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Director of Engineering, Data Products
Full TimeFully RemoteDirector$223,100 - $290,000 / Year
data sciencepatient careclinicaldentalmental healthcompliance+3

At Counterpart Health, we are transforming healthcare and improving patient care with our innovative primary care tool, Counterpart Assistant. By supporting Primary Care Physicians (PCPs), we are able to deliver improved outcomes to our patients at a lower cost through early diagnosis and longitudinal care management of chronic conditions. We're looking for a Director of Engineering to lead our Data Products pillar, serving as the technical engine for Counterpart Health's (CPH) clinical-data foundation. You will own the technical strategy and execution for the Data Products roadmap—encompassing clinical data ingestion, canonical data modeling, and ingestion scalability—while building scalable, reusable data capabilities that serve as a foundational platform for driving clinical insight generation. You will own the technical strategy for our Data Products platform—ensuring our clinical data foundations (using standards like FHIR, LOINC, and RxNorm) effectively drive business outcomes. You will serve as a critical leader and partner to the VP of Engineering and cross-functional leaders in Product, Data Science, and Design. As a Director of Engineering, Data Products , you will: Own the Data Products technical roadmap, canonical data modeling, and ingestion scalability. Manage and optimize the clinical data ingestion pipeline. Oversee the scaling of customer data onboarding processes and the continuous improvement of data hygiene, canonical storage standards, and observability and monitoring of the data pipelines. Enable shared funnel visibility across the organization and support the development of a robust enterprise reporting framework. Drive the adoption of an AI-powered Software Development Life Cycle (SDLC), leveraging AI tools to accelerate coding, testing, and deployment processes while maintaining stringent code quality and security standards. Success in this role looks like: Successfully achieving improved clinical data coverage and freshness targets across all patient populations. Predictable and repeatable multi-customer scaling with standardized playbooks for rapid data readiness. Broad adoption of the Data Products platform and its capabilities Data infrastructure is robust, stable, and serves as a reliable source of truth during rapid organizational growth and customer expansion. You should get in touch if: You possess 10+ years of engineering experience with a deep focus on building high-scale data platforms, distributed systems, and interoperability standards (e.g., FHIR, CCDA). Proven track record in managing and scaling engineering teams that handle data-heavy workloads and complex clinical data pipelines. Proven experience leading cross-functional teams of engineers to deliver complex software in regulated environments. Experience implementing and scaling AI-assisted development workflows (e.g., AI code assistants, automated testing, or AI-driven SDLC) to improve engineering productivity. Demonstrated experience building and managing engineering systems in highly regulated healthcare environments, with a strong operational understanding of HIPAA and SOC 2 compliance requirements. Passionate about the healthcare sector and committed to utilizing technical expertise to drive meaningful improvements in patient outcomes. Deeply familiar with the inherent complexities and lack of standardization in clinical datasets, with a proactive focus on enhancing data integrity. Motivated by intricate technical challenges and dedicated to architecting pragmatic, high-quality engineering solutions through continuous intellectual exploration. Thrives in dynamic, high-growth environments, demonstrating the ability to navigate ambiguity and align technical priorities with overarching strategic objectives. Action-oriented leader who assumes full ownership of system sustainability, willing to address operational gaps to ensure the team achieves its delivery milestones. Engineering Leadership Skills: Proven track record of directly hiring, mentoring, and developing engineering managers, Tech Leads (TLs), and Principal Engineers (PELs). Demonstrated ability to cultivate a high-performance engineering culture focused on velocity, quality, and psychological safety. Experience leading organizational change, including structural re-orgs and process evolution. Strong proficiency in strategic resource allocation, capacity planning, and managing technical debt in a fast-paced product environment. Exceptional stakeholder management skills, with the ability to translate complex technical constraints into clear, actionable business strategies (e.g., impact on HEDIS/RADV outcomes) for non-technical leadership. Benefits Overview : Financial Well-Being : Our commitment to attracting and retaining top talent begins with a competitive base salary and equity opportunities. Additionally, we offer a performance-based bonus program and regular compensation reviews to recognize and reward exceptional contributions. Physical Well-Being : We prioritize the health and well-being of our employees and their families by offering comprehensive group medical coverage that include coverage for hospitalization, outpatient care, optical services, and dental benefits. Mental Well-Being : We understand the importance of mental health in fostering productivity and maintaining work-life balance. To support this, we offer initiatives such as No-Meeting Fridays, company holidays, access to mental health resources, and a generous annual leave policy. Additionally, we embrace a remote-first culture that supports collaboration and flexibility, allowing our team members to thrive from any location. Professional Development : We are committed to developing our talent professionally. We offer learning programs, mentorship, professional development funding, and regular performance feedback and reviews. Additional Perks : Reimbursement for office setup expenses Monthly cell phone & internet stipend Flexibility to work from home, enabling collaboration with global teams Paid parental leave for all new parents And much more! About Counterpart Health: In 2018, Clover Health set out to do something unprecedented: build a clinically intuitive, AI-enabled solution that fits within physicians' workflows to help support the earlier diagnosis and management of chronic conditions. Years later, that vision is a reality, with thousands of practitioners using Counterpart Assistant during patient visits to improve disease management, reduce medical expenses, and drive success in value-based care. With an exceptional team of value-based care and technology experts, Counterpart Health is driving value-based care at the speed of software. Counterpart Health is a subsidiary of Clover Health. From Clover's inception, Diversity & Inclusion have always been key to our success. We are an Equal Opportunity Employer and our employees are people with different strengths, experiences, perspectives, opinions, and backgrounds, who share a passion for improving people's lives. Diversity not only includes race and gender identity, but also age, disability status, veteran status, sexual orientation, religion and many other parts of one's identity. All of our employee's points of view are key to our success, and inclusion is everyone's responsibility. #LI-Remote Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. We are an E-Verify company. Final pay is based on several factors including but not limited to internal equity, market data, and the applicant's education, work experience, certifications, etc. A reasonable estimate of the base salary range for this role is: $223,100—$290,000 USD

