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 be responsible for defining the vision and strategy for our Member and Provider Services function, and guiding their team to identify and execute process improvement efforts to enable it. You will design and execute operational strategies aimed at delivering a best in class experience, enabling excellent and scalable operations in alignment with Oscars corporate strategy, key performance metrics, and industry regulations.

You will report to the VP, Member & Provider Services Optimization.

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, 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: $192,000 - $252,000 year. The base pay for this role in all other locations is: $172,800 - $226,800 per year. You are also eligible for employee benefits, participation in Oscar’s unlimited vacation program, company equity grants and annual performance bonuses.

Responsibilities

Develop programs that deliver the experience and operational outcomes to drive Oscar’s member and provider growth strategy
Design the vision for Oscars process model in partnership w/ key cross functional stakeholders and executives
Develop a strategic roadmap, enabling vision through thoughtful planning and inclusion of prioritized project criteria (e.g. Impact, LOE, Risk, investment, confidence, etc)
Operationalize team through goal setting and the creation of program and project management processes enabling alignment within and outside your function
Produce clear and comprehensive readouts to executives and cross functional partners enabling alignment and collaboration on strategy and ongoing projects
Lead, coach and develop a high-performing team of managers and their reports - create culture of excellence and collaboration with company first mindset
Develop and continuously improve foundational processes
Ensure operational compliance with all relevant regulatory/ accreditation agencies and meets 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
Compliance with all applicable laws and regulations
Other duties as assigned

Qualifications

12+ years experience in healthcare strategy and operations within industry or consulting setting
8+ years of leadership experience
8+ years of experience in program management and/or process design or implementation

Bonus Points

MBA
Health Insurance, or Management Consulting experience with a focus on servicing members and providers as a health plan
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 (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 Notice to Job Applicants.

This job is no longer accepting applications

See open jobs at Oscar Health.See open jobs similar to "Senior Director, Optimization Member & Provider Services" Khosla Ventures.

See more open positions at Oscar Health

Privacy policy Cookie policy