Provide regulatory oversight and supervision for nurse practitioners and physician assistants across various virtual service lines. Collaborate with medical assistants, registered nurses, and other providers to ensure compliance with state regulations.
The Senior Manager will manage operating mechanisms for the Clinical leadership team, including planning cycles, performance management, and executive reporting. They will also facilitate cross-functional collaboration to ensure organizational priorities are met and risks are effectively managed.
The Senior Manager will manage operating mechanisms for the Clinical leadership team, including planning cycles, priority reviews, and executive reporting. They will also oversee organizational workflows, budget planning, and cross-functional coordination to ensure alignment with strategic goals.
The Senior Director will lead the company's inorganic growth agenda, including M&A, strategic partnerships, and investments from sourcing through execution. They will also manage long-term financial modeling and collaborate with operators to ensure successful post-close integration and value capture.
The Senior Director will lead end-to-end corporate development activities, including M&A, investments, and strategic partnerships. They are responsible for market mapping, financial modeling, and ensuring successful transaction execution and integration.
The Care Coordinator serves as the central entry point for the Care Management department, managing administrative tasks and resolving inbound inquiries from members and providers. They coordinate care across various programs and manage non-emergent medical transportation to improve health outcomes and reduce readmissions.
Provide virtual medical care via phone and messaging while adhering to company guidelines and policies. Collaborate with medical assistants, nurses, and other providers to ensure high-quality patient access and care delivery.
Provide virtual medical care to members via messaging and phone while adhering to company guidelines and policies. Collaborate with a multidisciplinary team including MAs, RNs, and other providers to ensure high-quality patient outcomes.
Provide virtual medical care via phone and messaging 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 and care delivery.
Provide virtual medical care to members via phone and messaging while adhering to Oscar Medical Group guidelines. Collaborate with a multidisciplinary team including MAs, RNs, and other providers to ensure high-quality patient outcomes.
Provide virtual medical care via phone and messaging 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 services.
The Senior Analyst supports process improvement and issue resolution within the claims environment by leveraging infrastructure knowledge and data insights. They act as a subject matter expert for reimbursement policies and collaborate cross-functionally to translate stakeholder friction into actionable solutions.
The Provider Network Associate supports the accessibility and quality of the provider network through recruitment, engagement, and education activities. This role involves leveraging demographic data to target provider outreach and managing relationships to meet network growth and medical cost targets.
The Relationship Manager is responsible for driving business development and adoption of CHOICE Arrangements (ICHRA) through strategic partnerships with administrators and brokers. This role involves serving as a subject matter expert to educate distribution channels and reporting market performance to executive stakeholders.
The Associate Manager will lead, coach, and develop a team to support lean operations while driving productivity and process efficiencies. They are responsible for managing team reporting, analyzing KPIs, and collaborating with stakeholders to implement program strategies and risk mitigation.
The Associate Director leads a team of analysts to investigate regulatory inquiries and ensure adherence to state and federal claims compliance standards. This role translates departmental strategy into actionable business plans while collaborating cross-functionally to improve operational performance and regulatory outcomes.
The Associate Director leads a team of analysts to investigate regulatory inquiries and ensure adherence to state and federal claims compliance standards. This role collaborates cross-functionally to translate departmental strategy into actionable business plans while managing regulatory exams and operational KPIs.
The specialist will manage end-to-end member data and payer eligibility to ensure accurate claims processing. They are also responsible for initiating recovery processes by contacting payers and providers regarding overpaid claims.
The Manager of Data Mining leads a team of auditors to meet savings and recovery targets within the payment integrity department. They are responsible for overseeing vendor submissions, developing team workflows, and partnering with data science teams to establish identification algorithms.
The COB Specialist is responsible for investigating and verifying proper payment of medical and pharmacy claims while creating and enhancing coordination of benefits workflows. They will also analyze payment issues, conduct root cause analysis, and collaborate with internal partners to deliver effective reimbursement solutions.
Manage and resolve high-visibility executive-level complaints and social media escalations with urgency and professionalism. Conduct workflow reviews and provide actionable feedback to leadership to improve departmental quality and operational processes.
