Associate Director, Billing Strategy – Denials & Appeals Position Summary Natera is seeking an Associate Director, Billing Strategy – Denials & Appeals to lead the strategy, performance, and optimization of denied claims and appeals. This is a senior individual contributor role responsible for shaping denial management strategy, driving payer advocacy, and partnering cross-functionally to improve reimbursement outcomes. This role will also play a key part in supporting automation initiatives across denial and appeals workflows—translating operational expertise into system logic and partnering with engineering and vendors to scale processes through technology. The Associate Director will oversee this function from three angles: Operational: Oversight and performance management of outsourced RCM teams handling denials and appeals. Analytical: Root cause analysis and data-driven insights to improve denial rates and recovery. Technical: Defining and supporting system enhancements and automation strategies tied to denial workflows. Key Responsibilities Strategy & Payer Advocacy Lead denial management and appeals strategy across all payer types. Define and track overturn rates, appeal timelines, and recovery performance. Act as an internal expert on payer policies and medical necessity criteria for laboratory testing. Interpret payer policies and guide teams on defending medical necessity in appeals. Identify payer behavior patterns to inform contracting strategy and escalation pathways. Operations & Root Cause Analysis Partner with eligibility, prior authorization, coding, and billing teams to proactively prevent denials. Audit BPO/vendor performance using data to identify workflow gaps, enforce accountability, and drive improvements. Develop job aids and standardized workflows to improve consistency and quality. Analyze denial trends to distinguish between avoidable operational issues and systemic or payer-driven challenges. Data, Systems & Automation Translate denial and appeals workflows into system logic, partnering with engineering and vendors to support automation buildout. Define requirements for rules-based workflows, denial routing, and appeal triggers within billing systems (e.g., AMD). Support automation initiatives (e.g., rules engines, RPA, AI-driven workflows) by providing domain expertise and guiding design decisions. Lead UAT and QA for system changes, ensuring outputs align with payer policy and real-world denial scenarios. Identify opportunities to reduce manual work by transitioning denial and appeal processes toward scalable, low-touch or unattended workflows. Proactively identify edge cases, failure points, and gaps in automation logic before and after deployment. Analyze datasets using tools such as Power BI, SQL, Excel, or Snowflake to quantify denial drivers and financial impact. Qualifications Required 8–12+ years of experience in healthcare Revenue Cycle Management (RCM), with deep focus on denials and appeals. Expertise in laboratory billing, CPT coding, and reimbursement methodologies. Strong knowledge of commercial, Medicare, Medicaid, and managed care payer policies. Demonstrated success improving appeal overturn rates and resolving medical necessity denials. Experience working with BPO or offshore RCM vendors. Strong analytical skills with experience using tools such as Power BI, Excel, SQL, or Snowflake. Experience leading cross-functional initiatives and influencing stakeholders without direct authority. Preferred Experience supporting automation initiatives in revenue cycle (e.g., rules engines, RPA, or workflow automation tools). Experience partnering with engineering teams or vendors to implement billing system enhancements. Familiarity with AI-driven workflow concepts (e.g., intelligent routing, decisioning) in an operational setting. Experience with AMD or similar billing platforms. Experience with tools such as Jira or similar workflow tracking systems. Key Traits for Success Investigative: Relentless in understanding why denials occur and how to prevent or overturn them. Systems Thinker: Able to connect operational workflows with system logic and automation opportunities. Data-Driven: Uses data to inform decisions and influence stakeholders. Cross-Functional Operator: Effectively partners with engineering, operations, and leadership teams. Builder Mindset: Proactive in identifying opportunities and driving improvements with a high degree of ownership. Low Ego, High Accountability: Focused on outcomes and team success over individual recognition. The pay range is listed and actual compensation packages are based on a wide array of factors unique to each candidate, including but not limited to skill set, years & depth of experience, certifications and specific office location. This may differ in other locations due to cost of labor considerations. Remote USA $132,100—$165,100 USD OUR OPPORTUNITY Natera™ is a global leader in cell-free DNA (cfDNA) testing, dedicated to oncology, women's health, and organ health. Our aim is to make personalized genetic testing and diagnostics part of the standard of care to protect health and enable earlier and more targeted interventions that lead to longer, healthier lives. The Natera team consists of highly dedicated statisticians, geneticists, doctors, laboratory scientists, business professionals, software engineers and many other professionals from world-class institutions, who care deeply for our work and each other. When you join Natera, you'll work hard and grow quickly. Working alongside the elite of the industry, you'll be stretched and challenged, and take pride in being part of a company that is changing the landscape of genetic disease management. WHAT WE OFFER Competitive Benefits - Employee benefits include comprehensive medical, dental, vision, life and disability plans for eligible employees and their dependents. Additionally, Natera employees and their immediate families receive free testing in addition to fertility care benefits. Other benefits include pregnancy and baby bonding leave, 401k benefits, commuter benefits and much more. We also offer a generous employee referral program! For more information, visit www.natera.com . Natera is proud to be an Equal Opportunity Employer. We are committed to ensuring a diverse and inclusive workplace environment, and welcome people of different backgrounds, experiences, abilities and perspectives. Inclusive collaboration benefits our employees, our community and our patients, and