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General Manager, Pharmacy
Clover HealthUSA (Fully Remote)33 days ago
Full TimeFully RemoteSenior$317,000 - $317,000 / Year
goclinicaloncologypharmacypharmacistdental+5

Build the pharmacy business that powers the next generation of Medicare Advantage. Clover is building more than a dispensing operation. We are building a strategic healthcare business that can improve access, medication experience, and outcomes for Medicare Advantage members. As the General Manager, Pharmacy, you will assume end-to-end accountability for the build, licensing, performance, evolution, and long-term growth of Clover's pharmacy business. You will own the P&L, 0 to 1 pharmacy build plan, ongoing operating plan, growth agenda, organization, scaling roadmap, and member experience while ensuring that quality and compliance remain foundational. This position requires frequent and meaningful onsite presence in New Jersey through development, launch, and ongoing operations. As General Manager, Pharmacy, you will: Own the pharmacy P&L, annual operating plan, capital priorities, and a balanced scorecard spanning quality, growth, service, and financial performance. Own the end-to-end pharmacy build, assembling the internal team and selecting and managing external partners for facilities, technology, licensing, fulfillment, and launch as appropriate. Design and launch the pharmacy operating model, converting a fact-based assessment into a practical operating plan and clear accountabilities. Set the long-term business strategy and scaling roadmap, including capacity, facilities, licensing, technology, automation, staffing, and organizational design. Build and lead a high-performing management team, including the Pharmacist-in-Charge and pharmacy operations leadership; clarify decision rights between enterprise leadership and daily floor management. Establish a rigorous operating cadence and metrics across prescription volume and capture, unit economics, turnaround time, quality, compliance, member experience, and workforce performance. Drive pharmacy growth across Clover's Medicare Advantage membership through provider engagement, referral pathways, and a consistently strong member experience. Oversee licensing, credentialing, regulatory readiness, and operational compliance through appropriately qualified leaders and partners. Strengthen relationships with wholesalers, manufacturers, technology vendors, and other strategic partners. Partner with Pharmacy Strategy, Clinical leadership, and the Part D Stars Strategy & Care Initiatives team to execute adherence interventions and improve member outcomes without owning Clover's overall Part D strategy. Identify opportunities to extend the platform's capabilities and serve additional populations over time. Success in this role looks like First 90 days Establish an approved build plan, budget, leadership and partner model, regulatory critical path, and launch milestones. Align leaders on the operating plan, key performance indicators, and a sequenced 12- to 18-month scaling roadmap. First 6 months Deliver measurable progress against quality, service, productivity, growth, and financial priorities. Strengthen provider referral and member-engagement infrastructure. Advance the facilities, systems, automation, staffing, and licensing work required for the next stage of scale. Build a durable management cadence and a leadership team capable of running the operation without dependence on the GM for daily floor decisions. Long term Deliver profitable, compliant growth and increase prescription capture among Clover members. Build a scalable, resilient dispensing platform with strong quality and member outcomes. Establish the pharmacy as a strategic asset that supports Clover's broader care model and long-term growth. You should get in touch if You have demonstrated experience launching a pharmacy or comparable regulated dispensing operation or program from concept through go-live. You have led a dispensing, specialty, mail-order, rare-disease, oncology, or digital pharmacy business through material scale, transition, or transformation. You have owned a P&L or carried clear accountability for the performance of a substantial business line—not only a single function. You are a proven enterprise leader who can set strategy, build an organization, and manage through other leaders while remaining hands-on when the situation requires it. You understand pharmacy operations, licensing, fulfillment, workflow, automation, quality, and provider engagement well enough to make integrated business decisions. You have operated successfully in a regulated, metrics-rich environment and know how to balance growth, economics, member experience, and compliance. Experience in an integrated payer, provider, and pharmacy environment—or in business integration, transition, and scaling—is strongly preferred. You can travel frequently to New Jersey and establish credibility with on-site teams. Benefits Overview : Financial Well-Being: Our commitment to attracting and retaining top talent begins with a competitive base salary and equity opportunities. Additionally, we offer a performance-based bonus program, 401k matching, and regular compensation reviews to recognize and reward exceptional contributions. Physical Well-Being: We prioritize the health and well-being of our employees and their families by providing comprehensive medical, dental, and vision coverage. Your health matters to us, and we invest in ensuring you have access to quality healthcare. Mental Well-Being: We understand the importance of mental health in fostering productivity and maintaining work-life balance. To support this, we offer initiatives such as No-Meeting Fridays, monthly company holidays, access to mental health resources, and a generous flexible time-off policy. Additionally, we embrace a remote-first culture that supports collaboration and flexibility, allowing our team members to thrive from any location. Professional Development: Developing internal talent is a priority for Clover. We offer learning programs, mentorship, professional development funding, and regular performance feedback and reviews. Additional Perks : Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities Reimbursement for office setup expenses Monthly cell phone & internet stipend Remote-first culture, enabling collaboration with global teams Paid parental leave for all new parents And much more! About Clover : We are reinventing health insurance by combining the power of data with human empathy to keep our members healthier. We believe the healthcare system is broken, so we've created custom software and analytics to empower our clinical staff to intervene and provide personalized care to the people who need it most. We always put our members first, and our success as a team is measured by the quality of life of the people we serve. Those who work at Clover are passionate and mission-driven individuals with diverse areas of expertise, working together to solve the most complicated problem in the world: healthcare. From Clover's inception, Diversity & Inclusion have always been key to our success. We are an Equal Opportunity Employer and our employees are people with different strengths, experiences, perspectives, opinions, and backgrounds, who share a passion for improving people's lives. Diversity not only includes race and gender identity, but also age, disability status, veteran status, sexual orientation, religion and many other parts of one's identity. All of our employee's points of view are key to our success, and inclusion is everyone's responsibility. #LI-HYBRID Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. We are an E-Verify company. Final pay is based on several factors including but not limited to internal equity, market data, and the applicant's education, work experience, certifications, etc. A reasonable estimate of the base salary range for this role is: $317,000—$375,000 USD