The Clinical Pharmacist Supervisor manages a team of pharmacists to ensure clinical accuracy and efficiency in prior authorization and appeals workflows. They also provide coaching, monitor performance metrics, and collaborate on process improvements to meet organizational quality standards.
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 policies and regulatory standards.
Provide virtual primary and urgent care to patients via phone, video, and messaging while supervising Advanced Practice Providers. Collaborate with a multidisciplinary team to ensure high-quality care and adherence to medical guidelines.
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.
Perform virtual preventative care screenings, medication reconciliation, and health coaching for insurance members. Identify and address gaps in care while cross-training to support urgent and primary care service lines.
Provide high-quality, evidence-based virtual urgent care to health insurance members using audio, video, and written communication. Collaborate with a multidisciplinary care team to manage patient health, follow up on diagnostics, and improve operational workflows.
Perform preventative care screenings, medication reconciliation, and virtual health assessments for members. Identify opportunities to improve member access to care and provide health coaching, referrals, and treatment.
Perform virtual preventative care screenings, medication reconciliation, and diagnostic assessments for health insurance members. Support cross-functional teams in virtual primary and urgent care while ensuring compliance with healthcare regulations.
Perform virtual preventative care screenings, medication reconciliation, and health coaching for insurance members. Identify and address gaps in care while cross-training to support urgent and primary care service lines.
The Nurse Practitioner will perform virtual health assessments, preventative care screenings, and medication reconciliation for insurance members. They will also provide diagnoses, health coaching, and treatment while cross-training to support urgent and primary care service lines.
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 compliance with state regulations and company policies.
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 compliance with state regulations and Oscar Medical Group policies.
Provide virtual patient care via phone and messaging while adhering to Oscar Medical Group guidelines and policies. Collaborate with a multidisciplinary team including MAs, RNs, and other providers to ensure high-quality, efficient healthcare delivery.
Provide direct oversight and supervision of nurse practitioners and physician assistants while delivering quality medical care via phone and video platforms. Collaborate with multidisciplinary teams to ensure compliance with medical guidelines and state regulations.
Provide high-quality, evidence-based virtual urgent care to patients using audio, video, and written communication. Collaborate with a multidisciplinary care team to manage patient health, follow up on diagnostics, and ensure closed-loop communication.
Provide high-quality, compassionate, evidence-based virtual care to patients using various communication forms. Collaborate with a multidisciplinary care team to manage complex patients and participate in operational workflow improvements.
The Associate is responsible for negotiating and managing healthcare provider contracts to build and maintain a robust network while optimizing costs. They also support network growth, mentor junior team members, and ensure compliance with regulatory guidelines.
The Manager of Network Contracting leads a team in negotiating and managing complex healthcare provider contracts to meet accessibility and financial goals. They are responsible for dispute resolution, ensuring regulatory compliance, and optimizing network performance through data-driven strategies.
The Associate Manager leads and develops a team focused on operational excellence, resolving complex member and provider escalations. They manage daily operations, enforce compliance, and partner cross-functionally to identify trends and implement process improvements.
The Associate Manager leads a team dedicated to operational excellence by resolving complex member and provider escalations. They also partner cross-functionally to identify process improvements and mitigate operational risks.
The Associate Manager leads a team dedicated to operational excellence by resolving complex member and provider escalations. They also partner cross-functionally to identify process improvements and ensure compliance with organizational standards.
The Director will drive the strategy, program design, and implementation of initiatives within the Provider Integration and Experience department. They are responsible for enhancing provider experience, managing cross-functional initiatives, and reporting on business health to senior leadership.
The Director will drive the strategy, program design, and implementation of initiatives within the Provider Integration and Experience department. They are responsible for enhancing provider experience, managing cross-functional initiatives, and reporting on business health to senior leadership.
The Associate will ensure organizational compliance with industry regulations, standards, and laws by reviewing operational practices and enforcing procedures. They will also lead regulatory audits, develop improvement plans, and provide compliance training to team members.
The Associate will ensure organizational compliance with industry standards, regulations, and laws by reviewing operational practices and enforcing procedures. They will also partner with departments to implement improvement plans, conduct audits, and report findings to governing bodies.
