Oscar Health: Humanizing Healthcare

👥 1001-5000💰 $40,000,000 Series B about 4 years agoBiopharma Clinical Trials Data Integration Health Care Software

👥 1001-5000💰 $34,913,641 Post-IPO Equity over 3 years ago🫂 Last layoff almost 2 years agoVirtualization DevOps Web Hosting Cloud Computing SaaS

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🏢 Spring Health

👥 1001-5000💰 $100,000,000 Series E 5 months agoMental Health Artificial Intelligence (AI)mHealth Wellness Health Care

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🔥 Director, Network Contracting & Services

Posted 13 days ago

📍 Alabama, Arizona, California, Colorado, Connecticut, Florida, Georgia, Illinois, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, Washington D.C.

🧭 Full-Time

💸 142560.0 - 207900.0 USD per year

🔍 Health insurance

10+ years of experience in healthcare provider contracting, network development, or related areas.
5+ years of experience negotiating complex contracts with hospitals and physician groups.
4+ years of leadership or managerial experience in a healthcare setting.

Develop and implement contracting strategies in partnership with Market Leaders.
Lead and mentor the provider contracting team.
Collaborate with the Network Monitoring & Performance team to identify and address network gaps.
Source and identify OON provider targets aligned with Oscar's market strategy.
Lead contract negotiations with hospitals, physicians, and other healthcare entities.
Develop and execute financial agreements ensuring quality care.
Resolve provider issues related to contracts and network participation.
Ensure compliance with relevant federal, state, and local regulations.
Act as the primary contact between Oscar and healthcare providers.

LeadershipNegotiationComplianceRelationship management

Posted 13 days ago

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🔥 Operations Associate, Claims Design

Posted 16 days ago

📍 Alabama, Arizona, California, Colorado, Connecticut, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, or Washington, D.C.

🧭 Full-Time

💸 88460.0 - 129150.0 USD per year

🔍 Health insurance

A bachelor’s degree or 4+ years commensurate experience.
3+ years experience in a technical role such as QA analyst, PM, operations analyst, finance, consulting, or industrial engineering.
3+ years experience using data software such as SQL or Python.
Experience in analytics with the ability to derive insights from complex datasets.
Proficiency in designing and improving workflows.

Designs and prioritizes operational processes by gathering business requirements and implementing solutions.
Leads cross-collaboration on problem definition and technical design.
Utilizes data for business decisions and develops KPIs to measure effectiveness.
Serves as a subject matter expert in claims payments processes.
Identifies risks and resolves issues through data-driven investigation.
Designs automated workflows for new product and market expansions.
Works with engineers and analysts to resolve escalations and develop training.

PythonSQLData Analysis

Posted 16 days ago

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🔥 Senior Learning Specialist

Posted 19 days ago

📍 Alabama, Arizona, California, Colorado, Connecticut, Florida, Georgia, Illinois, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, Washington, D.C.

🧭 Full-Time

💸 72800.0 - 95550.0 USD per year

🔍 Health insurance

2+ years experience developing training in a production environment, including eLearning design.
2+ years experience facilitating or presenting in company meetings.
2+ years experience working with teams in multiple locations within multiple disciplines.
2+ years working in a collaborative environment with a diverse set of people.

Create, design, and build both instructor-led and eLearning content via authoring tools.
Apply adult learning theory to maximize learner success.
Collaborate with subject matter experts to source key content needed for training design.
Audit and update training content to ensure accuracy and effectiveness.
Identify opportunities to reduce waste in training content through consolidation and standardization.
Facilitate instructor-led courses for multiple audiences, ensuring engagement from learners.

CollaborationCompliance

Posted 19 days ago

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🔥 Manager, Member & Provider Compliance

Posted 27 days ago

📍 Alabama, Arizona, California, Colorado, Connecticut, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, Washington, D.C.

🧭 Full-Time

💸 92880.0 - 135450.0 USD per year

🔍 Health insurance

5+ years of relevant experience in an operations role within the health insurance industry.
5+ years experience representing operational units with regulatory bodies including universe pulls, data analysis, and narrative development.
Experience developing, implementing, and managing Policies and Procedures within a healthcare organization.
Experience managing and developing a team.
Bonus: Experience with data software (e.g., Excel, SQL, Python) to analyze large data sets.

