Hi, we're Oscar Medical Group. We're hiring Bilingual (Spanish) Nurse Practitioners or Physician Assistants to join our Virtual Primary Care team.

At Oscar Medical Group, we are refactoring healthcare. We want to help each of our members achieve their healthcare goals in a personalized way. To help us achieve that goal we are looking for innovative leaders who think big and push boundaries to refactor healthcare and the healthcare delivery system.

About the role:

You will manage a panel of members within the states of Georgia, Texas, Florida and other Oscar states where we offer virtual Oscar Virtual Primary Care or expand to (including New York, Oklahoma, Connecticut, Arizona, etc). You'll keep a set patient schedule and will be the primary care provider for your panel. You'll engage with new products and tooling that we're rolling out for the virtual care service lines.

You will report into the Lead APP.

Work Location:

Oscar Medical Group is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission.

This is a remote / work-from-home role. You must reside in one of the following states: Arizona, California, Colorado, Florida, Georgia, Illinois, Massachusetts, Michigan, Nevada, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Texas, or Virginia. Note, this list of states is subject to change. #LI-Remote

Pay Transparency:

The base pay for this role is: $130,000 - $136,500 per year. You are also eligible for employee benefits, annual vacation grant of up to 18 days per year and annual performance bonuses.

Responsibilities:

• Provide care for your panel of patients (18+) virtually (phone, messaging, video)
• Provide continuity of care to patients with a wide range of acuity from young/healthy to chronic conditions (DM, HTN, COPD, CAD, etc).
• Collaborate with physicians MD/DO on the Care Team on complex patients / escalated cases.
• Follow up on labs, imaging, and closed loop communication with patients and other providers.
• Use tooling to allow virtual "exams" including remote home monitoring equipment, remote physical exam, remote point of care diagnostics (ie TytoCare or Butterfly).
• Collaborate with registered nurses, medical assistant and clinical supervisory where applicable
• Be available for on-call shifts and to answer important lab escalations.
• Maintain a flexible patient schedule -- this may include scheduled early morning visits and early evening visits
• Participate in collaborative care with virtual behavioral health specialists
• Flex between Oscar's virtual products: primary care, urgent care, and health assessments.

Requirements:

• DNP, FNP, ENP, or PA from accredited program
• Board Certification (NCCPA or AANP or ANCC)
• Spanish language fluency (read, write, and speak)
• 3+ years of in person primary care experience
• 2+ years of experience delivering virtual care
• Georgia ANDTexas state licenses
• Compact RN license (if an APRN)

Bonus points:

• Experience working with remote diagnostic and home monitoring tools
• Additional licenses in Arizona, Florida, New York, Connecticut, and/or Oklahoma
• If not licensed in Arizona, has the necessary pharmacology course hour requirement and/or coursework to obtain an Arizona license

Hi, we're Oscar. We're hiring a Senior Director to join our Corporate Strategy 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 Senior Director, Corporate Strategy plays a critical role in shaping Oscar’s corporate strategy, determining the course the company will take to maximize enterprise value and growth in a way that is aligned with the mission of the company. This high-performing leader shapes the long-term strategy of the company by leading and executing large-scale cross-functional strategic initiatives critical to Oscar’s strategic and operational plans. This individual works closely with senior executives across the organization to enhance Oscar’s competitive position and drive growth.

You will report to the Vice President, Corporate Strategy.

Work Location: 

Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission. 

If you live within commutable distance to our New York City office (in Hudson Square), our Tempe office (off the 101 at University Dr), or our Los Angeles office (in Marina Del Rey), you will be expected to come into the office at least two days each week. Otherwise, this is a remote / work-from-home role.  

You must reside in one of the following states: 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. Note, this list of states is subject to change. #LI-Remote

Pay Transparency:

The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $232,000 - $304,500 per year. The base pay for this role in all other locations is: $208,800 - $274,050 per year. You are also eligible for employee benefits, participation in Oscar’s unlimited vacation program, company equity grants and annual performance bonuses.