The Senior Project Manager drives end-to-end operational excellence by managing cross-functional work groups and strategic initiatives to reduce operational and regulatory risks. They are responsible for program standardization, issue resolution, and presenting executive reporting materials to senior leadership.
The Senior Project Manager drives end-to-end operational excellence by managing large, cross-functional strategic initiatives and programs. They are responsible for process standardization, issue resolution, and providing executive-level reporting to senior leadership.
The Manager of Network Contracting leads a team to negotiate and analyze contracts with healthcare providers while ensuring network adequacy and financial goals are met. They are responsible for dispute resolution, maintaining provider relationships, and implementing contracting strategies to support company growth.
The Senior Product Security Engineer will lead the security of the software development life cycle and design security measures for AI-driven workflows. They will also manage vulnerability lifecycles, conduct code reviews, and provide technical mentorship to junior engineers.
Manage and resolve high-visibility executive-level complaints and social media escalations with urgency and professionalism. Conduct workflow reviews and provide actionable feedback to leadership to improve internal processes and operational quality.
The Behavioral Health Physician Reviewer oversees utilization management, case management, and quality improvement programs to ensure clinical and operational performance. They provide clinical determinations based on evidence-based criteria and manage escalated cases including denials and appeals.
The Associate is responsible for negotiating and managing contracts with healthcare providers to build and maintain a robust network while optimizing costs. They also support network growth, provider recruitment, and ensure compliance with regulatory guidelines and internal strategic objectives.
The Senior Manager leads a team in negotiating and executing complex healthcare provider contracts to meet financial and network adequacy goals. They also oversee dispute resolution, ensure regulatory compliance, and drive contracting strategies in partnership with market leaders.
The Associate leads the end-to-end management of cross-functional projects and process improvements to support organizational goals. They are responsible for gathering business requirements, analyzing performance metrics, and driving collaboration across internal and external stakeholder groups.
The Associate leads the end-to-end management of cross-functional projects, including project planning, stakeholder engagement, and process optimization. They are responsible for analyzing departmental metrics and developing strategies to improve operational performance and mitigate risks.
The associate will develop and execute network strategies by negotiating and managing partnerships with hospitals and health systems. They will analyze provider performance and financial data to provide recommendations for senior leadership while ensuring network adequacy and affordability.
The Pharmacy Technician Supervisor leads daily operations for the prior authorization team, ensuring accurate and compliant case processing. This role mentors staff, optimizes workflows, and serves as a subject matter expert for escalated inquiries.
The Physician Reviewer will determine the medical appropriateness of inpatient, outpatient, and pharmacy services by applying evidence-based guidelines. They are also responsible for conducting peer-to-peer discussions with treating providers and documenting clinical decisions accurately.
The Associate Manager leads a team responsible for accurate and timely provider credentialing, re-credentialing, and overall operational performance. This role oversees production metrics, ensures regulatory compliance, and collaborates cross-functionally to improve workflows and provider experience.
The Associate manages and negotiates contracts with healthcare providers to ensure network adequacy and cost-effective care delivery. They also provide mentorship to junior team members and collaborate with market leaders to implement contracting strategies.
The Associate leads cross-functional projects to improve data processes and directory accuracy while resolving complex escalations. They also analyze departmental data to inform technology-enabled solutions and mentor team members to optimize operational efficiency.
The associate leads cross-functional projects to resolve data process challenges and improve directory accuracy. They also analyze departmental performance data to implement technology-enabled solutions and drive continuous improvement.
The role involves providing telephonic case management to educate members on health outcomes and coordinating care across various settings. You will also assist with discharge planning, conduct biopsychosocial assessments, and develop outcome-based care plans.
The Lead APP will provide direct patient care via telemedicine and oversee a multidisciplinary team of healthcare providers. They are responsible for clinical quality, developing care guidelines, and serving as an escalation point for the virtual health assessment program.
Perform preventative care screenings, medication reconciliation, and diagnose medical conditions for members through virtual assessments. Support cross-functional teams in virtual primary and urgent care while identifying opportunities to improve member access to care.
Provide regulatory oversight and supervision for nurse practitioners and physician assistants across various virtual service lines. Collaborate with multidisciplinary teams to ensure compliance with state regulations and healthcare standards.
