Hi, we're Oscar. We're hiring a Team Lead, Claims Production to join our Claims Production team.
Oscar is the first health insurance company built around a full stack technology platform and a 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
You will be responsible for managing the success of multiple Claims Production teams by driving performance, effectiveness, and operational improvements to daily workflows and strategies.
You will report to the Manager, Claims Production.
Work Location:
Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission.
This is a remote role. You must reside in one of the following states: Alabama, Arizona, California, Colorado, Connecticut, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, or Washington, D.C. Note, this list of states is subject to change. #LI-Remote
Pay Transparency:
The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $56,880 - $74,550 per year. The base pay for this role in all other locations is: $51,120 - $67,095 per year. You are also eligible for employee benefits, participation in Oscar’s unlimited vacation program, and annual performance bonuses..
Responsibilities
- Guide your team’s metrics, including member and provider satisfaction, quality of care (daily benchmark production) and employee satisfaction
- Coach direct reports through a culture of feedback and development to provide the best member/provider experience and care possible.
- Serve as a central communicator -- leading team huddles, promoting vision, strategy, company values, and providing feedback to team members and other company associates.
- Manage the daily needs of your team, including hiring, training, inventory levels, and scheduling to ensure an efficient operation .
- Compliance with all applicable laws and regulations
- Other duties as assigned
Qualifications
- 3+ years of direct experience leading and supporting a claims operations area ( production, adjustments, disputes, reconsiderations)
- 3+ years of medical claims processing experience
- 2+ years reading and using claims data to identify trends; including inventory management
Bonus Points
- 3+ years prior health plan experience in other operational domains such as configuration, provider services or member services
- 2 years experience with claims payment and recoupment processes
- Bachelor's Degree
- Strong proficiency navigating Google Office Suite, Excel, JIRA, and SQL
- Demonstrated capacity to balance competing priorities and continue to execute projects with excellence
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.
Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant’s disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team ([email protected]) to make the need for an accommodation known.
California Residents: For information about our collection, use, and disclosure of applicants’ personal information as well as applicants’ rights over their personal information, please see our Notice to Job Applicants.
Top Skills
What We Do
Healthcare is broken; we're trying to fix it. The Oscar team is focused on utilizing technology, design and data to humanize healthcare. We're a group of technology and healthcare professionals who looked at the current state of the US healthcare system, got frustrated by the horrible consumer experience, and decided to do something big about it.
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