is critical to our mission of changing the management of disease worldwide. All qualified applicants are encouraged to apply, and will be considered without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, age, veteran status, disability or any other legally protected status. We also consider qualified applicants regardless of criminal histories, consistent with applicable laws. If you are based in California, we encourage you to read this important information for California residents. Link: https://www.natera.com/notice-of-data-collection-california-residents/ Please be advised that Natera will reach out to candidates with a @ natera.com email domain ONLY. Email communications from all other domain names are not from Natera or its employees and are fraudulent. Natera does not request interviews via text messages and does not ask for personal information until a candidate has engaged with the company and has spoken to a recruiter and the hiring team. Natera takes cyber crimes seriously, and will collaborate with law enforcement authorities to prosecute any related cyber crimes. For more information: - BBB announcement on job scams - FBI Cyber Crime resource page
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Position Summary: The Associate Director of Product Management, Oncology, leads the development and commercialization of Signatera clinical trial matching products and services for current and future versions of the Signatera product line, including on-market and new tissue-informed MRD products. This role supports the long-term vision and 5-year strategic planning for the product roadmap, with a focus on growing and accelerating the Signatera trials enrollment. The position requires strategic thinking combined with strong execution and leadership in cross-functional teams. Responsibilities include managing the product lifecycle from concept to obsolescence, developing the strategic roadmap, prioritizing features and programs, creating product requirements, and improving overall product performance. Primary Responsibilities: Develop and execute the clinical trial matching product roadmap for the Signatera product line. Define and deliver product requirements based on customer needs and operational constraints. Oversee product performance and manage product support across various departments, including Product Management, Molecular Biology R&D, Software Engineering, Sales & Marketing, Clinical/Medical, Operations, Regulatory, and Business Development. Develop product performance metrics, analyze data, and collaborate with teams to identify and implement improvement strategies. Identify business opportunities, create business cases, and build financial models to support product initiatives. Conduct Voice of Customer (VOC) interviews, market research, and competitive analysis to validate product features and enhance customer satisfaction. Collaborate with marketing teams to define product positioning, market launch plans, pricing, and the creation of key marketing collateral. Present data-driven arguments to gain stakeholder alignment and buy-in for strategic initiatives. Provide regular updates to both internal and external stakeholders on product vision, progress, and roadmap updates. Qualifications: Bachelor's degree required, preferably in physical or life sciences, statistics, or engineering. A Master's or PhD degree is preferred. A minimum of 7 years of experience, with at least 5 years in product management, product marketing, commercialization, or strategic consulting. Experience in oncology products, medical devices, or diagnostics is highly preferred. Familiarity with large-scale high complexity molecular testing laboratories, particularly in tumor tissue sequencing, is desirable. Expertise in the Life Sciences industry is highly preferred. Knowledge, Skills, and Abilities: Proven ability to lead and motivate cross-functional teams. Strong understanding of technology and the ability to articulate customer value propositions effectively. Excellent project and process management skills. Proficiency with office applications (e.g., MS Word, MS Excel) and presentation tools (e.g., MS PowerPoint). Basic financial and economic modeling skills. Exceptional communication skills, both written and verbal. Strong organizational skills and attention to detail, with the ability to manage multiple tasks simultaneously. Candidates with experience leading scientific or technical projects in R&D roles are encouraged to apply. Must demonstrate strong analytical, product development, and project management expertise. Ability to collaborate effectively across functions and influence decision-making in a team environment. Ability to communicate regularly with senior leadership. The pay range is listed and actual compensation packages are based on a wide array of factors unique to each candidate, including but not limited to skill set, years & depth of experience, certifications and specific office location. This may differ in other locations due to cost of labor considerations. Remote USA $174,700—$210,400 USD OUR OPPORTUNITY Natera ™ is a global leader in cell-free DNA (cfDNA) testing, dedicated to oncology, women's health, and organ health. Our aim is to make personalized genetic testing and diagnostics part of the standard of care to protect health and enable earlier and more targeted interventions that lead to longer, healthier lives. The Natera team consists of highly dedicated statisticians, geneticists, doctors, laboratory scientists, business professionals, software engineers and many other professionals from world-class institutions, who care deeply for our work and each other. When you join Natera, you'll work hard and grow quickly. Working alongside the elite of the industry, you'll be stretched and challenged, and take pride in being part of a company that is changing the landscape of genetic disease management. WHAT WE OFFER Competitive Benefits - Employee benefits include comprehensive medical, dental, vision, life and disability plans for eligible employees and their dependents. Additionally, Natera employees and their immediate families receive free testing in addition to fertility care benefits. Other benefits include pregnancy and baby bonding leave, 401k benefits, commuter benefits and much more. We also offer a generous employee referral program! For more information, visit www.natera.com . Natera is proud to be an Equal Opportunity Employer. We are committed to ensuring a diverse