Perform virtual preventative care screenings, medication reconciliation, and health coaching for Oscar Health Insurance members. Cross-train to support urgent care and virtual primary care service lines while maintaining compliance with all applicable laws.
The Senior Manager leads a team in negotiating and executing complex contracts with healthcare providers to meet financial and network adequacy goals. They are responsible for dispute resolution, contract optimization, and driving contracting strategies in alignment with company objectives.
The Associate drives solutions to acute and systemic operational issues by managing provider escalations and orchestrating cross-functional efforts. They utilize data to inform business decisions and build strong relationships with internal and external stakeholders.
The Associate drives solutions to acute and systemic operational issues by managing provider escalations and orchestrating cross-functional efforts. They also utilize data to inform business decisions and develop trusting relationships with internal and external stakeholders.
The Network Coordinator supports membership growth by executing local network strategies and ensuring providers have the necessary information for quality care. They also assist with contracting negotiations, provider outreach, and administrative reporting to ensure network adequacy.
The Manager of Network Contracting leads a team to negotiate and analyze complex healthcare provider contracts while ensuring network adequacy and financial goals are met. They are responsible for dispute resolution, maintaining provider relationships, and implementing contracting strategies to support company growth.
The Physician Reviewer will determine the medical appropriateness of inpatient, outpatient, and pharmacy services by applying evidence-based guidelines. They are also responsible for conducting peer-to-peer discussions with providers and maintaining accurate clinical documentation.
The Medical Assistant provides administrative and clinical support to a Care Team of physicians and APPs by managing patient communications and care coordination. They are responsible for collecting medical information, scheduling follow-ups, and facilitating referrals with external facilities.
The Manager of Data Analytics will triage complex data issues, identify root causes, and collaborate with engineering and business teams to implement scalable solutions. They are responsible for driving analytical requests, managing stakeholder relationships, and presenting technical findings to diverse audiences.
Provide virtual medical care to patients via phone and messaging while adhering to Oscar Medical Group guidelines. Collaborate with a multidisciplinary team including MAs, RNs, and other providers to ensure high-quality patient care and access.
The manager leads end-to-end cross-functional implementations and projects while managing stakeholder relationships and project plans. They also evaluate departmental performance through data analysis and develop strategies for risk mitigation and program success.
The Manager, Strategic Planning leads end-to-end cross-functional project implementations and manages stakeholder relationships to drive collaboration. They also evaluate departmental performance through data analysis and assist in the development of metrics and mitigation strategies.
The Process Management Associate will analyze and evaluate existing business processes to identify inefficiencies and implement improvement strategies. They will collaborate with cross-functional teams to optimize workflows and drive process automation initiatives.
The associate will analyze and evaluate existing business processes to identify inefficiencies and develop improvement strategies. They will collaborate with cross-functional teams to implement these strategies and monitor performance using relevant metrics.
The Manager, Regulatory Reporting oversees the development and implementation of compliance programs to ensure alignment with healthcare regulatory requirements. They lead the reporting team, manage audit data submissions, and provide strategic guidance to executive leadership regarding risk and internal controls.
The Manager, Regulatory Reporting oversees compliance programs and activities to ensure alignment with healthcare regulatory requirements. They lead the reporting team, coordinate audit responses, and provide regular updates to executive management and the Board of Directors.
The associate will perform line-by-line reviews of high-dollar facility itemized bills to identify billing errors and ensure claims are paid accurately. They will also serve as a subject matter expert to translate stakeholder friction into actionable process improvements.
The Associate manages a portfolio of national ancillary providers and health systems across the full contracting lifecycle, from recruitment to performance management. They translate network access and affordability goals into executable strategies while maintaining durable provider relationships.
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 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 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 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 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 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 while ensuring compliance with health information regulations.
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 work-in-progress issues, participate in process improvement projects, and ensure compliance with regulatory standards.
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.
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 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 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 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.
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 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 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 robust automation and observability 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 SRE best practices.
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 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 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.
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.
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.
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.
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.
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.
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 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.
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 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 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.
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.
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.
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.
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 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.
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 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.
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.
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.
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.