Be the subject matter expert for operational processes and systems to effectively represent the Operations organization in regulatory audits and reviews.
Develop and implement systems and processes to proactively identify potential compliance issues and continuously improve.
Develop, update, and streamline Policies and Procedures to ensure they are efficient and compliant.
Develop team workflows and guidelines that produce consistent and measurable outcomes; train, teach and mentor team members.
Collaborate across the organization and monitor initiative impact.

LeadershipPythonSQLData AnalysisComplianceProcess improvement

Posted 27 days ago

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🔥 Director, Corporate Compliance & Privacy/Ethics

Posted about 1 month ago

📍 Alabama, Arizona, California, Colorado, Connecticut, Florida, Georgia, Illinois, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, Washington, D.C.

🧭 Full-Time

💸 142560.0 - 207900.0 USD per year

🔍 Health insurance

10+ years’ experience in a healthcare compliance setting, including managerial experience.
10+ years’ experience with HIPAA Privacy and OCR expectations for Privacy Programs.
5+ years of experience with state and federal health insurance statutes and regulations.
5+ years of experience preparing and delivering reports to boards of directors.
5+ years of experience with OIG expectations for compliance programs.

Lead a Compliance team in performing and evaluating compliance functions, including HIPAA, governance, ethics, training, and education.
Partner with the Legal Department to provide advisory, investigatory, and remedial support services.
Manage regulatory risk while supporting growth and progress.
Structure compliance analytics processes for board oversight.
Create longer-term changes to exceed industry compliance standards.
Oversee performance management and career development in Compliance and Privacy teams.

LeadershipCommunication SkillsAnalytical SkillsCollaborationProblem SolvingAttention to detailOrganizational skillsPresentation skillsTime ManagementWritten communicationCompliance

Posted about 1 month ago

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🔥 Associate, Affordability

Posted about 1 month ago

📍 Alabama, Arizona, California, Colorado, Connecticut, Florida, Georgia, Illinois, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, Washington, D.C.

🧭 Full-Time

💸 88560.0 - 129150.0 USD per year

🔍 Health Insurance

3+ years of experience in program management.
2+ years of experience in delivering projects/programs independently and within a team.
Experience using data and metrics to drive program improvements.
Experience in a fast-paced operations environment.
Successfully executed enterprise-wide initiatives.
Healthcare experience (Health Insurance, Health Systems, or Consulting).
Bonus: Certified Medical Coder (CPC or similar), Master's Degree, PMP or Program Management Certifications, Lean/Six Sigma Certifications.

Leads end-to-end management of cross-functional implementations/projects.
Creates project plans and engages stakeholders.
Manages relationships to drive collaboration and on-time completion.
Evaluates departmental performance through data analysis.
Collaboratively formulates implementation and communication strategies.
Mentors team members and promotes professional development.
Ensures compliance with laws and regulations.
Performs other duties as assigned.

LeadershipProject ManagementData AnalysisProject CoordinationCross-functional Team LeadershipCommunication SkillsAnalytical SkillsCollaborationProblem SolvingMentoringAttention to detailOrganizational skillsTime ManagementWritten communication

Posted about 1 month ago

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🔥 Technical Implementation Associate

Posted about 1 month ago

📍 Alabama, Arizona, California, Colorado, Connecticut, Florida, Georgia, Illinois, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, Washington, D.C.

🧭 Full-Time

💸 98400 - 129150 USD per year

🔍 Health insurance

3+ years of work experience in a cross-functional role in technology or operations, including work with product/engineering teams.
Previous experience partnering closely with marketing, technology, or operations teams.
Ability to pick up technical concepts and experience with SQL.

Act as the technical representative of +Oscar in relevant client calls, ensuring campaigns are scoped effectively and clients understand relevant technical capabilities.
Design and implement new campaign development processes while anticipating potential future use cases to ensure long-term scalability in solution design.
Become an expert in our client and campaign data, leveraging SQL to identify trends in client populations to deliver campaigns that drive value to their business.
Own and operate core client data pipeline — including building standardized data models, managing client data discussions, and reviewing data for accuracy.
Execute on operational tasks, such as building, reviewing and approving drafted Campaigns, Templates, and Automation scripts to ensure they drive intended business outcomes.
Aggregate and synthesize client insights and feedback to help influence Product roadmap.
Dive into data and systems using SQL to understand trends and troubleshoot client campaign issues with the Product and Engineering team.
Create and maintain documentation to make +Oscar operational processes sustainable and scalable.