and inclusive workplace environment, and welcome people of different backgrounds, experiences, abilities and perspectives. Inclusive collaboration benefits our employees, our community and our patients, and is critical to our mission of changing the management of disease worldwide. All qualified applicants are encouraged to apply, and will be considered without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, age, veteran status, disability or any other legally protected status. We also consider qualified applicants regardless of criminal histories, consistent with applicable laws. If you are based in California, we encourage you to read this important information for California residents. Link: https://www.natera.com/notice-of-data-collection-california-residents/ Please be advised that Natera will reach out to candidates with a @ natera.com email domain ONLY. Email communications from all other domain names are not from Natera or its employees and are fraudulent. Natera does not request interviews via text messages and does not ask for personal information until a candidate has engaged with the company and has spoken to a recruiter and the hiring team. Natera takes cyber crimes seriously, and will collaborate with law enforcement authorities to prosecute any related cyber crimes. For more information: - BBB announcement on job scams - FBI Cyber Crime resource page
POSITION SUMMARY The Area Medical Director (AMD) is a senior physician leader embedded within a defined geography (Northeast, East, Central, or West) to serve as Natera 's primary MD-to-MD clinical presence across the community oncology market. This role addresses the intersection of medical affairs, field execution, and scientific credibility — driving engagement with community oncologists, KOLs, and cross-functional field teams to accelerate appropriate utilization of Natera's oncology portfolio, including Signatera and Altera. The AMD owns regional medical strategy, leads cross-functional field partnerships, and operates with high autonomy to define and execute area priorities. The AMD functions without a defined playbook, translates business strategy into field-level action, and surfaces clinical intelligence that informs both commercial execution and development priorities. This is a 50% field-based role. PRIMARY RESPONSIBILITIES MD-Level Field Engagement ● Execute 12–18 MD-level engagements per quarter across defined geography, with at least 50% concentrated in top strategic community accounts. ● Maintain field presence of at least 4 ride days per month, prioritizing and overseeing area high-value and "platinum" accounts, including lost/down account retrieval. Responsible/accountable for oversight and coordination with these accounts with Associate AMD. ● Establish and maintain contact with the medical lead in the top 20 area accounts; engage 100% of flagged accounts within 10 business days. Cross-Functional Medical Leadership ● Serve as the primary MD triage point for escalated area medical inquiries, acknowledging at least 90% within 48 hours with 100% closed-loop documentation in Salesforce. ● Partner with MSL managers, Area Sales Directors, and Area Marketing Directors through structured bi-weekly and monthly cadences to align scientific messaging and commercial strategy. ● Participate in at least 75% of high-priority account strategy reviews and area/regional planning sessions; co-own quarterly business reviews with MSL leadership. Proficiency with and current understanding of Natera's evidence generation portfolio and ability to speak to/escalate questions or issues coming from area accounts. Scientific Communication and Education ● Host, present, or observe at least 12 regional educational programs per quarter targeting high-impact community accounts. ● Lead development of at least one educational initiative per cycle (physician-facing, patient-facing, or via webinar/podcast); complete annual recurrent speaker training. ● Ensure consistent, compliant scientific positioning across field activities; document objection-handling themes and manage escalation to histology-specific Medical Directors where appropriate. Clinical Development Contribution ● Identify and document field-driven evidence generation opportunities; surface at least one histology-specific clinical trial concept per year in collaboration with the CMO and histology Medical Director teams. ● Generate at least 3 actionable regional insights per quarter in quarterly written reports submitted prior to manager review. ● Identify at least 3 qualified KOL collaboration leads per quarter, including IST/RWE prospects, documented in Salesforce. Performs other duties as assigned. QUALIFICATIONS Required: ● M.D. or D.O. with board certification in oncology, hematology, or a directly related clinical specialty. ● Minimum 5–8 years of related clinical or medical affairs experience following board certification (HM5 level; equivalent field experience accepted). ● Demonstrated proficiency across multiple tumor histologies and working knowledge of the molecular residual disease (MRD) diagnostic landscape. ● Experience in a field-based medical affairs, clinical development, or medical education role within oncology diagnostics, pharma, or biotech. ● Proven ability to communicate complex clinical data to community oncologist audiences. Preferred: ● Direct experience with cfDNA-based or MRD testing platforms (e.g., Signatera, ctDNA-based assays). ● Prior experience in a cross-functional field role collaborating with commercial, MSL, and marketing teams. ● Experience contributing to clinical trial design, IST development, or real-world evidence programs. KNOWLEDGE, SKILLS, AND ABILITIES Technical: ● Deep clinical fluency across multiple solid tumor histologies and understanding of MRD biology, assay methodology, and clinical application in oncology management. ● Working proficiency in Salesforce or equivalent CRM for documentation, engagement tracking, and compliance adherence. ● Ability to analyze and translate clinical data, publications, and evidence landscapes into field-level scientific narratives and objection-handling frameworks. ● Familiarity with regulatory and compliance boundaries governing medical affairs activities, including fair balance and off-label communication protocols. Behavioral: ● High autonomy. Operates effectively without a defined playbook; identifies the problem, defines the approach, and executes without close management. ● T-shaped profile. Brings