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Director, AI-Enabled Fraud Prevention & Investigations
Full TimeFully RemoteDirector$150,000 - $240,000 / Year
pythonsqlllmdata scienceclinicaldental+6

Clover Health is investing in our fraud detection and investigation capabilities and is seeking a Director, AI-Enabled Fraud Prevention & Investigations to join our Legal department as a senior individual contributor. This hybrid role combines: (1) managing hands-on investigations of potential provider fraud with (2) building AI-powered tools and processes to make investigations more efficient and help catch potential future fraud earlier. You will develop and pilot new AI-enabled investigatory processes for Clover's Medicare Advantage business, and own resulting investigations, in collaboration with Clover's Special Investigations Unit (SIU) and other stakeholders. This is a non-attorney role. You will work hand-in-hand with Clover's lawyers and SIU to ensure that new investigatory processes you develop, and the resulting investigations, comply with Clover policies and regulatory requirements. Success in this role requires someone sharp, creative, and technically hands-on—someone who does not just use existing analytics tools but builds their own. That might mean writing a script to automate repetitive work, pulling apart a dataset when a standard report falls short, or working with an LLM until it produces something genuinely useful—all with the goal of finding smarter, more effective ways to investigate potential provider fraud. As a Director, AI-Enabled Fraud Prevention & Investigations, you will: Build Your Own Investigative Tooling: Use AI to write the queries, scripts, and prompts that turn millions of claim lines and/or medical record data into a prioritized list of leads. Prototype detection logic yourself rather than waiting on a roadmap, and hand off what works to data science and engineering to productionize. We expect you to be the person who builds v1. Investigate Potential Fraud End-to-End With AI in the Loop: Own a portfolio of fraud investigations sourced using the tooling you develop, in collaboration with Clover's SIU. Develop investigative plans, gather and analyze evidence (including claims data and medical records), and reach well-supported conclusions. Use LLMs and analytics to compress the parts of an investigation that have always been slow — reading unstructured data, triaging grievance narratives, and sizing exposure. Build Defensible Documentation: Develop case files and memos that are factually complete, well-organized, and prepared with the evidentiary and procedural standards necessary for downstream enforcement, recoveries, or provider actions. Collaborate Across Functions: Work with Clover's clinical, compliance, claims, payment integrity, provider relations, revenue operations, and SIU teams to gather information, validate findings, and translate investigative outcomes into operational improvements, provider education, and member impact. Communicate Findings Clearly: Prepare concise written reports and oral briefings that translate complex investigative facts into clear narratives for senior leadership and other stakeholders. Success in this role looks like: In your first 90 days , you have embedded yourself as a trusted partner to both the Legal department and Clover's SIU. You have built working relationships with key stakeholders across Clover's clinical, compliance, claims, payment integrity, revenue operations, and legal teams, and you have begun working through your initial portfolio of fraud investigations and ad hoc referrals. By 6 months , you are independently managing a steady caseload of fraud investigations with consistently high-quality work product, in collaboration with SIU. You have a clear working rhythm with Legal and SIU, and you have built at least one working tool — a script, a notebook, a dashboard, a prompt. By 12 months , you have a track record of strong investigations, successful recoveries and/or referrals, and effective cross-functional collaboration. Senior leaders across Clover view you as a trusted person to call when they have a hunch that something doesn't look right and want it examined. You should get in touch if: Knowledge of healthcare fraud schemes & investigative experience: You have experience in healthcare fraud investigations, program integrity, or SIU operations, ideally within Medicare Advantage or managed care. You understand healthcare fraud schemes and know how to use claims data, medical records, and provider documentation to build a defensible factual record. You are AI-native and enjoy building things using LLMs: You can use LLMs to write SQL, Python, etc., to interrogate large claims and/or medical record datasets, automate investigative work, and prototype your own solutions rather than waiting for someone else to build them. We do not expect production-grade engineering or require formal technical training—we value demonstrated ability to build, ship, and showcase solutions that work. Strong communication skills: You are a strong writer and communicator who can turn complex investigative findings into clear memos, referrals, and executive summaries, and you are comfortable building in a fast-moving, ambiguous environment. Bonus points if: You have built something people actually use—an internal tool, detection model, script, automation, or AI workflow that made a manual process better. We would rather see something scrappy and useful in production than something polished in a slide. You have hands-on experience applying AI/ML to fraud, investigations, or compliance. You have a J.D., legal training, or experience working alongside Legal, SIU, or compliance at a health plan. You have industry certifications such as CFE, AHFI, or CHC. Benefits Overview : Financial Well-Being : Our commitment to attracting and retaining top talent begins with a competitive base salary and equity opportunities. Additionally, we offer a performance-based bonus program, 401k matching, and regular compensation reviews to recognize and reward exceptional contributions. Physical Well-Being : We prioritize the health and well-being of our employees and their families by providing comprehensive medical, dental, and vision coverage. Your health matters to us, and we invest in ensuring you have access to quality healthcare. Mental Well-Being : We understand the importance of mental health in fostering productivity and maintaining work-life balance. To support this, we offer initiatives such as No-Meeting Fridays, monthly company holidays, access to mental health resources, and a generous flexible time-off policy. Additionally, we embrace a remote-first culture that supports collaboration and flexibility, allowing our team members to thrive from any location. Professional Development : Developing internal talent is a priority for Clover. We offer learning programs, mentorship, professional development funding, and regular performance feedback and reviews. Additional Perks: Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities Reimbursement for office setup expenses Monthly cell phone & internet stipend Remote-first culture, enabling collaboration with global teams Paid parental leave for all new parents And much more! About Clover: We are reinventing health insurance by combining the power of data with human empathy to keep our members healthier. We believe the healthcare system is broken, so we've created custom software and analytics to empower our clinical staff to intervene and provide personalized care to the people who need it most. We always put our members first, and our success as a team is measured by the quality of life of the people we serve. Those who work at Clover are passionate and mission-driven individuals with diverse areas of expertise, working together to solve the most complicated problem in the world: healthcare. From Clover's inception, Diversity & Inclusion have always been key to our success. We are an Equal Opportunity Employer and our employees are people with different strengths, experiences, perspectives, opinions, and backgrounds, who share a passion for improving people's lives. Diversity not only includes race and gender identity, but also age, disability status, veteran status, sexual orientation, religion and many other parts of one's identity. All of our employee's points of view are key to our success, and inclusion is everyone's responsibility. #LI-REMOTE Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. We are an E-Verify company. Final pay is based on several factors including but not limited to internal equity, market data, and the applicant's education, work experience, certifications, etc. A reasonable estimate of the base salary range for this role is: $150,000—$240,000 USD

