Director, Claims Operations, Process Improvement

Tempe, AZ - USA

Yearly Salary: $ 162453 - 213220

Posted on: 4 hours ago

Vacancies: 1 Vacancy

Job Summary

Hi were Oscar. Were hiring a Director Claims Operations Process Improvement to join our Claims Production team.

Oscar is the first health insurance company built around a full stack technology platform and a relentless 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 lead a team in identifying and implementing process improvement opportunities in claims operations setting while ensuring we remain compliant and meet our contractual goals. You will be responsible for developing and implementing an operating plan for improving efficiency scaling operations and ensuring the achievement of departmental performance metrics and will lead and execute key strategic initiatives that not only optimize workflows but also allow Oscar to stay competitive in the market.

You will report into the Senior Director Claims.

Work Location: This position is based in our Tempe Arizona office requiring a hybrid work schedule with 3 days of in-office work per week. Thursdays are a required in-office day for team meetings and events while your other two office days are flexible to suit your schedule. #LI-Hybrid

Pay Transparency: The base pay for this role is: $162453 - $213220 per year. You are also eligible for employee benefits participation in Oscars unlimited vacation program company equity grants and annual performance bonuses.

Responsibilities:

Lead coach and develop a high-performing team of managers and their reports
Provide structure and support for your team allowing them to keep their focus on delivering key initiatives
Develop and continuously improve foundational processes
Ensure operational compliance with all relevant regulatory/ accreditation agencies and meets contractual requirements
Lead team to surface data process and technology issues through proactive identification measurement and monitoring of operations; partner cross functionally to develop end-to-end strategy that leverages these insights to scale
Manage develop and maintain relationships cross-functionally to drive multi department collaboration to drive results for strategic initiatives
Own team vision and strategy including quarterly vital setting and multi-year roadmap
Other duties as assigned

Requirements:

Bachelors Degree in related field or 4 years of commensurate experience
10 years experience in healthcare strategy and claims operations
6 years of leadership experience
2 years of experience in program management and/or process design or implementation
3 years of experience analyzing data to solve complex operational business problems
3 years experience designing implementing and improving business workflows
Experience with healthcare claims processing

Bonus points:

Masters degree
Health Insurance or Management Consulting experience with a focus on healthcare
Lean / Six Sigma experience
Financial modeling experience

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.

Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.

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.

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Required Experience:

Director

Hi were Oscar. Were hiring a Director Claims Operations Process Improvement to join our Claims Production team.Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of healt...