deep oncology clinical expertise with the ability to connect across commercial, scientific, and operational domains. ● Builder orientation. Establishes new ways of working, not just operates within existing structures — particularly in ambiguous or rapidly evolving environments. ● Executive presence. Maintains credibility and composure in physician-level and leadership settings; can challenge without alienating. ● Data-driven. Applies clinical evidence and field intelligence to frame medical conversations and inform internal strategic decisions. ● Cross-functional fluency. Communicates clearly across medical, commercial, and marketing functions without requiring translation layers. PHYSICAL DEMANDS & WORK ENVIRONMENT This is a field-based role with approximately 50% of time spent in regional travel across a defined geography. The AMD attends in-person customer meetings, educational programs, and internal team meetings, which may require extended hours, evening events, and weekend conference attendance. Remote home-office work constitutes the remaining time and requires reliable high-speed internet access. Physical demands are consistent with standard office and field-based activities. Travel required for this position: Yes ☒ Anticipated travel: >50% within defined regional geography The pay range is listed and actual compensation packages are based on a wide array of factors unique to each candidate, including but not limited to skill set, years & depth of experience, certifications and specific office location. This may differ in other locations due to cost of labor considerations. Remote USA $250,000—$360,000 USD OUR OPPORTUNITY Natera™ is a global leader in cell-free DNA (cfDNA) testing, dedicated to oncology, women's health, and organ health. Our aim is to make personalized genetic testing and diagnostics part of the standard of care to protect health and enable earlier and more targeted interventions that lead to longer, healthier lives. The Natera team consists of highly dedicated statisticians, geneticists, doctors, laboratory scientists, business professionals, software engineers and many other professionals from world-class institutions, who care deeply for our work and each other. When you join Natera, you'll work hard and grow quickly. Working alongside the elite of the industry, you'll be stretched and challenged, and take pride in being part of a company that is changing the landscape of genetic disease management. WHAT WE OFFER Competitive Benefits - Employee benefits include comprehensive medical, dental, vision, life and disability plans for eligible employees and their dependents. Additionally, Natera employees and their immediate families receive free testing in addition to fertility care benefits. Other benefits include pregnancy and baby bonding leave, 401k benefits, commuter benefits and much more. We also offer a generous employee referral program! For more information, visit www.natera.com . Natera is proud to be an Equal Opportunity Employer. We are committed to ensuring a diverse and inclusive workplace environment, and welcome people of different backgrounds, experiences, abilities and perspectives. Inclusive collaboration benefits our employees, our community and our patients, and is critical to our mission of changing the management of disease worldwide. All qualified applicants are encouraged to apply, and will be considered without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, age, veteran status, disability or any other legally protected status. We also consider qualified applicants regardless of criminal histories, consistent with applicable laws. If you are based in California, we encourage you to read this important information for California residents. Link: https://www.natera.com/notice-of-data-collection-california-residents/ Please be advised that Natera will reach out to candidates with a @ natera.com email domain ONLY. Email communications from all other domain names are not from Natera or its employees and are fraudulent. Natera does not request interviews via text messages and does not ask for personal information until a candidate has engaged with the company and has spoken to a recruiter and the hiring team. Natera takes cyber crimes seriously, and will collaborate with law enforcement authorities to prosecute any related cyber crimes. For more information: - BBB announcement on job scams - FBI Cyber Crime resource page
Dataiku is the Platform for AI Success, the enterprise orchestration layer for building, deploying, and governing AI. In a single environment, teams design and operate analytics, machine learning, and AI agents with the transparency, collaboration, and control enterprises require. Sitting above data platforms, cloud infrastructure, and AI services, Dataiku connects the full enterprise AI stack - empowering organizations to run AI across multi-vendor environments with centralized governance. The world's leading companies rely on Dataiku to operationalize AI and run it as a true business performance engine delivering measurable value. For more, visit the Dataiku blog , LinkedIn , X , and YouTube . Dataiku is looking for an experienced Strategic Account Executive to join our team. Since the launch of our company, we have experienced healthy growth and steady market demand. This is an individual contributor position, newly added due to business expansion. We're looking for someone who can express passion about new technologies and the possibilities of Data and Advanced Analytics to enterprise customers across a range of industries within an extensive network. This role consists of engaging prospects and customers about their related initiatives to help them develop a more efficient approach, leveraging our platform, Dataiku. As a Strategic Account Executive at Dataiku, you'll be responsible for managing the entire sales cycle and own a territory with prospects and customers across a variety of industries. We embrace a culture of accountable camaraderie, and this role will enable you to collaborate cross-functionally with colleagues in marketing, product management, and sales engineering. Together, you'll showcase the business value of Dataiku's platform, DSS. What you'll need to be successful - 10+ years experience in software field sales Strong belief in a customer centric selling philosophy and applying a consultative approach in customer interactions Background in selling innovation and new concepts to large Enterprises Strong ability to