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Strategic Insights Senior Analyst, Data Analytics
OscarNew York, United States (Hybrid)33 days ago
ContractHybridSenior$75,265 - $98,785 / Year
pythonrsqlpandaslookerpharmacy+7

Hi, we're Oscar. We're hiring a Strategic Insights Senior Analyst, Data Analytics to join our Pharmacy Program Management 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 Strategic Insights Senior Analyst, Data Analytics partners closely across the organization to identify and manage inefficiencies in the business. This position supports business units in scoping, analyzing and monitoring performance of key financial and utilization metrics in service of company goals. The Senior Analyst, Data Analytics collaborates independently with stakeholders to define key questions, and scope analyses. They may at times be called upon to speak to prepared analysis both internally and externally. This work aims to reduce medical waste and deliver more affordable and higher-quality health care for Oscar's members. You will report into the Senior Director, Pharmacy Program Management. 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: $75,265.20 - $98,785.58 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses. Responsibilities: Analyze data to support business teams in making better informed, data-driven decisions Use data to tell a story that non-technical colleagues will be able to understand, including packaging and presenting findings in a clear, concise and compelling manner Oversee the creation and maintenance of essential operational and analytical dashboards, and update and enhance them as our user's needs evolve Create models and tools that produce relevant insights to identify inefficiencies and generate insights to remove inefficiencies Collaborate across the organization to identify actions to achieve improvements and monitor initiative impact Support other strategic projects as assigned to meet business needs Compliance with all applicable laws and regulations Other duties as assigned   Requirements: 1+ years of technical work experience using analytical tools and writing analytical reports 1+ years demonstrated ability to work with large datasets and distill analyses into relevant insights with a structured and systematic thought process Experience communicating updates and resolutions to customers and other partners, around business reporting impact and requirements, as demonstrated by experience on at least 2 reporting projects requiring communication between technical and non-technical users Experience in SQL, with the ability to filter, aggregate, and build CTEs, or proficiency in R or Python, including experience with Pandas, for loops, and statistical tests Proficiency in Google Sheets or Excel skills, with ability to use VLookup, nested if statements and connected Sheets 1+ years experience in healthcare, finance or the insurance industry Bonus points: 1+ years experience in preparing healthcare analytics and reporting 1+ years experience managing value-based contracts at a payer or a provider organization (ACO, CIN, MSO etc.) 1+ years experience developing dashboards and working with Looker, or other business intelligence/data visualization tools Exposure to healthcare contract negotiations, risk adjustment, ACA marketplace, quality of care, and/or population health 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 .

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Strategic Insights Senior Analyst, Data Analytics
OscarNew York, United States (Hybrid)33 days ago
ContractHybridSenior$75,265 - $98,785 / Year
pythonrsqlpandaslookerpharmacy+7

Hi, we're Oscar. We're hiring a Strategic Insights Senior Analyst, Data Analytics to join our Pharmacy Program Management 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 Strategic Insights Senior Analyst, Data Analytics partners closely across the organization to identify and manage inefficiencies in the business. This position supports business units in scoping, analyzing and monitoring performance of key financial and utilization metrics in service of company goals. The Senior Analyst, Data Analytics collaborates independently with stakeholders to define key questions, and scope analyses. They may at times be called upon to speak to prepared analysis both internally and externally. This work aims to reduce medical waste and deliver more affordable and higher-quality health care for Oscar's members. You will report into the Senior Director, Pharmacy Program Management. Work Location: This is a remote position, open to candidates who reside in: Dallas, TX. 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: $75,265.20 - $98,785.58 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses. Responsibilities: Analyze data to support business teams in making better informed, data-driven decisions Use data to tell a story that non-technical colleagues will be able to understand, including packaging and presenting findings in a clear, concise and compelling manner Oversee the creation and maintenance of essential operational and analytical dashboards, and update and enhance them as our user's needs evolve Create models and tools that produce relevant insights to identify inefficiencies and generate insights to remove inefficiencies Collaborate across the organization to identify actions to achieve improvements and monitor initiative impact Support other strategic projects as assigned to meet business needs Compliance with all applicable laws and regulations Other duties as assigned Requirements: 1+ years of technical work experience using analytical tools and writing analytical reports 1+ years demonstrated ability to work with large datasets and distill analyses into relevant insights with a structured and systematic thought process Experience communicating updates and resolutions to customers and other partners, around business reporting impact and requirements, as demonstrated by experience on at least 2 reporting projects requiring communication between technical and non-technical users Experience in SQL, with the ability to filter, aggregate, and build CTEs, or proficiency in R or Python, including experience with Pandas, for loops, and statistical tests Proficiency in Google Sheets or Excel skills, with ability to use VLookup, nested if statements and connected Sheets 1+ years experience in healthcare, finance or the insurance industry Bonus points: 1+ years experience in preparing healthcare analytics and reporting 1+ years experience managing value-based contracts at a payer or a provider organization (ACO, CIN, MSO etc.) 1+ years experience developing dashboards and working with Looker, or other business intelligence/data visualization tools Exposure to healthcare contract negotiations, risk adjustment, ACA marketplace, quality of care, and/or population health 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 .