Responsibilities

• Shape the corporate strategy of Oscar in partnership with the executive team
• Evaluate and execute strategic projects, deriving insights from external and internal research, and develop recommendations and scenarios for Oscar’s executive team
• Develop thorough and analytical business cases, including economic modeling, scenario development, risks, trade-off evaluation, and prioritization decisions 
• Develop key performance indicators and metrics to evaluate the success of strategic initiatives and projects
• Serve as the dedicated corporate strategy lead for Oscar’s shared services functions 
• Collaborate deeply with SMEs and leaders across the organization
• Maintain a strong external orientation, leveraging deep healthcare industry and market knowledge, a pulse on healthcare investments and innovation, as well as insights into our competition and our customers’ needs to bring together research and strategic decisions in key areas
• Communicate the established corporate strategy to the organization in partnership with our Communications and leadership team; drive change management as needed
• Assemble and maintain a foundation of intelligence - e.g. business financials / competitive data - that can serve as a fact base for projects and discussions 
• Compliance with all applicable laws and regulations 
• Other duties as assigned

Qualifications

• A bachelor's degree or commensurate 4 years of experience
• 12+ years experience, with 10+ of those years in healthcare consulting or a strategic role in the healthcare industry
• 7+ years experience collaborating and influencing at the executive level
• 5+ years experience defining and deploying strategies for organizations at the company level

Bonus Points

• Master’s degree from top-tier program in business, health administration, or related field 

Hi, we're Oscar. We're hiring a Senior Director, Office of the CEO to join our 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 Sr. Director, Office of the CEO is critical in supporting and mobilizing our Executive Team’s strategic vision and ensuring operational excellence across the organization. This leader will drive the CEO’s core governance forums, execute discretionary strategic projects, and engage key internal and external stakeholders on behalf of the Executive Office. A strong analytical background and ability to rationalize business cases and organizational trade-offs is paramount for success in this role. The ideal candidate will possess strong leadership skills, exceptional communication abilities, and a deep understanding of corporate strategy and governance. This role will report into the EVP, Chief of Staff to CEO.

You will report to the Chief of Staff to the CEO.

Work Location:

Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission. 

This is a hybrid role in our New York City office. You will work part of the time in the office and part of the time remote / work-from-home. #LI-Hybrid

Pay Transparency:

The base pay for this role is: $211,200 - $277,200 per year. You are also eligible for employee benefits, participation in Oscar’s unlimited vacation program, company equity grants and annual performance bonuses.

Responsibilities

• Drive and manage the Executive Office’s key governance forums, ensuring effective communication and decision-making among executive leadership. Prepare agendas, facilitate discussions, and ensure follow-up on action items to promote accountability.
• Collaborate with the Executive Office to develop and implement key organizational initiatives. Provide insights and recommendations based on strategic analyses.
• Oversee high-priority discretionary projects, ensuring alignment with company objectives and multi-year strategy
• Plan, organize, and manage the corporate business cycle, including key company wide meetings and external engagements on behalf of the Executive Office
• Build and maintain relationships with key stakeholders, including executive leadership and external partners
• Represent the Executive Office in meetings and internal engagements as needed
• Drive change management across the Company in alignment with department and/or company strategy
• Own and manage the Executive Office’s enterprise budget in partnership with financial planning & analysis (FP&A) team 
• In partnership with the Corporate Strategy team, shape multi-year department strategy
• Prepare material for leadership, Management Committee, Operating Committee, and BoD meetings
• Collaborate deeply with SMEs and leaders across the organization
• Serve as a proxy for Chief of Staff, when needed
• Compliance with all applicable laws and regulations 
• Other duties as assigned

Qualifications

• A bachelor's degree or commensurate 4 years of experience
• 10+ years experience, with 8+ of those years in healthcare consulting or strategic finance
• 7+ years experience collaborating and influencing at the executive level
• 5+ years experience defining and deploying strategies for organizations at the company level

Bonus points

• Master of Business Administration (MBA) from top-tier program

Hi, we're Oscar. We're hiring a Manager, Market P&L to join our Market 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 Manager, Market P&L supports membership growth and management, by executing the local network strategy and ensuring providers across our service area have the information and support they need to provide best-in-class member care and drive quality outcomes. 

You will report to the Director, Market P&L. 

Work Location: 

Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission. 