develop a vision match with prospects and customers, to develop alignment across different groups and cultivate champions Good articulation of competitive positioning Comfortable traveling 30 to 50% Desired Skills Experience in 'data' – big data, analytics, data science, BI/DW, data integration Early start-up experience is a plus! #LI-LP1 #LI-JR1 #L1-AH1 Compensation and Benefits The final compensation package for this role will be determined during the interview process and is based on a variety of factors, including, but not limited to, geographic location, internal equity, education, skill set, experience and training. Eligible roles may also be entitled to receive commission or other variable compensation through Dataiku's incentive compensation program. Dataiku also offers comprehensive benefits, including stock options, medical, dental, and vision plans, flexible spending accounts, pre-tax commuter benefits, a 401k company match, paid vacations and sick leave, paid parental leave, employer paid disability coverage, and additional health and wellbeing perks and benefits. Dataiku reserves the right to amend or modify employee perks and benefits at any time. US only national base pay ranges $160,000—$170,000 USD What are you waiting for! At Dataiku, you'll be part of a journey to shape the ever-evolving world of AI. We're not just building a product; we're crafting the future of AI. If you're ready to make a significant impact in a company that values innovation, collaboration, and your personal growth, we can't wait to welcome you to Dataiku! And if you'd like to learn even more about working here, you can visit our Dataiku LinkedIn page . Our practices are rooted in the idea that everyone should be treated with dignity, decency and fairness. Dataiku also believes that a diverse identity is a source of strength and allows us to optimize across the many dimensions that are needed for our success. Therefore, we are proud to be an equal opportunity employer. All employment practices are based on business needs, without regard to race, ethnicity, gender identity or expression, sexual orientation, religion, age, neurodiversity, disability status, citizenship, veteran status or any other aspect which makes an individual unique or protected by laws and regulations in the locations where we operate. This applies to all policies and procedures related to recruitment and hiring, compensation, benefits, performance, promotion and termination and all other conditions and terms of employment. If you need assistance or an accommodation, please contact us at: reasonable-accommodations@dataiku.com Protect yourself from fraudulent recruitment activity Dataiku will never ask you for payment of any type during the interview or hiring process. Other than our video-conference application, Zoom, we will also never ask you to make purchases or download third-party applications during the process. If you experience something out of the ordinary or suspect fraudulent activity, please review our page on identifying and reporting fraudulent activity here.
Hi, we're Oscar. We're hiring a Head of Provider Network Development to join our Provider Network 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 ourselves—one that behaves like a doctor in the family. About the role: As the Head of Provider Network Development, you will lead strategic provider sourcing. This effort will expand and improve the payer network, specifically driving the recruitment of non-anchor providers, Essential Community Providers (ECPs), and Federally Qualified Health Centers (FQHCs). You will directly support network adequacy standards, improves patient access, and improve overall network performance. This team also manages incoming provider participation requests and collaborates with Network Contracting, Network Strategy, and Market Leadership to build a compliant network that enables profitable member growth. You will report into the Senior Vice President, Network & Provider Management Work Location: This position is based in our New York 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: $198,720 - $260,820 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, company equity grants and annual performance bonuses. Responsibilities: Architect and complete targeted network expansion strategies, leading end-to-end recruitment plans for non-anchor practitioners, medical groups, and ECPs/FQHCs to meet geographic growth and access goals. Monitor regional provider density and access metrics to prioritize and close any gaps to exceed state, federal (CMS) and product-level adequacy and accessibility standards. Partner with Network Contracting, Network Strategy, and Market Leadership to align provider recruitment targets with regulatory needs and broader commercial, ACA, or Medicare growth plans. Track and lead recruitment pipeline velocity and team productivity. Use network design analytics to monitor recruitment pipeline throughput, and address regulatory coverage gaps to improve the Provider Network. Build, mentor, and lead a high-performing team of network development professionals, sometimes including both employees and contractors, promoting a culture of accountability, operational thoughtfulness, and continuous improvement. Requirements: Bachelor's degree in Healthcare Administration, Business Administration, Public Health, or a related field 12+ years of experience in healthcare industry 5+ years of progressive leadership experience in provider network development, network operations, or provider recruitment within a health plan, MSO, or health system. Experience engaging and contracting with community health centers, FQHCs, and independent provider groups. Demonstrated understanding of CMS and state-level network adequacy requirements and access-to-care standards. Experience managing multi-departmental workflows across contracting, legal, operations, and market leadership teams. Experience using network management platforms (e.g., Quest Analytics) and CRM tools to drive recruitment strategy. Bonus points: Master's degree (Master of Health Administration, Master of Public Health, or Master of Business Administration) Travel required? Yes up to 15% This is an authentic Oscar Health job opportunity. 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. We're 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 applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known. 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 Privacy Policy .