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Strategic Insights Senior Analyst, Data Analytics
OscarNew York, United States (Hybrid)33 days ago
ContractHybridSenior$75,265 - $98,785 / Year
pythonrsqlpandaslookerpharmacy+7

Hi, we're Oscar. We're hiring a Strategic Insights Senior Analyst, Data Analytics to join our Pharmacy Program Management 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 Strategic Insights Senior Analyst, Data Analytics partners closely across the organization to identify and manage inefficiencies in the business. This position supports business units in scoping, analyzing and monitoring performance of key financial and utilization metrics in service of company goals. The Senior Analyst, Data Analytics collaborates independently with stakeholders to define key questions, and scope analyses. They may at times be called upon to speak to prepared analysis both internally and externally. This work aims to reduce medical waste and deliver more affordable and higher-quality health care for Oscar's members. You will report into the Senior Director, Pharmacy Program Management. Work Location: This is a remote position, open to candidates who reside in: Atlanta, GA. 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: $75,265.20 - $98,785.58 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses. Responsibilities: Analyze data to support business teams in making better informed, data-driven decisions Use data to tell a story that non-technical colleagues will be able to understand, including packaging and presenting findings in a clear, concise and compelling manner Oversee the creation and maintenance of essential operational and analytical dashboards, and update and enhance them as our user's needs evolve Create models and tools that produce relevant insights to identify inefficiencies and generate insights to remove inefficiencies Collaborate across the organization to identify actions to achieve improvements and monitor initiative impact Support other strategic projects as assigned to meet business needs Compliance with all applicable laws and regulations Other duties as assigned Requirements: 1+ years of technical work experience using analytical tools and writing analytical reports 1+ years demonstrated ability to work with large datasets and distill analyses into relevant insights with a structured and systematic thought process Experience communicating updates and resolutions to customers and other partners, around business reporting impact and requirements, as demonstrated by experience on at least 2 reporting projects requiring communication between technical and non-technical users Experience in SQL, with the ability to filter, aggregate, and build CTEs, or proficiency in R or Python, including experience with Pandas, for loops, and statistical tests Proficiency in Google Sheets or Excel skills, with ability to use VLookup, nested if statements and connected Sheets 1+ years experience in healthcare, finance or the insurance industry Bonus points: 1+ years experience in preparing healthcare analytics and reporting 1+ years experience managing value-based contracts at a payer or a provider organization (ACO, CIN, MSO etc.) 1+ years experience developing dashboards and working with Looker, or other business intelligence/data visualization tools Exposure to healthcare contract negotiations, risk adjustment, ACA marketplace, quality of care, and/or population health 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 .

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Strategic Insights Senior Analyst, Data Analytics
OscarNew York, United States (Hybrid)33 days ago
ContractHybridSenior$83,628 - $109,761 / Year
pythonrsqlpandaslookerpharmacy+7

Hi, we're Oscar. We're hiring a Strategic Insights Senior Analyst, Data Analytics to join our Pharmacy Program Management 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 Strategic Insights Senior Analyst, Data Analytics partners closely across the organization to identify and manage inefficiencies in the business. This position supports business units in scoping, analyzing and monitoring performance of key financial and utilization metrics in service of company goals. The Senior Analyst, Data Analytics collaborates independently with stakeholders to define key questions, and scope analyses. They may at times be called upon to speak to prepared analysis both internally and externally. This work aims to reduce medical waste and deliver more affordable and higher-quality health care for Oscar's members. You will report into the Senior Director, Pharmacy Program Management. Work Location: This position is based in our New York City 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: $83,628.00 - $109,761.75 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses. Responsibilities: Analyze data to support business teams in making better informed, data-driven decisions Use data to tell a story that non-technical colleagues will be able to understand, including packaging and presenting findings in a clear, concise and compelling manner Oversee the creation and maintenance of essential operational and analytical dashboards, and update and enhance them as our user's needs evolve Create models and tools that produce relevant insights to identify inefficiencies and generate insights to remove inefficiencies Collaborate across the organization to identify actions to achieve improvements and monitor initiative impact Support other strategic projects as assigned to meet business needs Compliance with all applicable laws and regulations Other duties as assigned   Requirements: 1+ years of technical work experience using analytical tools and writing analytical reports 1+ years demonstrated ability to work with large datasets and distill analyses into relevant insights with a structured and systematic thought process Experience communicating updates and resolutions to customers and other partners, around business reporting impact and requirements, as demonstrated by experience on at least 2 reporting projects requiring communication between technical and non-technical users Experience in SQL, with the ability to filter, aggregate, and build CTEs, or proficiency in R or Python, including experience with Pandas, for loops, and statistical tests Proficiency in Google Sheets or Excel skills, with ability to use VLookup, nested if statements and connected Sheets 1+ years experience in healthcare, finance or the insurance industry Bonus points: 1+ years experience in preparing healthcare analytics and reporting 1+ years experience managing value-based contracts at a payer or a provider organization (ACO, CIN, MSO etc.) 1+ years experience developing dashboards and working with Looker, or other business intelligence/data visualization tools Exposure to healthcare contract negotiations, risk adjustment, ACA marketplace, quality of care, and/or population health 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 .