You must reside in Alabama and be willing to travel up to 40% within the state #LI-Remote

Pay Transparency:

The base pay for this role is: $97,200 - $127,575 per year. You are also eligible for employee benefits, participation in Oscar’s unlimited vacation program, annual performance bonuses.

Responsibilities

• Manage the network development, provider contracting and key provider account relationship management for assigned market(s).
• Manage a network construction plan developed for assigned market(s).
• Generate industry relationships and outreach directly to potential network partners to coordinate growth efforts.
• Support overall contract negotiations and strategies to bring new partners into the network.
• Support and/or manage team members responsible for the servicing, education and communication to the provider network.
• Execute and help identify and guide team and org wide initiatives to improve quality and financial performance..
• Monitor assigned partners to gauge compliance with standards, implementing corrective actions to remediate deficiencies.
• Help inform key business strategies to achieve market goals and mitigate risks.
• Compliance with all applicable laws and regulations.
• Other duties as assigned.

Qualifications

• Bachelor’s degree, or 4 years equivalent work experience.
• 4+ years of professional experience in healthcare client management, healthcare consulting, or provider healthcare contracting, healthcare finance, performance management, healthcare operations, or a related field.
• 2+ years experience in process improvement and workflow design.
• 2+ years experience running financial analyses on markets or product lines, and working cross-functionally to drive improvement opportunities and increase growth and profitability.

Bonus Points

• Affordable Care Act (ACA) marketplace, quality of care, and population health experience.
• Bilingual (Spanish)

Travel

• Up to 40% 

Hi, we're Oscar. We're hiring a Part-time Prior Authorization Pharmacist to join our Pharmacy 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

You will serve as a reviewer of prior authorizations.

You will report to the Clinical Pharmacist Team Lead.

Work Location: 

Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission. 

If you live within commutable distance to our New York City office (in Hudson Square), our Tempe office (off the 101 at University Dr), or our Los Angeles office (in Marina Del Rey), you will be expected to come into the office at least two days each week. Otherwise, this is a remote / work-from-home role. 

You must reside in one of the following states: 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. Note, this list of states is subject to change. #LI-Remote

Pay Transparency:

The base pay for this role is: $51.92 - $68.15 per hour. You are also eligible for voluntary employee benefits and will accrue PTO.

Responsibilities

• Review and render decisions on authorizations and appeals for specialty, non-specialty, and physician administered drugs
• Conduct peer-to-peer calls with prescribers to discuss the clinical rationale of adverse determinations
• Participate in clinical quality audits and inter-rater reliability testing
• Provide internal team support for escalations and questions 
• Apply clinical expertise to ensure appropriate and safe use of pharmaceuticals by members and providers.  
• Compliance with all applicable laws and regulations
• Other duties as assigned

Qualifications

• 3+ years of experience as a licensed pharmacist 
• Active, unrestricted pharmacist license
• Doctor of Pharmacy Degree
• Willingness to obtain licensure/training with new states, as needed

Bonus Points

• 3+ years of experience performing clinical review in a managed care setting and experience writing clinical criteria 
• Strong clinical skills and experience applying clinical criteria in clinical review setting
• Board Certification (i.e. BCPS, BCOP)
• Residency training 
• Experience practicing pharmacy in a clinical setting (i.e. retail, hospital, specialty, etc.)

Hi, we're Oscar. We're hiring a Engineer II to join our SRE 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

As a core member of the Site Reliability Engineering team, you will build reliable and maintainable applications, infrastructure, and interfaces that make interacting with the health care system easier for members and providers. The goal of the team is to create scalable and highly reliable software systems with a focus on building and automating systems that are resilient, fault-tolerant, and self-healing, aiming to bridge the gap between development and operations teams.

You will report to the SRE Staff Engineer.

Work Location: 

Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission. 

If you live within commutable distance to our New York City office (in Hudson Square), our Tempe office (off the 101 at University Dr), or our Los Angeles office (in Marina Del Rey), you will be expected to come into the office at least two days each week. Otherwise, this is a remote / work-from-home role.  

You must reside in one of the following states: 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, or Washington, D.C. Note, this list of states is subject to change. #LI-Remote

Pay Transparency:

The base pay for this role $144,000 - $189,000. You are also eligible for employee benefits, participation in Oscar’s unlimited vacation program, company equity grants and annual performance bonuses.