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Hi, we're Oscar. We're hiring a Contract Load Representative to join our Contract Loading 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 ourselves—one that behaves like a doctor in the family. About the role: The Contract Load Representative is responsible for validating, configuring, and maintaining executed provider contracts and amendments. This role owns end-to-end contract configuration in internal systems, resolves complex provider and member issues, and collaborates with cross-functional teams to ensure data accuracy and operational efficiency. You will report into the Associate Manager, Provider Data Operations. Work Location: This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events. #LI-Remote Pay Transparency: The base pay for this role is: $19.00 per hour. You are also eligible for employee benefits, monthly vacation accrual at a rate of 15 days per year. Responsibilities: Review and configure executed provider contracts, amendments, W-9s, rosters, and supporting documentation for completeness, accuracy, and readiness for configuration. Coordinate with Network Contracting, Credentialing, Roster Operations, Rate Configuration, and leadership to resolve missing information, clarify contract intent, and manage downstream dependencies. Escalate incomplete documentation, contract discrepancies, duplicate records, complex interpretation questions, and system issues. Develop a comprehensive understanding of the current processes, procedures, and tools associated with the Oscar business model. Interact daily with Internal departments through multiple channels according to assignment needs Manage an assigned caseload while maintaining service delivery, productivity, and quality expectations Form working relationships with internal stakeholders. Support the leadership team by identifying issues through established escalation pathways Be accountable for monitoring and tracking the health of all assigned work-in-progress issues. Escalate and resolve issues to ensure appropriate turnaround times Be an active participant in process improvement initiatives Comply with all operational, regulatory, and compliance standards relating to member Personal Health Information (PHI) Compliance with all applicable laws and regulations Other duties as assigned Requirements: High school diploma or GED 1+ years of experience in a fast-paced healthcare environment Advanced Google Suite or Microsoft Office capabilities Experience manipulating and entering accurate data in a production driven environment Bonus points: In-depth knowledge of provider contracts Experience configuring provider contracts Strong verbal and written communication skills Strong quantitative or analytical skills focused on proactively identifying or solving problems This is an authentic Oscar Health job opportunity. 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. We're 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 applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known. 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 Privacy Policy .
Hi, we're Oscar. We're hiring a CGA Team Lead to join our Complaint, Grievances and Appeals 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 ourselves—one that behaves like a doctor in the family. About the role: As a CGA Team Lead, you will supervise the day-to-day CGA production operations. You will provide guidance to the CGA staff on their assignments while leading them to meet performance expectations. You will ensure that cases are resolved in accordance with state and federal regulatory requirements and Oscar's policies and procedures. You will provide oversight to your immediate team and the broader CGA Team to achieve departmental goals. You will be responsible for facilitating the resolution process through problem-solving and creating strong partnerships across the organization. You may also lead projects outside the daily production operation to improve processes and the member experience. You will report into the Associate Manager, CGA & MPCT. Work Location: This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events. #LI-Remote Pay Transparency: The base pay for this role is: $55,890- $73,355 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses. Responsibilities: The CGA Team Lead is responsible for managing the day to day needs of the team to ensure compliance with Federal and State regulations and timeframes on all case types and lines of business Apply critical thinking to ensure proper workflows are in place to meet/exceed internal and external SLAs and TATs Deliver coaching, feedback and recognition as warranted to support direct reports Leverage advanced understanding of state and federal regulations to ensure accuracy of deliverables/cases Monitor performance for direct reports for timely and accurate processing of complaints, grievances, appeals, attendance, schedules, and other job related behavior Identify and coordinate team member training needs based on performance, as well as team trends that may require implementing process improvements Be accountable for team metrics and compliance Manage day-to-day needs of your team Monitor and review case management dashboards and error reports to ensure productivity and case accuracy and timeliness Give direct reports regular feedback on performance and help support corrective action procedures, up to and including separation, with manager and HR oversight when needed Perform inventory management and ensure that work is distributed appropriately in order to meet defined production standards and turn-around times Answer internal and external customer questions, assists peers and Manager or Associate Director with tasks Act as a liaison between CGA and other business units, as needed and in partnership with CGA management, as it pertains to CGA processes Act as a Subject Matter Expert (SME) for area(s) of responsibility Make recommendations and help lead process improvements as needs are identified Compliance with all applicable laws and regulations Other duties as assigned Requirements: 3+ years of relevant experience directly related to this role 2+ years experience with and equivalent knowledge of Commercial Insurance, Medicare/Medicaid and/or Affordable Care Act rules and regulations relating to the Grievance & Appeals processes 1+ years experience with or relevant knowledge of navigating Google Docs and Sheets Bonus points: Experience with any state-level audit Management/leadership experience Bachelor's Degree This is an authentic Oscar Health job opportunity. 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. We're 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 applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known. 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 Privacy Policy .
Hi, we're Oscar. We're hiring a CGA Team Lead to join our Complaint, Grievances and Appeals 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 ourselves—one that behaves like a doctor in the family. About the role: As a CGA Team Lead, you will supervise the day-to-day CGA production operations. You will provide guidance to the CGA staff on their assignments while leading them to meet performance expectations. You will ensure that cases are resolved in accordance with state and federal regulatory requirements and Oscar's policies and procedures. You will provide oversight to your immediate team and the broader CGA Team to achieve departmental goals. You will be responsible for facilitating the resolution process through problem-solving and creating strong partnerships across the organization. You may also lead projects outside the daily production operation to improve processes and the member experience. You will report into the Associate Manager, CGA & MPCT . Work Location: This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events. #LI-Remote Pay Transparency: The base pay for this role is: $55,890- $73,355 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses. Responsibilities: The CGA Team Lead is responsible for managing the day to day needs of the team to ensure compliance with Federal and State regulations and timeframes on all case types and lines of business Apply critical thinking to ensure proper workflows are in place to meet/exceed internal and external SLAs and TATs Deliver coaching, feedback and recognition as warranted to support direct reports Leverage advanced understanding of state and federal regulations to ensure accuracy of deliverables/cases Monitor performance for direct reports for timely and accurate processing of complaints, grievances, appeals, attendance, schedules, and other job related behavior Identify and coordinate team member training needs based on performance, as well as team trends that may require implementing process improvements Be accountable for team metrics and compliance Manage day-to-day needs of your team Monitor and review case management dashboards and error reports to ensure productivity and case accuracy and timeliness Give direct reports regular feedback on performance and help support corrective action procedures, up to and including separation, with manager and HR oversight when needed Perform inventory management and ensure that work is distributed appropriately in order to meet defined production standards and turn-around times Answer internal and external customer questions, assists peers and Manager or Associate Director with tasks Act as a liaison between CGA and other business units, as needed and in partnership with CGA management, as it pertains to CGA processes Act as a Subject Matter Expert (SME) for area(s) of responsibility Make recommendations and help lead process improvements as needs are identified Compliance with all applicable laws and regulations Other duties as assigned Requirements: 3+ years of relevant experience directly related to this role 2+ years experience with and equivalent knowledge of Commercial Insurance, Medicare/Medicaid and/or Affordable Care Act rules and regulations relating to the Grievance & Appeals processes 1+ years experience with or relevant knowledge of navigating Google Docs and Sheets Bonus points: Experience with any state-level audit Management/leadership experience Bachelor's Degree This is an authentic Oscar Health job opportunity. 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. We're 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 applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known. 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 Privacy Policy .
