Oscar Health Logo

Oscar Health

Director, Provider Operations Process Improvement

Reposted 24 Days Ago
Remote
Hiring Remotely in USA
157K-229K
Senior level
Remote
Hiring Remotely in USA
157K-229K
Senior level
Lead a team in process improvement for provider operations, ensuring compliance with regulations and improving efficiency while achieving departmental goals.
The summary above was generated by AI

Hi, we're Oscar. We're hiring a Director, Process Improvement to join our Provider Operations team.

Oscar is the first health insurance company built around a full stack technology platform and a 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 lead a team in implementing process improvement opportunities while ensuring we remain compliant and meet our contractual goals. You will develop and implement an operating plan for improving efficiency, scaling operations and ensuring the achievement of departmental performance metrics and goals. You will deliver key strategic initiatives that not only optimize workflows but also allow Oscar to stay competitive in the market.

You will report to the Vice President, Network Operations.

Work Location:

Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission.

If you live within commutable distance to our New York City office (in Hudson Square), our Tempe office (off the 101 at University Dr), or our Los Angeles office (in Marina Del Rey), you will be expected to come into the office at least two days each week. Otherwise, this is a remote / work-from-home role.

You must reside in one of the following states: Alabama, Arizona, Arkansas, California, Colorado, Connecticut, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, or Washington, D.C. Note, this list of states is subject to change. #LI-Remote

Pay Transparency:

The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $174,400 - $228,900 per year. The base pay for this role in all other locations is: $156,960 - $206,010 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, company equity grants, and annual performance bonuses.

 Responsibilities
  • Lead, coach and develop a high-performing team of managers and their reports
  • Provide structure and support for your team, allowing them to keep their focus on delivering key initiatives
  • Develop and improve foundational processes
  • Ensure operational compliance with all relevant regulatory/ accreditation agencies and meet contractual requirements
  • Lead team to surface data, process, and technology issues through proactive identification, measurement, and monitoring of operations; partner cross functionally to develop end-to-end strategy that leverages these insights to scale
  • Manage, develop and maintain relationships cross-functionally to drive multi department collaboration to drive results for strategic initiatives
  • Own team vision and strategy including quarterly vital setting and multi-year roadmap
  • Compliance with all applicable laws and regulations
  • Other duties as assigned
Qualifications
  • 10+ years experience in end-to-end provider data management, including data integrity, data governance, reporting and analytics, and provider network adequacy support
  • 5+ years experience collaborating with business & technical teams to support provider operations
  • 6+ years of leadership experience
  • 2+ years of experience in program management and/or process design or implementation
Bonus Points
  • Master's degree
  • Health Insurance, or Management Consulting experience with a focus on healthcare
  • Lean / Six Sigma experience
  • Financial modeling experience

This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here

At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. 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.

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 ([email protected]) to make the need for an accommodation known.

Artificial Intelligence (AI) Guidelines: Please see our AI Guidelines for the acceptable use of artificial intelligence during the interview process at Oscar.

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 Notice to Job Applicants.

Top Skills

Lean
Six Sigma

Similar Jobs

23 Minutes Ago
Remote or Hybrid
Chantilly, VA, USA
130K-222K Annually
Senior level
130K-222K Annually
Senior level
Aerospace • Hardware • Information Technology • Security • Software • Cybersecurity • Defense
The Senior Developer will execute ETL processes, develop BI reports, write complex SQL statements, and manage software development within Agile frameworks. A strong background in data manipulation and visualization using Python and BI tools is essential.
Top Skills: Ci/Cd PipelinesDbeaverDockerEtl ProcessesGitGitflowJIRAKubernetesLinuxMySQLPostgresPower BIPythonSplunkSQLSQL ServerVisual Studio Code
23 Minutes Ago
Remote or Hybrid
Chantilly, VA, USA
130K-222K Annually
Senior level
130K-222K Annually
Senior level
Aerospace • Hardware • Information Technology • Security • Software • Cybersecurity • Defense
The role involves analyzing cyber threat data, performing reverse engineering, developing software solutions, and collaborating within a team environment in cybersecurity.
Top Skills: .Net C#AngularApache KafkaApache NifiAWSCSSDjangoDockerElasticsearchGitGraphQLJavaScriptJqueryKubernetesLinuxMySQLNode.jsPostgresReactRedisSplunkSvelte
23 Minutes Ago
Remote or Hybrid
Chantilly, VA, USA
130K-222K Annually
Senior level
130K-222K Annually
Senior level
Aerospace • Hardware • Information Technology • Security • Software • Cybersecurity • Defense
Monitor security issues in networks, investigate breaches, conduct vulnerability assessments, fix security vulnerabilities, and recommend best practices for IT security.
Top Skills: Cybersecurity MethodologiesData Encryption ProgramsFirewallsPenetration Testing

What you need to know about the Los Angeles Tech Scene

Los Angeles is a global leader in entertainment, so it’s no surprise that many of the biggest players in streaming, digital media and game development call the city home. But the city boasts plenty of non-entertainment innovation as well, with tech companies spanning verticals like AI, fintech, e-commerce and biotech. With major universities like Caltech, UCLA, USC and the nearby UC Irvine, the city has a steady supply of top-flight tech and engineering talent — not counting the graduates flocking to Los Angeles from across the world to enjoy its beaches, culture and year-round temperate climate.

Key Facts About Los Angeles Tech

  • Number of Tech Workers: 375,800; 5.5% of overall workforce (2024 CompTIA survey)
  • Major Tech Employers: Snap, Netflix, SpaceX, Disney, Google
  • Key Industries: Artificial intelligence, adtech, media, software, game development
  • Funding Landscape: $11.6 billion in venture capital funding in 2024 (Pitchbook)
  • Notable Investors: Strong Ventures, Fifth Wall, Upfront Ventures, Mucker Capital, Kittyhawk Ventures
  • Research Centers and Universities: California Institute of Technology, UCLA, University of Southern California, UC Irvine, Pepperdine, California Institute for Immunology and Immunotherapy, Center for Quantum Science and Engineering

Sign up now Access later

Create Free Account

Please log in or sign up to report this job.

Create Free Account