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Strategic Insights Associate, Data Analytics
OscarNew York, United States (Hybrid)33 days ago
ContractHybridMid$91,659 - $120,303 / Year
pythonrsqlpandaslookerpharmacy+7

Hi, we're Oscar. We're hiring a Strategic Insights Associate, Data Analytics to join our Pharmacy Program Management. 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 Strategic Insights Associate, Data Analytics partners closely across the organization to identify and manage inefficiencies proactively in the business. This position supports business units in scoping, analyzing and monitoring performance of key financial and utilization metrics in service of company goals. The Associate, Data Analytics independently drives the scoping & execution of analytical requests, including working with stakeholders to define key questions, scope methodologies and results. They may at times be called upon to speak to prepared analysis both internally and externally. You will report into the Senior Director, Pharmacy Program Management. Work Location: This is a remote position, open to candidates who reside in: Dallas, TX. 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: $91,659.60 - $120,303.23 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses. Responsibilities: Responsible for owning insights generation and follow-up for a major business unit, serving as the first point of contact for Sr. Managers and Associate Directors Analyze data to support business teams in making better informed, data-driven decisions Use data to tell a story that non-technical colleagues will be able to understand, including packaging and presenting findings in a clear, concise and compelling manner Recognize the need to enhance essential operational and analytical dashboards, and define the requirements to enhance them as our user's needs evolve Identify opportunities to create models and tools that produce relevant insights to identify healthcare inefficiencies and generate insights to remove inefficiencies Collaborate across the organization, including owning stakeholder relationships with managers & senior managers , to identify actions to achieve improvements and monitor initiative impact Support other strategic projects as assigned to meet business needs Compliance with all applicable laws and regulations Other duties as assigned Requirements: 3+ years of technical work experience using analytical tools and writing analytical reports 2+ years demonstrated ability to work with large datasets and distill analyses into relevant insights with a structured and systematic thought process Strong communication skills, verbal and written, around business reporting impact and requirements, as demonstrated by 5+ examples / projects of presenting analysis to Leadership (Director+) 2+ years experience in SQL, with the ability to filter, aggregate, and build CTEs, or proficiency in R or Python, including experience with Pandas, for loops, and statistical tests 1+ years experience, including proficiency in Google Sheets or Excel skills, with ability to use VLookup, nested if statements and connected Sheets 1+ years experience in healthcare, finance or the insurance industry Bonus points: 2+ years experience in preparing healthcare analytics and reporting 2+ years experience managing value-based contracts at a payer or a provider organization (ACO, CIN, MSO etc.) 2+ years experience developing dashboards and working with Looker, or other business intelligence/data visualization tools Exposure to healthcare contract negotiations, risk adjustment, ACA marketplace, quality of care, and/or population health 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 .

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Strategic Insights Associate, Data Analytics
OscarNew York, United States (Hybrid)33 days ago
ContractHybridMid$91,659 - $120,303 / Year
pythonrsqlpandaslookerpharmacy+7

Hi, we're Oscar. We're hiring a Strategic Insights Associate, Data Analytics to join our Pharmacy Program Management. 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 Strategic Insights Associate, Data Analytics partners closely across the organization to identify and manage inefficiencies proactively in the business. This position supports business units in scoping, analyzing and monitoring performance of key financial and utilization metrics in service of company goals. The Associate, Data Analytics independently drives the scoping & execution of analytical requests, including working with stakeholders to define key questions, scope methodologies and results. They may at times be called upon to speak to prepared analysis both internally and externally. You will report into the Senior Director, Pharmacy Program Management. Work Location: This is a remote position, open to candidates who reside in: Atlanta, GA. 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: $91,659.60 - $120,303.23 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses. Responsibilities: Responsible for owning insights generation and follow-up for a major business unit, serving as the first point of contact for Sr. Managers and Associate Directors Analyze data to support business teams in making better informed, data-driven decisions Use data to tell a story that non-technical colleagues will be able to understand, including packaging and presenting findings in a clear, concise and compelling manner Recognize the need to enhance essential operational and analytical dashboards, and define the requirements to enhance them as our user's needs evolve Identify opportunities to create models and tools that produce relevant insights to identify healthcare inefficiencies and generate insights to remove inefficiencies Collaborate across the organization, including owning stakeholder relationships with managers & senior managers , to identify actions to achieve improvements and monitor initiative impact Support other strategic projects as assigned to meet business needs Compliance with all applicable laws and regulations Other duties as assigned Requirements: 3+ years of technical work experience using analytical tools and writing analytical reports 2+ years demonstrated ability to work with large datasets and distill analyses into relevant insights with a structured and systematic thought process Strong communication skills, verbal and written, around business reporting impact and requirements, as demonstrated by 5+ examples / projects of presenting analysis to Leadership (Director+) 2+ years experience in SQL, with the ability to filter, aggregate, and build CTEs, or proficiency in R or Python, including experience with Pandas, for loops, and statistical tests 1+ years experience, including proficiency in Google Sheets or Excel skills, with ability to use VLookup, nested if statements and connected Sheets 1+ years experience in healthcare, finance or the insurance industry Bonus points: 2+ years experience in preparing healthcare analytics and reporting 2+ years experience managing value-based contracts at a payer or a provider organization (ACO, CIN, MSO etc.) 2+ years experience developing dashboards and working with Looker, or other business intelligence/data visualization tools Exposure to healthcare contract negotiations, risk adjustment, ACA marketplace, quality of care, and/or population health 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 .