Hi, we're Oscar. We're hiring a CGA Team Lead to join our Complaint, Grievances and Appeals 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 ourselves—one that behaves like a doctor in the family. About the role: As a CGA Team Lead, you will supervise the day-to-day CGA production operations. You will provide guidance to the CGA staff on their assignments while leading them to meet performance expectations. You will ensure that cases are resolved in accordance with state and federal regulatory requirements and Oscar's policies and procedures. You will provide oversight to your immediate team and the broader CGA Team to achieve departmental goals. You will be responsible for facilitating the resolution process through problem-solving and creating strong partnerships across the organization. You may also lead projects outside the daily production operation to improve processes and the member experience. You will report into the Associate Manager, CGA & MPCT. Work Location: This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events. #LI-Remote Pay Transparency: The base pay for this role is: $55,890- $73,355 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses. Responsibilities: The CGA Team Lead is responsible for managing the day to day needs of the team to ensure compliance with Federal and State regulations and timeframes on all case types and lines of business Apply critical thinking to ensure proper workflows are in place to meet/exceed internal and external SLAs and TATs Deliver coaching, feedback and recognition as warranted to support direct reports Leverage advanced understanding of state and federal regulations to ensure accuracy of deliverables/cases Monitor performance for direct reports for timely and accurate processing of complaints, grievances, appeals, attendance, schedules, and other job related behavior Identify and coordinate team member training needs based on performance, as well as team trends that may require implementing process improvements Be accountable for team metrics and compliance Manage day-to-day needs of your team Monitor and review case management dashboards and error reports to ensure productivity and case accuracy and timeliness Give direct reports regular feedback on performance and help support corrective action procedures, up to and including separation, with manager and HR oversight when needed Perform inventory management and ensure that work is distributed appropriately in order to meet defined production standards and turn-around times Answer internal and external customer questions, assists peers and Manager or Associate Director with tasks Act as a liaison between CGA and other business units, as needed and in partnership with CGA management, as it pertains to CGA processes Act as a Subject Matter Expert (SME) for area(s) of responsibility Make recommendations and help lead process improvements as needs are identified Compliance with all applicable laws and regulations Other duties as assigned Requirements: 3+ years of relevant experience directly related to this role 2+ years experience with and equivalent knowledge of Commercial Insurance, Medicare/Medicaid and/or Affordable Care Act rules and regulations relating to the Grievance & Appeals processes 1+ years experience with or relevant knowledge of navigating Google Docs and Sheets Bonus points: Experience with any state-level audit Management/leadership experience Bachelor's Degree This is an authentic Oscar Health job opportunity. 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. We're 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 applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known. 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 Privacy Policy .