Responsibilities

• Consistently write stable, correct, and maintainable code with little oversight; write modular, adaptable code with guidance.
• Demonstrate mastery over common uses of available tools, frameworks, libraries, and infrastructure; strong knowledge of available libraries; make judicious choices over what code to write versus what code to import.
• Managing Kubernetes Clusters and managing core components. 
• Work with partners, product managers, and designers to solve challenging problems.
• Collaborate with other engineers on the team to improve technology and apply best practices.
• Implement step-wise technical migrations of our existing services and applications.
• Own small to medium features or infrastructure projects from technical design through completion with little required guidance.
• Independent contributor to their team. Work effectively across the codebase with appropriate guidance from code owners.
• Make steady, well-paced progress without requiring frequent significant feedback from more senior engineers. 
• Compliance with all applicable laws and regulations
• Other duties as assigned

Qualifications

• 2+ years of professional software engineering experience, working with a variety of technologies, and have increasingly impactful accomplishments
• Experience proposing, experimenting, and iterating, whether it be a new shiny technology or an arcane, ill-conceived data structure; our company may be new, but the health industry isn’t!
• Experience with technical contributions, improving the quality of what you create, and are excited to build fault-tolerant, and scalable software systems.
• Demonstrates solid understanding of the practical application of CS concepts within their team.

Bonus Points

• Experience with Hashicorp Vault.
• Experience managing production Kubernetes clusters
• Designing a Kubernetes based Platform as a Service

Hi, we're Oscar. We're hiring a Manager, Treasury to join our Treasury 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 Manger, Treasury is primarily responsible for managing the corporate investment portfolio as well as supporting the execution of treasury strategy. This role assists in setting the corporate investment portfolio strategy, managing the risk of the overall portfolio, and managing relationships with third party investment managers 

You will report to the VP, Treasurer.

Work Location: 

Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission. 

If you live within commutable distance to our New York City office (in Hudson Square), our Tempe office (off the 101 at University Dr), or our Los Angeles office (in Marina Del Rey), you will be expected to come into the office at least two days each week. Otherwise, this is a remote / work-from-home role.  

You must reside in one of the following states: 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, or Washington, D.C. Note, this list of states is subject to change. #LI-Remote

Pay Transparency:

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, participation in Oscar’s unlimited vacation program and annual performance bonuses.

Responsibilities

• Manages the corporate investment portfolio in accordance with corporate investment policy. Assists in developing strategy in partnership with Treasury leadership. Presents recommendations to corporate investment committee
• Manages relationships with third party asset managers including the selection of asset managers and review of performance
• Develops investment portfolio analytics and produces monthly reporting to senior management on net investment income results and portfolio performance
• Leads asset/liability management process including development of key metrics to assess and model interest rate risk, liquidity risk, and credit risk
• Develops the net investment income strategic plan, annual net investment income budget, as well as quarterly forecasts
• Prepares Investment portfolio and net investment income reporting package for senior management committee as well as Board of Directors
• Assists in the development of overall treasury strategy
• Compliance with all applicable laws and regulations 
• Other duties as assigned 

Qualifications

• Bachelor’s degree in Finance, Accounting, Economics, or equivalent work experience
• 4+ years experience in investment management or asset/liability management
• 3+ years of experience distilling complex ideas and financial models into clear messages
• 1+ years of experience developing strategy and influencing senior leaders

Bonus Points

• Prior experience in investment management within an insurance and/or healthcare company preferred
• MBA or similar advanced degree or CFA designation
• Strong analytical, problem-solving, and critical thinking skills to drive actionable results
• Ability to work effectively and efficiently in fast-paced and dynamic environment
• Excellent leadership, teamwork and communication skills

Hi, we're Oscar. We're hiring a Senior Manager, Strategic Initiatives to join our Member & Provider Strategy 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

You are responsible for driving the strategy and implementation of the department specific programming. The role collaborates cross functionally, leveraging data to make informed decisions.

You will report to the Associate Director, Strategy.

Work Location:

Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission.

If you live within commutable distance to our New York City office (in Hudson Square), our Tempe office (off the 101 at University Dr), or our Los Angeles office (in Marina Del Rey), you will be expected to come into the office at least two days each week. Otherwise, this is a remote / work-from-home role.

