Search the 61 jobs at Oscar

The Operations Associate will design, optimize, and implement processes for Oscar's claims adjudication platform, ensuring efficiency and scalability through technology. Responsibilities include gathering business requirements, driving data-driven decisions, identifying risks, and collaborating with teams to resolve issues and create automated workflows.

The Clinical Supervisor will lead a clinical team, providing clinical and leadership support. Responsibilities include driving team goals, coaching team members, managing personnel issues, conducting root-cause analysis, and ensuring compliance with laws and regulations while promoting continuous improvement.

As a Clinical Operations Lead, you will oversee a team of LPNs/LVNs in a virtual clinic setting, manage performance metrics, coordinate with medical providers, and ensure compliance with regulations. You will also facilitate training and onboarding processes for the staff.

The Analyst, Government Affairs coordinates the Gov/Regulatory Affairs work, tracks and resolves regulatory complaints, and serves as a resource on Oscar processes and systems to identify risks and issues. Responsibilities include supporting research and compliance with laws and regulations.

The Team Lead, Knowledge Management Operations will oversee the Knowledge Management teams, focusing on performance management and operational improvements. This role involves managing team outcomes, monitoring KPIs, fostering a strong team culture, and leading continuous improvement initiatives to enhance the team's effectiveness and alignment with company values.

The Senior Learning Specialist will be responsible for designing and facilitating training content to promote an agile workforce, ensuring high-quality training standards. Responsibilities include creating eLearning content, collaborating with subject experts, and facilitating courses for diverse audiences.

The Director of Member & Provider Program Operations will drive strategy and program design for Provider, Member, and Broker Services at Oscar. Responsibilities include enhancing program value, ensuring program effectiveness, managing financial performance, providing regular reporting to senior leadership, driving the budgeting process, and supporting the professional development of team members.

As a Data Scientist II at Oscar, you will utilize AI/ML to enhance member engagement, analyze data usage, and demonstrate the value of communication channels. You will be expected to collaborate with peers, mentor junior staff, and maintain data processes while delivering analytical solutions with minimal oversight.

The Senior Manager of Data Science will lead a team of data scientists, translating business goals into actionable plans, establishing technical vision, and overseeing the development and maintenance of data models and pipelines to improve Oscar's clinical operations. The role involves collaboration with multiple stakeholders to enhance care quality and efficiency.

The Senior Manager, Strategic Initiatives is responsible for driving strategy and implementation of department-specific programming, collaborating cross-functionally to leverage data for informed decision-making, and managing key initiatives through program management. This role involves setting success criteria, building workflows, and supporting the professional development of team members.

The Manager, Business Operations & Strategy at Oscar will lead cross-functional implementations and projects, manage stakeholder engagement, evaluate departmental performance through data analysis, and develop risk mitigation strategies. This role requires strong communication and project management skills to ensure successful change management and oversee team members' development.

The Senior Actuarial Analyst will support Oscar's forecasting, strategy, and pricing processes, focusing on IBNR projections, risk adjustments, and performance trend investigations to inform budget planning and pricing strategies. The role involves reviewing pricing models and maintaining communication with partners while ensuring compliance with regulations.

The Workforce Management Project Lead will design and optimize processes to support organizational goals, manage projects to improve operational efficiency, analyze data for insights, and comply with laws and regulations. They will coordinate efforts with leadership and teams to ensure project milestones are met and provide recommendations for improvements.

The Physician Reviewer in Utilization Management will assess the medical appropriateness of services, perform clinical reviews based on evidence-based criteria, document decisions clearly, and ensure compliance with regulations. The role involves timely peer-to-peer discussions with providers and handling escalated reviews, while maintaining high-quality standards.

The Operations Associate will design and optimize processes for configuring Oscar's claims adjudication platform, focusing on technology and automation. Responsibilities include data analysis, solution implementation, risk identification, and cross-functional collaboration to enhance efficiency and effectiveness.

The Senior Specialist, Medical Coding Auditor supports the assessment of fraud, waste, and abuse in healthcare by auditing claims and coordinating activities to reduce FWA. Responsibilities include documenting findings, creating reports, training team members, and ensuring compliance with regulations.

The Manager, Member & Provider Compliance will ensure operational compliance and integrity, oversee the development and improvement of policies and procedures, represent the operations team during audits, and collaborate across departments for continuous improvement of compliance systems.

The Vice President of Network Operations oversees the provider network strategy, ensuring data quality, operational efficiency, and compliance. This role leads teams dedicated to provider data management, network monitoring, and performance management, while leveraging analytics for data-driven decisions and collaborating with stakeholders to align network performance with organizational goals.

The Associate Director, Member Experience Strategy will lead the strategy and implementation of member experience initiatives at Oscar. This role involves identifying cost-saving opportunities, managing budget processes, evaluating performance metrics, and developing direct reports, while ensuring compliance with regulations.

The Senior Software Engineer II, Payment Integrity will develop and scale a claims system, leveraging machine learning to identify fraud and optimize data processing. This role involves collaboration with senior leaders and mentoring other engineers while executing complex technical projects that shape the healthcare company's strategy.