Manager, West P&L
Hi, we're Oscar. We're hiring a Manager to join our West P&L team.
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
The Market P+L teams manage the growth and business economics of their regions. The team grows a set of relationships across our network of health systems, providers, and other healthcare organizations. The team strives to construct and improve Oscar's system, facility, and provider agreements, infrastructures, and relationships to ensure that our strategic vision, operational standards, partner quality goals, and financial interests are reflected in our network partnerships.
You will report to our Director, West P&L (TX). This is a remote / work-from-home role. You must reside in one of the following states: Arizona, California, Connecticut, Florida, Georgia, Illinois, Iowa, Maryland, Massachusetts, Michigan, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, Tennessee, Texas, Utah, Virginia, Washington, or Washington, D.C. Note, this list of states is subject to change. #LI-Remote
The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $108,000 - $141,750 per year. The base pay for this role in all other locations is: $97,200 - $127,575 per year. You are also eligible for employee benefits, and annual performance bonuses.
Responsibilities
- Be a market expert. Be audible-ready on the network construction, competitive landscape, contract terms (e.g. rates), regulatory mandates and how these aspects impact our overall growth, profitability, and risk in your markets.
- Manage an Individual and Family Plan (aka Health Insurance Exchange) book of business in Texas, owning both external strategic provider relationships and performance—as well as internal profitability, quality, risk, and growth discussions.
- Analyze and assess data to build programs and opportunities to improve the growth, profitability, and risk of your partnerships and the Texas region (e.g end-to-end owner of big medical group / small hospital contracting, expansion, and negotiation opportunities, harvest strategies, utilization management projects, etc).
- Partner with other internal teams such as Strategy, Growth, Finance, Analytics, Value Capture, Care Management, Government Affairs, Product, Concierge, and other regional teams to achieve results for essential Oscar programs.
- Run the face-off-strategy with health system and provider partners, manage the relationship, optimize the performance of the contract / partnership, and serve as the point of escalation for P&L responsibilities (settlements, contract negotiations / renegotiations).
- Be the point of escalation for your provider engagement team members and support the territory lead / region lead in shepherding the team towards execution and results.
Qualifications
- A bachelor's degree or equivalent work experience
- 4+ years of professional experience in payer or provider healthcare contracting, healthcare finance, performance management, healthcare operations, consulting, or a related field
- Experience running financial analyses on a markets or product lines, and working cross-functionally to drive improvement opportunities and increase growth & profitability
- Experience in process improvement and workflow design
Bonus Points
- ACA marketplace, quality of care, and population health experience
- People management 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, paid holidays, paid vacation and 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 ([email protected]) to make the need for an accommodation known.
To protect the health and safety of our employees, we require any employee conducting in-person work* to be fully vaccinated against COVID-19 by their start date. If you are unable to be vaccinated due to medical or protected religious reasons, please reach out to our Benefits team at [email protected] to submit an accommodations request.
*Note: In-person work includes: employees required to work from our offices, employees conducting sales work in the field and employees conducting at-home or in-person visits with members.