inform product design, ensure filing readiness, and monitor in-market performance through structured analysis.
The Tax Associate is responsible for income tax compliance, including the preparation of GAAP and Statutory tax provisions. They also support federal, state, and local tax return processes, tax planning, and financial modeling.
The Tax Associate is responsible for income tax compliance, including the preparation of GAAP and Statutory tax provisions. They also support federal, state, and local tax return processes, tax planning, and various financial modeling projects.
The Physician Assistant will perform virtual evaluation and management visits, including preventative screenings, diagnosis, and health coaching for insurance members. Responsibilities also involve outreach to chronically ill members and cross-training into urgent care or virtual primary care service lines as needed.
The Physician Assistant will conduct virtual evaluation and management visits for health insurance members, focusing on preventative care, diagnosis, and health coaching. Responsibilities also include outreach to chronically ill members and identifying opportunities to increase their access to licensed providers.
The Sales Executive will drive sales by identifying and qualifying leads, converting employers to the individual market, and increasing Oscar enrollment through education on ICHRA benefits. This role involves being the initial contact for prospects like employers and brokers to generate interest and schedule meetings.
The physician will provide high-quality virtual care to patients, collaborating with other healthcare professionals as needed. Responsibilities also include following up on patient diagnostics and participating in care team meetings.
You will perform frequent case reviews, check medical records, and speak with care providers regarding treatment as needed. You will make recommendations regarding the appropriateness of care for identified diagnoses based on research results for those conditions.
The Associate is responsible for leading Coordination of Benefits efforts within the claims and Payment Integrity space. This includes providing thought leadership for Payment Integrity processes and workflows, and identifying overpayments to support overall payment integrity.
