Associate Director, Claims Documentation & Learning

Hi were Oscar. Were hiring an Associate Director Claims Documentation & Learning to join our Claims 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:

The Associate Director Documentation & Learning role is responsible for assisting in the creation of strategic direction of learning initiatives and knowledge management practices including documenting analyzing and improving claims processing workflows policies and procedures within the operation. This role is responsible for developing and implementing programs that enhance employee skills improve operational efficiency and foster a culture of continuous learning and knowledge sharing.

You will report into the Senior Director Claims.

Work Location:This is a remote position open to candidates who reside in: Atlanta Georgia. You will be fully remote; however our approach to work may adapt over time. Future models could potentially involve a hybrid presence at the hub office associated with your metro area. #LI-Remote

Pay Transparency: The base pay for this role is: $134136 - $176053per year. You are also eligible for employee benefits participation in Oscars unlimited vacation program and annual performance bonuses.

Responsibilities:

• Assist in the creation of a holistic claims training and documentation strategy
• Deliver claims training strategy inclusive of material creation feedback to trainees and adjustments to improve retention and application of the claims training
• Develop and maintain detailed process documentation including standard operating procedures (SOPs) work instructions and guidelines related to healthcare claims processing specifically.
• Develop and implement a continuous improvement process for all Claims documentation training and ongoing refresher trainings as well as curriculum improvements
• Work with internal stakeholders to ensure consistency and accuracy of claims documentation and training materials
• Create a system to measure the effectiveness of training programs and knowledge projects in enhancing employee performance
• Ensure that practices are integrated into daily operations and aligned with business outcomes
• Build coach and lead a team that take tremendous care of our internal and external customers maintaining or improving culture and employee satisfaction
• Translate technical or complex information into clear user-friendly documentation.
• Provide effective direction mentorship and influence to achieve departmental goals
• Stay abreast of industry trends best practices and emerging technologies in learning and development
• Compliance with all applicable laws and regulations
• Other duties as assigned

Requirements:

• 7 years of experience in a combination of claims operations learning and development knowledge management technical writing or a related field
• 5 years of people management and team leadership experience with ability to prioritize allocate work and manage across multiple high-value projects at once
• 6 years of working collaboratively with cross-functional leadership teams
• 3 Experience with benefit and contract interpretation or coding in professional/ institutional billing requirements.
• 3 Experience analyzing and improving processes and workflows.

Bonus points:

• Experience in healthcare or highly regulated or related field
• Operational improvement certification - Green or advanced belt certification
• Bachelors or Masters degree in related field
• BSN or Clinical 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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