Operations Manager, Process Design & Strategy-Enrollment and Billing

Job Description

Hi, we're Oscar. We're hiring an Operations Manager, Process Design & Strategy-Enrollment and Billing to join our Concierge Optimization 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 Operations Manager, Process Design and Strategy E&B will optimize processes for our Enrollment, Eligibility and Billing departments within the Member Life Cycle vertical. You will act in a hybrid capacity both improving initiatives, and being the subject matter expert for E&B in enterprise wide programs. We ask that you bring risk identification, mitigation for us to be prepared to continue serving its Members, Brokers and Providers while meeting our important brand promises.

Expected to lead team collaborations. Prior experience with enrollment and billing practices, and ability to work across different initiatives.

You will report to the Director, Enrollment and Billing Optimization. This is a remote / work-from-home role. You must reside in one of the following states: Arizona, California, Connecticut, Florida, Georgia, Illinois, Maryland, Massachusetts, Michigan, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, Tennessee, Texas, Utah, Virginia, or Washington. Note, this list of states is subject to change. #LI-Remote

Responsibilities:

• Lead lead team implement process improvements to meet departmental goals
• You will evaluate requirements and develop execution plans for major projects
• You will provide counsel to departmental leadership by taking on mission-critical ad-hoc assignments; Serve as departmental advocate and reference point for Sr. Leadership
• Guide optimization development and formulation for assigned business units
• Collaboratively works with all relevant internal and external stakeholder groups to drive proactive process improvements, communications, and program strategies for successful change management and risk mitigation initiatives
• Facilitate partnership with Product Management team to support design and build for system changes
• You will develop direct reports, ensuring that colleagues are supported in professional development

Requirements:

• 5+ years of experience in program management
• 5+ years of leadership experience
• 2+ years experience working in payer enrollment, eligibility and billing
• Experience with E&B technology e.g. EDI 834
• Experience influencing leadership decision-making using quantitative and qualitative data
• Experience using data and metrics to improve programs
• Expert in documenting process and implementation of controls and monitors

Bonus points:

• Bachelor's or Master's Degree
• Lean/Six Sigma Certifications
• PMP Certifications or Program Management Certifications
• Healthcare experience (Health Insurance, Health Systems, or Healthcare Consulting)

This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here .

Life at Oscar:

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.

We aim to make health care affordable and accessible for all, and apply this same vision to our perks and benefits, including: medical benefits, generous paid-time off, paid parental leave, retirement plans, company social events, stocked kitchens, wellness programs, and volunteer opportunities.

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.