Associate, QI Accreditation Team

Hi were Oscar. Were hiring an Associate to join our Quality Improvement 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 ourselvesone that behaves like a doctor in the family.

About the role

You will manage the day-to-day operations of a portfolio of projects and providing support for ongoing projects within Oscars Quality Improvement Department. You will ensure program activities are completed in a high quality and timely manner ensuring compliance with all regulatory guidelines such as Medicaid (Medi-Cal) Medicare CMS and National Committee for Quality Assurance (NCQA) Accreditation.

You will report to the Quality Improvement Operations Manager.

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.

If you live within commutable distance to our New York City office (in Hudson Square) our Tempe office (off the 101 at University Dr) or our Los Angeles office (in Marina Del Rey) you will be expected to come into the office at least two days each week. Otherwise this is a remote / work-from-home role.

You must reside in one of the following states: Alabama Arizona Arkansas California Colorado Connecticut Florida Georgia IllinoisIndiana 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: $93600 - $122850 per year. The base pay for this role in all other locations is: $84240 - $110565 per year. You are also eligible for employee benefits participation in Oscars unlimited vacation program and annual performance bonuses.

Responsibilities

• Organize and support daily activities based on the goals of the program
• Identify optimization opportunities and lead process improvement initiatives that align with regulatory expectations and operational goals
• Lead specific components of the program including timelines documentation committee operations and internal project governance
• Support end-to-end implementations including stakeholder coordination progress tracking risk management and milestone reporting
• Serve as a liaison between stakeholders and internal teams to promote execution and regulatory alignment
• Assist in the development of meeting content such as agendas presentations policy updates and program documentation to support internal governance
• Support quarterly program and compliance reporting including data synthesis and presentation for executive and regulatory audiences
• Partner with other departments and stakeholders to ensure operational excellence including compliance with NCQA CMS and other state/federal regulations
• Develop tools standards and meeting structures to support team performance and audit readiness
• Track and monitor project controls risks and key performance indicators to support compliance and efficiency
• Facilitate project retrospectives to assess operational strengths and gaps and apply insights to future implementations
• Act as a key contributor in maintaining accreditation and quality improvement documentation standards
• Support training and documentation related to internal policies and regulatory expectations
• Compliance with all applicable laws and regulations
• Other duties as assigned

Qualifications

• 3 years of strong project management or operational experience in the health insurance space
• 3 years experience in change management and process improvement
• 3 years stakeholder management experience
• Knowledge of NCQA regulatory standards & guidelines
• Experience with data systems (such as Periscope Looker)

Bonus Points

• PMP or Six Sigma Certified