Manager, Provider Process Design

Hi were Oscar. Were hiring a Manager Provider Process Design to join our Network Operations 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 work closely with a cross functional team of leaders project managers and Business Stakeholders to solve business problems related to internal processes. You will be responsible for identifying critical processes to the business defining the business requirements process mapping and assessing the overall effectiveness and efficiency of the process developing new or reengineering existing processes and supporting implementation. This includes an E2E approach and direct ownership of the program being developed. You will help supportsour teams in driving a best-in-class service-focused operation by designing and guiding the use of operational frameworks and ideologies.

You will report into the Director Process Improvement.

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: $105818 - $138886 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 BusinessRequirements Documents (BRDs) 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

Requirements:

• 4 years of work experience in provider operations in a payer setting
• Experience and strong understanding of NCQA CMS NUCC requirements

• 3 years of experience using data software such as google platforms 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
• 3 years of experience working cross-functionally as a program ownership with vendor engagement and internal teams to achieve operational business objectives/KPIs/OKRs

Bonus points:

• Bachelors degree in Engineering Business Administration or other related field
• Lean Six Sigma Green Belt certification or higher
• A bachelors degree or 4 years commensurate 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.

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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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