Search the 55 jobs at Oscar

The Senior Provider Network Specialist at Oscar supports membership growth and management in Texas by executing the local network strategy, ensuring provider support, and driving quality outcomes. Responsibilities include network construction planning, provider contracting, contract negotiations, and operational workflow expertise. Qualifications include a Bachelor's Degree or 4+ years of relevant experience, experience in provider or payer contracting, and proficiency in Word, Excel, and Powerpoint. Bonus points for experience in contract negotiations and client-facing roles.

The Associate, Operational Controls at Oscar supports the development and implementation of the operational control framework, focusing on meeting SOX, MAR, and SOC requirements. Responsibilities include documenting processes, assessing controls, developing corrective action plans, and educating stakeholders on risk and controls. This role requires 3+ years of experience in a blended work culture at Oscar's various office locations or remotely.

The Senior Analyst, Privacy at Oscar is responsible for assisting with privacy incident response and investigations related to Protected Health Information (PHI) and Personally Identifiable Information (PII). This role involves supporting the management of healthcare data for Oscar Members and ensuring compliance with privacy regulations.

Work as a Senior Software Engineer II on the Campaign Builder team at Oscar to build applications and interfaces for easier interaction with the health care system. Responsible for leading technical projects, mentoring engineers, and driving cross-team collaboration to achieve business objectives.

The Senior Director of Business Communications at Oscar will be responsible for building the Business Communications practice within the organization, overseeing communications for key business lines, and serving as a strategic counselor for senior leaders. This role will focus on promoting and elevating Oscar's businesses in the market and with key audiences.

The Associate, Market Readiness role at Oscar involves assisting with the implementation of market and growth strategies, managing project escalations, ensuring program success, and maintaining compliance with laws and regulations. This role requires 2+ years of project management experience, stakeholder management experience, and healthcare experience in the insurance or consulting industry.

The Manager, People Strategy at Oscar will empower departmental leaders, assess effectiveness, provide feedback, and partner with business leaders to ensure stakeholder alignment. Responsibilities include strategy development, coaching managers, influencing senior leadership, and promoting a culture of trust. Qualifications include 5+ years of People Team Experience and 3+ years of leadership experience in team performance-related practices. Ideal qualifications include HR certification, consulting skills, and Workday experience.

Licensed Mental Health Provider role at Oscar Medical Group, providing direct patient care and supporting psychotropic medication management in a remote work setting. Responsibilities include managing patient panels, providing interventions, collaborating with primary care providers, and facilitating treatment plans. Must have 2+ years of outpatient work experience in social work, psychology, or counseling.

The Manager, Network Development and Partnerships role at Oscar involves supporting membership growth and management in the Texas service area by executing the local network strategy, managing provider relationships, and driving quality outcomes. Responsibilities include contract negotiations, network construction planning, and industry relationship development. The position requires a Bachelor's degree or equivalent work experience, along with 4+ years of experience in healthcare contracting and 2+ years of team management experience.

The Associate Manager, Provider Operations at Oscar is responsible for optimizing scheduling for all service lines, overseeing a team focused on scheduling accuracy and efficiency, and collaborating with various teams for effective scheduling. This role requires 3+ years of experience in medical group operations, 2+ years of telemedicine experience, and familiarity with Excel and Google Sheets.

The Director of Growth Marketing - Strategic Initiatives sets the strategic direction for the growth marketing team, achieves quantitative growth goals, and influences business results through data-driven strategies. This role focuses on new initiatives driving Oscar's growth, including ICHRA and other key projects.

Lead product marketing initiatives to improve member experience, drive engagement, and support enterprise goals. Collaborate with cross-functional teams to design and execute campaigns and programs for clinical engagement and health outcomes.

The Actuarial Analyst II at Oscar will support experience monitoring, trending, and forecasting processes for Affordable Care Act markets. Responsibilities include maintaining core techniques, setting trend forecasts, promoting member engagement programs, and ensuring compliance with regulations. Qualifications include a Bachelor's degree in a STEM field, SOA certification or on track to become one, and 1+ years of quantitative analysis experience.

The Associate Medical Director will determine the medical appropriateness of inpatient, outpatient, and pharmacy services by reviewing clinical information and applying evidence-based guidelines. Responsibilities include providing timely medical reviews, making clinical determinations, and ensuring compliance with laws and regulations. Qualifications include board certification as an MD or DO, 3+ years of clinical practice, and 1+ years of utilization review experience in a managed care plan.

The Senior Manager, Provider Experience Strategy at Oscar will be responsible for shaping the approach to delivering a frictionless and high quality experience for providers. This role involves deriving insights, designing strategic projects, and presenting recommendations to the executive team. The position requires residence in specific states and offers a blended work culture with remote work options.

The Claims Quality Analyst role at Oscar involves reviewing and auditing medical claim reimbursements for accuracy and compliance, identifying internal control gaps, and providing recommendations for process improvements. The role also includes monitoring audit findings, staying updated on regulatory requirements, and ensuring compliance with laws and regulations.

The Claims Analyst at Oscar is responsible for supporting process improvement and issue resolution in the claims environment. They analyze and investigate claims data, develop quantitative analyses, and ensure compliance with laws and regulations.

Join Oscar as a Data Analyst, Clinical Analytics to support Clinical business units in analyzing and monitoring key financial and utilization metrics. Collaborate with stakeholders to reduce medical waste and improve healthcare quality for members. Responsible for data analysis, creating operational dashboards, identifying inefficiencies, and supporting strategic projects.

The Associate, Special Investigations Unit Investigator at Oscar is responsible for analyzing data, managing complex investigative cases, and ensuring compliance with investigation standards. This role involves identifying and investigating instances of Fraud, Waste, and Abuse (FWA) to achieve recoupments and savings targets through process improvements. The position requires maintaining relationships with regulatory agencies, conducting training for internal teams, and ensuring compliance with laws and regulations.

Senior Manager overseeing a team of associates and data analysts in operations forecasting and planning. Responsible for managing stakeholder relationships, guiding improvements in operating model, packaging analyses for recommendations, engaging with senior leadership, implementing processes, driving team strategy and culture.