SQLDocumentation

Posted about 1 month ago

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🔥 Senior Sales Executive

Posted about 2 months ago

📍 Alabama, Arizona, California, Colorado, Connecticut, Florida, Georgia, Illinois, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, Washington, D.C.

🧭 Full-Time

💸 88800 - 111000 USD per year

🔍 Health insurance

4+ years of experience in the healthcare industry in an outside sales role.
3+ years of experience presenting and communicating with stakeholders at all levels.
Must possess a valid insurance license.
Bachelor's Degree or 4 years of relevant experience preferred.
Proficient in Salesforce.
Bilingual (Spanish speaking) is a bonus.

Building and managing broker and GA (General Agent) relationships in the assigned geographic market.
Identifying distribution partners and building relationships to support growth goals.
Training brokers and GA partners on Oscar's product.
Representing the product at local broker and community events, including evenings/weekends.
Identifying and testing new growth opportunities and sharing findings with the sales team.
Collaborating with teams to enhance product tools and processes.
Meeting or exceeding sales goals while servicing distribution partners.
Providing local competitive intelligence and market research.
Acting as the voice of brokers and consumers within the product.

LeadershipBusiness DevelopmentProduct ManagementCross-functional Team LeadershipGoCommunication SkillsAnalytical SkillsCollaborationProblem SolvingNegotiationAttention to detailOrganizational skillsPresentation skillsTime ManagementWritten communication

Posted about 2 months ago

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🔥 IT Internal Audit Associate Director

Posted about 2 months ago

📍 United States

🧭 Full-Time

💸 142560 - 207900 USD per year

🔍 Health Insurance

Bachelor's degree in Information Systems, Computer Science, or a related field.
7+ years of experience in IT audit, risk management, or information security, or a similar role.
4+ years of experience in a Platform as a service company.
4+ years of experience managing a team of internal or co-sourced consulting resources.

Lead the IA effort in performing risk assessments to identify technology risks and develop a risk-based IA plan for IT integrated internal audits.
Develop and execute an internal audit plan for the Technology business in partnership with the Internal Audit team.
Provide insights into areas such as information security, cyber security, data privacy, and technology risk management.
Collaborate with other corporate risk and control functions to ensure coordinated activities.
Assist in the development of board reporting to the Audit Committee.
Present findings and recommendations to management, articulating risks and implications.
Develop and maintain relationships with business line management.

LeadershipCybersecurityPeople ManagementCross-functional Team LeadershipCommunication SkillsAnalytical SkillsCollaborationProblem SolvingAttention to detailOrganizational skillsPresentation skillsTime ManagementWritten communication

Posted about 2 months ago

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🔥 Director, Market Management

Posted about 2 months ago

📍 Texas

🧭 Full-Time

💸 156960.0 - 206010.0 USD per year

🔍 Health insurance

10+ years of work experience in the healthcare industry.
8+ years of experience managing complex negotiations and building relationships.
8+ years of experience in healthcare contracting, operations, and market economics.
8+ years of analytical experience with complex financial structures and operational workflows.

Manage the financial performance for assigned market.
Develop and maintain key relationships with providers, regulators, and community partners.
Identify and execute on growth opportunities.
Serve as the chief subject matter expert on markets and policy developments.
Build, manage, and improve workflows and systems.
Generate financial insights for long-term sustainability.
Lead a team of key talent.
Form strong relationships with internal stakeholders.
Contribute as a leadership team member, advocating for market needs.
Build new provider relationships to execute the business plan.

LeadershipBusiness DevelopmentData AnalysisPeople ManagementCross-functional Team LeadershipStrategyFinancial ManagementGoCommunication SkillsAnalytical SkillsCollaborationNegotiationAttention to detailOrganizational skillsPresentation skillsTime ManagementWritten communication

Posted about 2 months ago

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