Oscar Associate, Inquiries and Investigations to manage cross-functional implementations and data corrections in Provider Data Operations at Oscar. Focus on investigating escalations and driving process improvements.
Responsibilities
The Associate, Inquiries and Investigations is responsible for working cross-functionally with business and technical Oscar stakeholders to solve data process challenges and represent departmental interests in company-wide strategic initiatives. The position leads implementations and data corrections to enhance processes that directly impact directory accuracy and filing submissions. Primary focus is placed on investigating and resolving complex escalations/inquiries through production release, while driving comprehensive process documentation, maintaining project plans, and implementing risk mitigation strategies to ensure quality and financial discipline.
Work Location: This is a remote position, open to candidates who reside in: Atlanta, Georgia. 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: $87,188 - $114,434 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.
Leads the end-to-end management of cross-functional implementations and projects—including project plan creation, stakeholder engagement, edge case mitigation, and on-time completion—to enhance processes and execute data corrections that directly impact directory accuracy and filing submissions.
Evaluates departmental performance by creating, gathering, analyzing, and interpreting data to inform technology-enabled solutions, establish departmental key metrics, and implement mitigation strategies that ensure quality and financial discipline
Collaboratively works with leadership, peers, and internal/external stakeholders to investigate risks and escalations, formulate proactive strategies, and partner across teams on continuous improvement action plans through final release to production
Mentors team members and promotes colleagues' professional growth, fostering team collaboration and driving mindset shifts necessary to optimize operational efficiency and achieve departmental targets
Compliance with all applicable laws and regulations
Other duties as assigned
Qualification
Bachelor's degree in EngineeringACA marketplaceAt OscarPay TransparencyArtificial Intelligence (AI)
Required
A bachelor's degree or 3+ years commensurate experience
3+ years of professional experience in payer or provider healthcare contracting, provider network management, healthcare operations, or a related field
2+ years of experience using data software such as Excel, SQL or other data analytics tools
2+ years of experience with end to end project management
2+ years of experience in designing and improving workflows as well as standing up accompanying operating and technical procedures
2+ years of experience in developing and presenting information and recommendations aimed at Senior Leadership
Preferred
Bachelor's degree in Engineering, Business Administration, or other related field
Lean Six Sigma Green Belt certification or higher
2+ years of experience with process improvement methodologies such as Lean, Six Sigma and/or Theory of constraints
ACA marketplace, provider network, claims, healthcare quality, or provider data experience
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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.
