[Hiring] Senior Specialist, Issue Management @Oscar Health

Role Description

The Senior Specialist, Issue Management supports the design, optimization, and implementation of processes and improvements to provider operations in support of achieving organizational goals. The Senior Specialist is responsible for day to day oversight of our most critical bottlenecks in Operations being resolved. The lead will implement lean, repeatable and scalable tools and techniques and independently represent the team within the broader organization.

You will report into the Senior Manager, Provider Data Operations.

Work Location: This is a remote position, open to candidates who reside in: Dallas, Texas. 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.

Pay Transparency: The base pay for this role is: $67,813 - $80,000 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities:

• With support from leadership, help identify risks; respond to and resolve issues/errors/escalations through investigation to inform insights for short/medium/long-term technology-enabled processes and solutions.
• Coordinate projects and processes to help ensure key milestones and service levels are met.
• Partner with leadership to strategize, implement, and manage arrangements aimed at lowering overall cost or improving outcomes.
• Partner with cross-functional teams to ensure action plans align with continuous improvement goals, and participate in collaboration with peers and cross-functional stakeholders.
• Support the management, stewardship, and analysis of data to support compliant and performant business operations.
• Provide recommendations that ensure financial discipline and quality.
• Support identifying and implementing process improvement initiatives, as well as mindset shifts, to optimize operational efficiency and achieve performance targets.
• Compliance with all applicable laws and regulations.
• Other duties as assigned.

Qualifications

• 1+ years of professional experience in payer or provider operations, provider network management, healthcare operations, or a related field.
• 1+ years of experience using data and metrics to drive improvements.
• 1+ years of experience in process improvement and workflow design.
• 1+ years of experience in developing and presenting information and recommendations aimed at Senior Leadership.

Requirements

• Bonus points for ACA marketplace, provider network, claims, healthcare quality, or provider data experience.
• Management consulting experience.
• Training or experience applying Continuous Process Improvement or Lean Six Sigma principles.
• Experience with project coordination or management in a matrixed organization.
• Experience supporting RFP development and implementation of software or service solutions.

Benefits

• Medical, dental, and vision benefits.
• 11 paid holidays.
• Paid sick time.
• Paid parental leave.
• 401(k) plan participation.
• Life and disability insurance.
• Paid wellness time and reimbursements.