Optimization Manager, Eligibility and Billing
Optimization Manager, Eligibility and Billing
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$ 97200 - 127575
1 Vacancy
Job Description
Hi were Oscar. Were hiring an Optimization Manager to join our Eligibility and Billing 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
The Optimization Manager is responsible for collaborating cross-functionally with both business and technical Oscar stakeholders to represent the E&B Optimization department needs and interests. You will independently lead strategic initiatives and problem-solving efforts related to enrollment eligibility and billing processes that require automation internal tooling or other technical enablement for our operations teams. Responsibilities include process design optimization and implementation to achieve scalability and operational efficiency. Projects involve requirement gathering project planning and management decision documentation data analysis testing and risk mitigation strategy development and communication across various initiatives and stakeholders.
You will report to the Associate Director Systems Configuration.
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 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: $108000 - $141750 per year. The base pay for this role in all other locations is: $97200 - $127575 per year. You are also eligible for employee benefits participation in Oscars unlimited vacation program and annual performance bonuses.
Responsibilities
- Be the example of the continuous improvement mindset providing effective direction and influence while demonstrating actual results of organizational behavior change in this area
- Demonstrate the proper approach with implementation of Continuous Improvement Tools both internal to the organization and aligned to industry standards and best practices
- Partner cross functionally with various leaders in all areas of the business to support the drive towards core operational improvements
- Utilize and implement programmatic frameworks and tools while adjusting your approach based on measured outcomes across simultaneous operating improvement projects
- Creating and sustaining foundational stability and ensuring scalability within your area of responsibility
- Use process improvement best practices such and Lean and Six Sigma principles to engineer/reengineer and implement consistent organizational processes and clear engagement models
- Provide clear context in the form of Product Requirements Documents (PRDs) process maps standard operating procedures and policy documents on what is being built and why its being built.
- Compliance with all applicable laws and regulations
- Other duties as assigned
Qualifications
- A bachelors degree or 4 years commensurate experience
- 4 years of work experience in operations health insurance data analysis engineering and/or consulting
- 3 years of experience using data software such as Excel SQL or other data analytics tools
- 3 years of experience with end to end project management
- 3 years of experience in designing and improving workflows as well as standing up accompanying operating and technical procedures
- Basic SQL proficiency
Bonus Points
- Bachelors degree in Engineering Business Administration or other related field
- 3 years of experience with process improvement methodologies such as Lean Six Sigma and/or Theory of constraints
- Lean Six Sigma Green Belt certification or higher
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. Were 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 applicants disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team () to make the need for an accommodation known.
Artificial Intelligence (AI) Guidelines: Please see our AI Guidelines for the acceptable use of artificial intelligence during the interview process at Oscar.
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.
Required Experience:
Manager
Employment Type
Full-Time
