Manage the configuration and maintenance of authorization workflows, rulesets, and automations within the UM platform.
Translate business requirements into precise technical specifications, ensuring that business rules and logic are accurately represented, tested, and implemented.
Investigate and resolve cross-functional escalations by performing root cause analysis on system behavior and configuration gaps.
Proactively identify "friction points" in the authorization process and document formal opportunities for workflow improvement and automation.
Act as the primary subject matter expert for the UM system, educating internal teams (Product, Clinical, Regulatory) on how configuration impacts operations and supports business needs.
Develop testing protocols and execute test scenarios to validate expected system behavior and configuration accuracy.
Manage assigned caseloads and project tasks through effective dashboard management and prioritization.
Maintain clear, comprehensive documentation of all business rules, technical specs, and workflow designs.
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About Oscar Health
Oscar Health is transforming the complex healthcare industry by building a health insurance company around a full-stack technology platform. We started in 2012 with a clear mission: to make a healthier life accessible and affordable for everyone. Oscar offers individual and family plans, Medicare Advantage, and small group products, serving approximately 2.1 million members across 18 states. We leverage technology, design, and data to create a simple, transparent, and human-centered experience, demystifying insurance for our members. Our innovative approach includes proprietary technology platforms, like +Oscar, which we license to other healthcare organizations, showcasing our dual model as both an insurer and a tech pioneer.
How We Work
Oscar fosters a collaborative and innovative environment where every team member's opinion is valued. We believe in transparency, direct feedback, and continuous growth. Our culture is driven by a shared dedication to our mission, tackling significant challenges in the healthcare system. We embrace a "no genius without grit" philosophy, encouraging relentless and scrappy approaches to problem-solving. You will find a supportive atmosphere with smart, helpful colleagues who genuinely care about your development. Our commitment to diversity, equity, and inclusion is fundamental, empowering our community and driving better business outcomes.
Engineering at Oscar Health
As a technology-first company, Oscar Health engineers build scalable and maintainable applications, infrastructure, and interfaces that simplify healthcare. You'll work on challenging problems, designing elegant distributed systems, applying statistical learning, and leveraging language theory. We continuously optimize software solutions that enhance the member experience. Our technical approach involves applying AI to automate and improve processes like claims and payment processing, aiming for high accuracy and efficiency. You'll contribute to a robust claims system, processing millions of claims daily, and utilize machine learning for fraud detection. We prioritize building fault-tolerant and scalable software systems, always seeking new ways to innovate within the complex healthcare landscape.
Why Join Us
Drive meaningful impact by transforming a critical industry—healthcare—making it accessible and affordable for millions.
Work on challenging problems using cutting-edge technology, including AI, to build scalable and fault-tolerant systems.
Grow your career in a supportive culture that values mentorship, direct feedback, and continuous learning.
Contribute to a diverse, equitable, and inclusive workplace that empowers employees and serves diverse communities.
Experience a mission-driven environment where your work directly impacts people's health and well-being.
Benefits & Perks
Comprehensive medical, dental, and vision benefits.
Unlimited vacation program.
Paid parental leave.
401(k) plan participation.
Annual performance bonuses and company equity grants (for eligible roles).