Hi, we're Oscar. We're hiring a Provider Contracting Associate to join our National Contracting 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 ourselves—one that behaves like a doctor in the family. About the role: The Associate, National Contracting manages an assigned portfolio of large national ancillary providers and/or multi-state health systems across the contracting lifecycle—from market assessment and recruitment through negotiation, implementation, performance management, renewal, and escalation. Working with Network leadership and cross-functional partners, this role translates network access and affordability goals into executable contract strategies; uses financial, claims, and provider data to inform negotiations; and maintains durable provider relationships. The Associate helps ensure contracts are operationally sound, compliant, and positioned to deliver high-quality, cost-effective member care across markets. You will report into the Senior Director, Specialty Contracting. Work Location: This is a remote position based in the field, open to candidates who reside: Alabama, Arizona, California, Florida, Illinois, Iowa, Kansas, Michigan, Mississippi, Missouri, Nebraska, New York, North Carolina, Ohio and Texas. Your daily work will involve a blend of work from your home office and frequent local travel for client meetings. Occasional travel may be required for team meetings and company events. #LI-Remote Pay Transparency: Pay Transparency: The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $96,876 - $127,149 per year. The base pay for this role in all other locations is: $87,188- $114,434 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses. Responsibilities: Support the development and execution of national contracting strategies for large ancillary providers and/or health systems, aligned with network adequacy, access, quality, and cost-management objectives. Manage an assigned portfolio across the full contracting lifecycle, including prospecting, evaluation, negotiation, implementation, performance management, renewal, and termination. Prepare for and negotiate complex provider agreements, including reimbursement, operational, data-sharing, performance, and compliance terms, within established authority and escalation guidelines. Coordinate contract implementation with Legal, Finance, Provider Operations, Claims, Credentialing, Configuration, Compliance, and Market teams to ensure accurate and timely operational readiness. Build and maintain productive relationships with provider contracting and operational leaders; lead routine business reviews, resolve escalated issues, and coordinate corrective action plans. Analyze claims, utilization, reimbursement, provider roster, market, and competitive data to develop negotiation positions, quantify financial impact, and identify performance improvement opportunities. Monitor assigned networks and provider performance for access, adequacy, quality, cost, and contractual compliance; escalate risks and support remediation with Network and Market leadership. Maintain accurate contracting pipeline, status, documentation, and provider data; meet defined service-level agreements and performance metrics for outreach, negotiations, and contract completion. Compliance with all applicable laws and regulations Other duties as assigned Requirements: 3+ years of experience in provider contracting, provider network management, healthcare consulting, healthcare operations, or a related field. 2+ years of experience supporting provider network strategy and negotiating provider agreements. Demonstrated experience managing complex, multi-stakeholder contracting work from analysis and negotiation through implementation and ongoing performance management. Experience building effective relationships with provider contracting and operational leaders and communicating recommendations to internal stakeholders. 1+ years of experience performing financial analysis for healthcare markets, provider contracts, or product lines and translating findings into negotiation or improvement opportunities. 1+ years of experience working with large data sets, such as claims, utilization, fee schedules, contract inventories, and provider rosters. Bonus points: Bachelor's degree in business, healthcare administration, finance, economics, or a related field, or equivalent professional experience. Experience contracting with national ancillary provider organizations, multi-state provider groups, or large health systems. Working knowledge of provider reimbursement methodologies, contract language, claims data, network adequacy, and provider operations. This is an authentic Oscar Health job opportunity. 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. We're 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 applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known. 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 Privacy Policy .
Hi, we're Oscar. We're hiring an Associate Director, Virtual Care to join our 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 ourselves—one that behaves like a doctor in the family. About the role: This role will be responsible for driving the strategy and implementation of strategic initiatives in support of Oscar's Virtual Care program. Primary responsibilities include setting the overall department strategy, ensuring operational efficiency and deploying tactics to improve overall program performance. The Associate Director should be comfortable working in a cross functional team with operations, product, data, and clinical teams. You will report into the Director, Virtual Care. Work Location: This position is based in our Tempe, AZ 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: $162,453 - $213,220 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses. Responsibilities: Set, drive and execute on the Virtual Care team's strategy to enhance program performance including determining new opportunities Identify and drive execution of cost-savings opportunities by collaborating with key business units Program management of key company and department strategy initiatives from development through implementation Continuously evaluate financial and operational performance metrics dashboards to drive performance improvement Comfortable translating program performance into materials for Senior Leadership report outs Development and growth of direct reports, ensuring that colleagues are supported in professional development Compliance with all applicable laws and regulations Other duties as assigned Requirements: 7+ years experience in healthcare strategy and operations, and or related field 4+ years of experience managing individual contributors 3+ years project planning experience Bonus points: Master's degree Management Consulting experience with a focus on healthcare Experience in leading large-scale cross functional initiatives Experience with Excel and financial modeling experience This is an authentic Oscar Health job opportunity. 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. We're 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 applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known. 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 Privacy Policy .
Hi, we're Oscar. We're hiring an Associate Director, Virtual Care to join our 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 ourselves—one that behaves like a doctor in the family. About the role: You will drive the strategy and implementation of strategic projects to support Oscar's Virtual Care program. Primary responsibilities include setting the department strategy, ensuring operational efficiency and deploying tactics to improve overall program performance. You will work cross functionally with operations, product, data, and clinical teams. You will report into the Director, Virtual Care. Work Location: This position is based in our New York City, NY 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: $180,504- $236,911 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses. Responsibilities: Set, drive and execute on the Virtual Care team's strategy to enhance program performance including determining new opportunities Identify and drive execution of cost-savings opportunities by collaborating with key business units Program management of key company and department strategy initiatives from development through implementation Continuously evaluate financial and operational performance metrics dashboards to drive performance improvement Comfortable translating program performance into materials for Senior Leadership report outs Development and growth of direct reports, ensuring that colleagues are supported in professional development Compliance with all applicable laws and regulations Other duties as assigned Requirements: 7+ years experience in healthcare strategy and operations, or related field 4+ years of experience managing individual contributors 3+ years project planning experience Bonus points: Master's degree Management Consulting experience with a focus on healthcare Experience leading large-scale cross functional projects Experience with Excel and financial modeling experience This is an authentic Oscar Health job opportunity. 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. We're 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 applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known. 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 Privacy Policy .
