Associate, Affordability
Oscar Health
Hi, we're Oscar. We're hiring an Associate to join our Affordability team.
About the role
You will help implement Affordability “Playbooks,” tools that will be used to manage large areas of trend and spend, beginning with High Cost Members.
You will report into the Director, Affordability.
Work Location:
This is a hybrid role in our NYC office. You will work part of the time in the office and part of the time remote / work-from-home. #LI-Hybrid
Pay Transparency:
The base pay for this role is: $98,400 - $129,150 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, and annual performance bonuses.
Responsibilities
- Build and maintain strong networks with key contacts beyond immediate areas of expertise.
- Drive team accountability for delivering tactical business targets.
- Develop and implement workflows that support affordability initiatives.
- Execute critical tasks to operationalize playbooks.
- Continuously evaluate current processes and recommend improvements to policies, operations, and procedures.
- Design and implement three-year strategies to influence trends and spending.
- Collaborate with pods to translate playbooks into actionable initiatives and workflows.
- Partner with MCA and Data Science to monitor and advance key initiatives.
- Analyze complex issues requiring in-depth evaluation of multiple factors, and introduce innovative solutions.
- Identify and address workflow gaps across business units, including Claims, Payment Integrity, Clinical Programs, and Network Strategy.
- Compliance with all applicable laws and regulations
- Other duties as assigned
Qualifications
- 3+ years of experience in Case Management
- 5+ years of Healthcare experience (Health Insurance, Health Systems, or Healthcare Consulting)
Bonus Points
- Experience using data and metrics to drive improvements in programs
- Experience / background in a fast-paced operations environment
- Clinical background (nursing or other healthcare) to support review and analysis of complex healthcare journeys
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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.
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.
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