The Senior Product Designer will own the end-to-end design process for personalization features, balancing speed with quality across web and mobile surfaces. They will collaborate with cross-functional teams to define product strategy, roadmaps, and vision while leveraging AI and behavioral signals to improve member experiences.
The Senior Product Designer will own the end-to-end design process for personalized member experiences, balancing speed with high-quality execution. They will collaborate with cross-functional teams to define product strategy, roadmaps, and vision while leveraging AI and predictive modeling to improve member engagement.
The Staff Product Manager will own the personalization platform and catalog of care options to drive member engagement and health outcomes. They will lead the product lifecycle from ideation to launch while serving as a strategic partner to business leadership.
The Staff Product Manager will lead the development of a personalization platform using predictive models and AI to improve member care navigation. They will oversee the product lifecycle, define KPIs, and drive strategic alignment across clinical and business teams.
The Senior Specialist is responsible for full-cycle accounts payable processing, including high-volume invoice management and GL coding. Additionally, the role handles Concur expense report processing, month-end reconciliations, and vendor dispute resolution.
Provide virtual medical care via phone and messaging while maintaining high standards of quality and efficiency. Collaborate with a multidisciplinary team including MAs, RNs, and other providers to deliver personalized patient care.
The Case Manager coordinates care across various settings and partners with members to create personalized care plans that improve clinical outcomes. They also assess social determinants of health and provide crisis intervention to resolve barriers to care.
The COB Specialist will investigate and verify proper payment of medical and pharmacy claims while supporting Coordination of Benefits efforts. They will also analyze payment issues, develop quantitative analyses, and collaborate with internal partners to implement COB solutions.
The Claims Processor is responsible for accurately reviewing, processing, and adjudicating health insurance claims in compliance with company policies and regulatory requirements. They also resolve system edits, audits, and claim inquiries to ensure timely resolution and support team-wide operational goals.
The Case Manager coordinates care across various settings and partners with members to navigate complex health challenges and create personalized care plans. They also assess Social Determinants of Health and provide crisis intervention to ensure treatment compliance and better clinical outcomes.
Evaluate practitioner and facility credentialing records, workflows, documentation, and system data for accuracy, timeliness, quality, and compliance. Analyze operational performance, maintain reports and controls, investigate issues, and drive corrective actions and process improvements through resolution.
The Associate Director provides strategic leadership and operational oversight for administrative grievances, appeals, and escalations to ensure regulatory compliance and operational excellence. They manage high-performing teams, enforce standardized workflows, and collaborate with cross-functional partners to resolve complex member and provider issues.
Provide direct oversight and regulatory supervision of nurse practitioners and physician assistants across virtual service lines. Collaborate with multidisciplinary teams including MAs and RNs while ensuring compliance with all applicable healthcare laws.
Provide virtual medical care via phone and messaging while adhering to company guidelines and policies. Collaborate with a multidisciplinary team including MAs and RNs to ensure high-quality patient access and care delivery.
The Associate Director leads a team of actuarial professionals to manage pricing for ACA markets and provides strategic financial recommendations to senior management. They are responsible for overseeing end-to-end pricing processes, mentoring staff, and collaborating with cross-functional teams to support business growth.
The Associate Director develops and advances market strategies to improve growth, performance, and expansion across the company's portfolio. They lead analyses and build business cases while collaborating with cross-functional teams to translate data into actionable recommendations.
The Associate Manager leads a team responsible for accurate and timely provider credentialing, re-credentialing, and enrollment operations. This role oversees production metrics, quality assurance, and cross-functional partnerships to ensure regulatory compliance and network readiness.
The Associate Medical Director provides strategic leadership for provider clinical regulatory programs, credentialing operations, and clinical policy guidance. This role ensures enterprise compliance with NCQA and CMS standards while driving continuous process improvement across clinical review operations.
Manage an assigned portfolio of national ancillary providers and health systems across the full contracting lifecycle, including recruitment, negotiation, and performance management. Coordinate with cross-functional teams to ensure operational readiness and translate network goals into executable contract strategies.
The Associate manages contracts with healthcare providers to build and maintain a robust network while ensuring access to quality care and cost optimization. They also engage directly with prospective providers, support network growth, and ensure compliance with regulatory guidelines.
The Medical Assistant provides virtual support to a care team by managing patient information, coordinating referrals, and facilitating communication between patients and providers. They are responsible for scheduling follow-up care and ensuring all patient medical needs are met through virtual check-ins and administrative coordination.
Provide virtual medical care via messaging and phone while adhering to Oscar Medical Group guidelines and policies. Collaborate with a multidisciplinary team including MAs, RNs, and other providers to ensure high-quality patient access to virtual urgent care services.
Provide direct oversight and supervision of nurse practitioners and physician assistants while delivering virtual medical care via phone and video. Collaborate with multidisciplinary teams to ensure high-quality care in alignment with company guidelines and regulatory standards.
Provide virtual medical care to members via phone and messaging while adhering to company guidelines and policies. Collaborate with a multidisciplinary team including medical assistants and registered nurses to ensure high-quality, efficient patient care.
Provide high-quality virtual care and conduct health assessments for insurance members while collaborating with a multidisciplinary care team. Manage patient follow-ups, diagnostic interpretation, and participate in operational workflows to improve virtual care delivery.
Provide high-quality virtual patient care and conduct health assessments as part of a collaborative medical team. Manage patient follow-ups, diagnostic monitoring, and participate in clinical meetings to ensure comprehensive care delivery.
Provide high-quality virtual care to patients by conducting health assessments and managing care plans in collaboration with a multidisciplinary team. Utilize remote diagnostic tools and maintain closed-loop communication with patients and other healthcare providers.
The Case Manager coordinates care across various settings and partners with members to create personalized care plans that improve clinical outcomes. They also assess Social Determinants of Health and provide crisis intervention to resolve barriers to care.
The Case Manager coordinates care across various settings and partners with members to navigate complex health challenges through personalized care plans. They also assess Social Determinants of Health and provide crisis intervention to ensure treatment compliance and improved clinical outcomes.
The Contract Load Representative is responsible for validating, configuring, and maintaining provider contracts and amendments within internal systems. They collaborate with cross-functional teams to resolve provider issues and ensure data accuracy and operational efficiency.
