Jobs at Oscar Health

The Senior Director, Markets Strategic Advisory & Intelligence leads market strategy and analytics for product development, overseeing research, performance assessments, and strategic recommendations to support market expansion and optimize the product portfolio.

The role involves developing insurance product strategies, overseeing product design, ensuring compliance, and leading cross-functional teams to drive growth in employer-subsidized health insurance solutions.

The Sales Executive will drive sales by identifying and qualifying leads, educate prospects on ICHRA, and set up meetings for enrollment.

The Senior Analyst will support payment integrity disputes, investigate solutions, collaborate cross-functionally, and improve processes in claims operations.

The Total Quality Management Specialist ensures quality program health, evaluates high-complexity cases, oversees escalated transactions, and supports program implementation.

Responsible for maintaining quality standards across business lines, resolving complex cases, and supporting new quality program implementations, including AI initiatives.

The Senior Specialist audits medical records and claims to assess FWA trends in healthcare, communicating findings, and training team members.

Perform end-to-end claims coding audits and repayment quality reviews using CPT/HCPCS/ICD-10 guidelines; document findings, create reference guides, support provider communications, train teammates, and drive process improvements for payment integrity.

Partner with cross-functional teams to analyze large healthcare datasets, build models and dashboards, and surface insights to reduce medical waste. Scope, run, and present analyses, monitor performance metrics, and support initiatives to improve financial and utilization outcomes.