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Strategic Insights Associate, Data Analytics
OscarNew York, United States (Hybrid)33 days ago
ContractHybridMid$91,659 - $120,303 / Year
pythonrsqlpandaslookerpharmacy+7

Hi, we're Oscar. We're hiring a Strategic Insights Associate, Data Analytics to join our Pharmacy Program Management. 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 Strategic Insights Associate, Data Analytics partners closely across the organization to identify and manage inefficiencies proactively in the business. This position supports business units in scoping, analyzing and monitoring performance of key financial and utilization metrics in service of company goals. The Associate, Data Analytics independently drives the scoping & execution of analytical requests, including working with stakeholders to define key questions, scope methodologies and results. They may at times be called upon to speak to prepared analysis both internally and externally. You will report into the Senior Director, Pharmacy Program Management. 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: $91,659.60 - $120,303.23 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses. Responsibilities: Responsible for owning insights generation and follow-up for a major business unit, serving as the first point of contact for Sr. Managers and Associate Directors Analyze data to support business teams in making better informed, data-driven decisions Use data to tell a story that non-technical colleagues will be able to understand, including packaging and presenting findings in a clear, concise and compelling manner Recognize the need to enhance essential operational and analytical dashboards, and define the requirements to enhance them as our user's needs evolve Identify opportunities to create models and tools that produce relevant insights to identify healthcare inefficiencies and generate insights to remove inefficiencies Collaborate across the organization, including owning stakeholder relationships with managers & senior managers , to identify actions to achieve improvements and monitor initiative impact Support other strategic projects as assigned to meet business needs Compliance with all applicable laws and regulations Other duties as assigned Requirements: 3+ years of technical work experience using analytical tools and writing analytical reports 2+ years demonstrated ability to work with large datasets and distill analyses into relevant insights with a structured and systematic thought process Strong communication skills, verbal and written, around business reporting impact and requirements, as demonstrated by 5+ examples / projects of presenting analysis to Leadership (Director+) 2+ years experience in SQL, with the ability to filter, aggregate, and build CTEs, or proficiency in R or Python, including experience with Pandas, for loops, and statistical tests 1+ years experience, including proficiency in Google Sheets or Excel skills, with ability to use VLookup, nested if statements and connected Sheets 1+ years experience in healthcare, finance or the insurance industry Bonus points: 2+ years experience in preparing healthcare analytics and reporting 2+ years experience managing value-based contracts at a payer or a provider organization (ACO, CIN, MSO etc.) 2+ years experience developing dashboards and working with Looker, or other business intelligence/data visualization tools Exposure to healthcare contract negotiations, risk adjustment, ACA marketplace, quality of care, and/or population health 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 .

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Staff Product Manager
OscarRemote (New York) (Fully Remote)33 days ago
ContractFully RemotePrincipal$180,504 - $236,911 / Year
sqldata scienceclinicaldentalaccounts receivableinsurance+7

Hi, we're Oscar. We're hiring multiple Staff Product Managers to join our Product 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: We are hiring Staff Product Managers to join our Network Pillar. By applying to this job post, you will be considered for all Staff Product Manager openings across our tech org.  Network (Provider Experience):  As a Staff Product Manager on our Network team, you will own the product strategy for Oscar's end-to-end provider experience, spanning initial outreach and onboarding through ongoing servicing. You will define how Oscar becomes the easiest health insurance company for providers to do business with, reducing friction across critical journeys such as credentialing, authorizations, disputes, accounts receivable, and issue resolution. You will build account management, servicing, and self-service capabilities that give providers and frontline teams a clear understanding of each issue's status and path to resolution. You will establish the measurement and visibility needed to understand every key provider journey, identify systemic sources of friction, and prioritize improvements across digital and operational touchpoints. You will partner across both the Network Building and Provider Data Management domains while collaborating with Network Operations, Claims Operations, Clinical Operations, and Member and Provider Service to create a cohesive provider experience that strengthens provider relationships and enables a superior member experience. Network (Network Growth & Performance):  As a Staff Product Manager on our Network team, you will own the product strategy for the technology that enables Oscar to build and continuously improve high-performing provider networks. You will translate network strategies (e.g., product/benefit based networks, co-branded partnerships) into scalable capabilities for identifying network needs, prospecting providers, and moving opportunities through contracting. You will define the product strategy for network planning, lead management, contracting workflows, and performance visibility which will enable teams to build the right network quickly and understand where it needs to evolve over time. You will connect signals such as single-case agreements, out-of-network authorizations, member dissatisfaction, and medical loss ratio pressure to actionable network opportunities. You will partner deeply with Actuary, Network Contracting, Network Operations, Finance, Legal, and Data Science to improve decision-making, contracting execution, and network performance while ensuring signed contracts can be effectively operationalized by Network's Provider Data Management domain. You will report into a Director, Product. Work Location: This position is based in our New York City 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: $180,504.00 - $236,911.50 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, company equity grants and annual performance bonuses.   Responsibilities: Driving the execution of complex, cross-functional initiatives by managing projects that will drive operational efficiencies and achieve key business objectives. Partnering closely with stakeholders including cross functional department leaders across the business including Product, Design, Engineering, Network and Operations to define strategy and roadmap. Collaborating with Engineering and Product leadership to make resource trade-off decisions and to ensure teams are working together effectively. Provide recommendations to leadership for product enhancements to improve existing products and development of new ones.  Develop operating models for new products in partnership with leadership. Compliance with all applicable laws and regulations. Other duties as assigned. Requirements: 7+ years of product management experience.  5+ years of experience in driving rigorous prioritization processes. 5+ years of experience with tech systems and understanding basic technology infrastructure such as backend services, database relationships, and leveraging database tools such as SQL. 3+ years of experience leading complex, cross-domain initiatives. 3+ years of experience root-causing ambiguous problems, building roadmaps towards a solution, and successfully executing against that roadmap. (Provider Experience) Experience building workflow, case-management, servicing, or account-management products used across multistep operational journeys. (Provider Experience) Experience establishing product strategy across fragmented processes, systems, and organizational owners. (Network Growth & Performance) Experience building products that support prospecting, acquisition, contracting, marketplace supply, or another complex growth funnel. (Network Growth & Performance) Strong analytical experience translating market, customer, financial, and operational signals into prioritization and product strategy. Bonus points: Comfort in working in highly collaborative environments while ensuring the team is always driving towards a decision. Excellent analytical and quantitative skills; proved experience using data to identify opportunities, test theories and evaluate success. Experience as an end-to-end thinker; the ability to look at a problem and create a solution all the way from top-level goals to smaller details. Ability to influence and manage stakeholders at all levels and experience working across all levels of leadership using strong communication and structured thinking. (Provider Experience) Experience with provider-facing healthcare products or payer-provider operations. (Provider Experience) Familiarity with credentialing, claims disputes, accounts receivable, prior authorization, provider onboarding, or provider servicing. (Network Growth & Performance) Experience with health-plan network development, provider contracting, network economics, or network adequacy. (Network Growth & Performance) Familiarity with value-based, narrow, tiered, or product-specific network strategies. (Network Growth & Performance) Familiarity with healthcare economics and medical-loss-ratio drivers 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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Senior Director, Member and Provider Services
OscarTempe, United States (Hybrid)33 days ago
InternshipHybridSenior$180,504 - $236,912 / Year
tableaulookerdentalsix sigmainsurancecompliance+7

