[Hiring] Manager, Provider Process Design @Oscar Health

Role Description

Hi, we're Oscar. We're hiring a Manager, Provider Process Design to join our Network Operations team. You will work closely with a cross functional team of leaders, project managers, and Business Stakeholders to solve business problems related to internal processes. You will be responsible for:

• Identifying critical processes to the business
• Defining the business' requirements
• Process mapping and assessing the overall effectiveness and efficiency of the process
• Developing new or reengineering existing processes
• Supporting implementation with an E2E approach and direct ownership of the program being developed
• Helping support teams in driving a best-in-class, service-focused operation
• Designing and guiding the use of operational frameworks and ideologies

You will report into the Director, Process Improvement.

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. #LI-Remote

Pay Transparency: The base pay for this role is: $105,818 - $138,886 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, and annual performance bonuses.

Responsibilities

• Be the example of the continuous improvement mindset, providing effective direction and influence
• Demonstrate the proper approach with implementation of Continuous Improvement Tools
• Partner cross functionally with various leaders in all areas of the business
• Utilize and implement programmatic frameworks and tools
• Creating and sustaining foundational stability and ensuring scalability
• Use process improvement best practices, such as Lean and Six Sigma principles
• Provide clear context, in the form of Business Requirements Documents (BRDs), process maps, standard operating procedures and policy documents
• Compliance with all applicable laws and regulations
• Other duties as assigned

Requirements

• 4+ years of work experience in provider operations in a payer setting
• Experience and strong understanding of NCQA, CMS, NUCC requirements
• 3+ years of experience using data software such as Google platforms, SQL, or other data analytics tools
• 3+ years of experience with end to end project management
• 3+ years of experience in designing and improving workflows
• 3+ years of experience working cross-functionally as a program ownership with vendor engagement and internal teams

Bonus Points

• Bachelor's degree in Engineering, Business Administration, or other related field
• Lean Six Sigma Green Belt certification or higher
• A bachelor's degree or 4+ years commensurate experience

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