Hi, we're Oscar. We're hiring a Senior Director, Member and Provider Services 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: The Senior Director, Member and Provider Services leads the strategy, performance, and future readiness of Tier 1 and Tier 2 contact center operations across Member, Broker, and Provider channels. Overseeing the end-to-end operating model for distributed remote teams, you will integrate modern technology with human-centered service to achieve high access, accuracy, quality, and resolution. By leveraging deep operational expertise, data, and strategic partnerships, the Senior Director, Member and Provider Services mentors leaders, builds an inclusive culture of accountability, and scales the organization for long-term growth. You will report into the Vice President, Member & Provider Programs. Work Location: This position is fully remote and open to candidates residing in the U.S., excluding Alaska; Delaware; Hawaii; Louisiana; Montana; North Dakota; Oklahoma; West Virginia; Wyoming; and U.S. Territories. Daily work is completed from your home office, with occasional travel required for team meetings and company events. #LI-Remote Pay Transparency: The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $180,504 - $236,912 per year. The base pay for this role in all other locations is: $162,454 - $213,220 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, company equity grants and annual performance bonuses. Responsibilities: Direct end-to-end Tier 1 and Tier 2 contact center operations across voice and digital channels for Members, Brokers, and Providers. Execute a multi-year strategy to scale service operations, build resilience, and future-proof contact center operations against regulatory and business shifts. Lead a geographically distributed leadership organization, fostering an inclusive, high-accountability remote culture focused on team development and retention. Champion a human-centered service model that pairs automation, analytics, and workflow design with expert human support for complex customer needs. Establish performance frameworks to maximize outcomes across SLAs, quality, accuracy, first-contact resolution, customer effort, and unit cost. Leverage contact center analytics and customer journey trends to mitigate operational risk, prioritize initiatives, and achieve measurable results. Collaborate with internal and external partners to design scalable, compliant processes that meet evolving stakeholder and regulatory requirements. Drive workforce management and capacity planning to handle demand volatility and growth while safeguarding operational and financial targets. Influence enterprise technology roadmaps, policies, and cross-functional processes to continuously elevate the Member, Broker, and Provider experience. Cultivate leadership talent through active coaching, deliberate career pathing, and succession planning across frontline and management tiers. Oversee short- and long-term operating budgets, balancing strategic growth investments with fiscal discipline and efficiency. Ensure strict adherence to financial controls, regulatory mandates, operational timeliness, and compliance standards. Compliance with all applicable laws and regulations Other duties as assigned Requirements: 12+ years of experience leading large-scale, high-volume contact center or customer operations, including accountability for multi-channel service delivery and business performance. 8+ years leading leaders and coaching and developing teams in complex, performance-driven operations. Experience leading contact center operations and building high-engagement, high-accountability cultures across remote or geographically distributed teams. Demonstrated success delivering superior contact center performance across service level, accessibility, quality, accuracy, resolution, productivity, and cost. Proven ability to translate data, customer insights, technology capabilities, and workforce needs into strategic operating plans and scalable improvements. Strong executive presence and ability to influence cross-functional leaders, external partners, and enterprise decisions without direct authority. Bonus points: 4+ years of healthcare, health insurance, or other regulated high-volume service-operations experience; Member and/or Provider Services experience strongly preferred. Bachelor's degree in business, healthcare administration, operations, or a related field; advanced degree preferred. Experience leading large-scale remote or hybrid contact centers and using workforce management, quality, knowledge, and customer-experience systems. Experience shaping a contact center technology strategy, including CRM, cloud contact center, automation, analytics, and AI-enabled service capabilities. Operational Excellence certification (Lean Six Sigma, COPC, or similar) and a continuous-improvement mindset. Advanced analytical and data-visualization capabilities, including proficiency with tools such as Tableau, Looker, or similar platforms. 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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