You must reside in one of the following states: 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, or Washington, D.C. Note, this list of states is subject to change. #LI-Remote

Pay Transparency:

The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $131,200 - $172,200 per year. The base pay for this role in all other locations is: $118,080 - $154,980 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities

• Assist in setting, driving and executing the strategy for department specific programs.
• Identify success criteria, and implement operating metrics to measure success; analyze data to own root cause analysis and implement mitigation strategies.
• Program management of key department and cross functional strategy initiatives. 
• Build operating playbooks and workflows to get the most value out of department initiatives. 
• Development and growth of direct reports (as applicable), ensuring that colleagues are supported in their professional development needs. 
• Compliance with all applicable laws and regulations.
• Other duties as assigned.

Qualifications

• 6+ years experience in strategy and operations.
• 4+ years project planning and program management experience. 
• Experience in leading large-scale cross functional initiatives. 
• 4 + years leadership experience

Bonus Points

• Master’s degree. 
• 6+ years experience working in healthcare or insurance industries in a strategy, business development, or project management role
• Management Consulting experience.
• Lean / Six Sigma experience

Hi, we're Oscar Medical Group. We're hiring a Medical Assistant to join our Oscar Primary Care team.

At Oscar Medical Group, we are refactoring healthcare. We want to help each of our members achieve their healthcare goals in a personalized way. To help us achieve that goal we are looking for innovative leaders who think big and push boundaries to refactor healthcare and the healthcare delivery system.

About the role:

You will provide support/assistance to a Care Team of physicians and Advanced Practice Providers (APPs) providing care to patients. You will be responsible for collecting all relevant medical information from patients and performing administrative tasks relative to practice and patient needs.

This is a full-time position requiring 40 hours per week. Working hours will be between 7am - 10pm EST depending on needs.

You will report into the RN Manager

Work Location:

Oscar Medical Group is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission.

This is a remote / work-from-home role. You must reside in one of the following states: Arizona, California, Colorado, Florida, Georgia, Nevada, New York, Ohio, Pennsylvania, Texas, or Virginia. Note, this list of states is subject to change. #LI-Remote

Pay Transparency:

The pay for this role is $20/hr. You are also eligible for employee benefits, and monthly vacation accrual up to 10 days per year.

Responsibilities:

• Provide live video virtual check in and check out support for patients
• Provide live phone and messaging support for patients
• Provide support for your Care Team, including virtual physicians, APPs and RNs
• Plan for each patient's medical needs from initial outreach, care coordination, to resolution
• Assist with the order process, including sending requisition forms and coordinating referrals
• Close the loop with providers after referrals are made, including collecting patient notes from providers
• Schedule appointments with patients for follow up care
• Call providers and facilities to clarify information and help solve complex cases
• Coordinate with internal and external parties to ensure patients needs are met (Laboratories, Imaging Facilities, Pharmacies, Vendors)
• Compliance with all applicable laws and regulations
• Other duties as assigned

Requirements:

• 1+ year of experience working as a Medical Assistant in a primary care, urgent care or multi-specialty clinic
• Medical Assistant Certification or Diploma
• Spanish language fluency (read, write & speak)

Bonus points:

• Experience in a virtual practice environment

Hi, we're Oscar. We're hiring a BPO Operations Manager to join our Provider & Member Services 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

You will oversee the engagement, partnership and the results of the offshore vendors used for the Member and Provider Services teams. You will play a critical role within the MPSO department to ensure that Oscar's members and providers have a positive experience when utilizing our services.

You will report to the Director, Provider & Member Services

Work Location:

Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission.

If you live within commutable distance to our New York City office (in Hudson Square), our Tempe office (off the 101 at University Dr), or our Los Angeles office (in Marina Del Rey), you will be expected to come into the office at least two days each week. Otherwise, this is a remote / work-from-home role.

You must reside in one of the following states: 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. Note, this list of states is subject to change. #LI-Remote

Pay Transparency:

The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $84,800 - $111,300 per year. The base pay for this role in all other locations is: $76,320 - $100,170 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities

• Utilize frameworks to intentionally develop and strengthen partnerships with BPO organizations to build sustainable relationships and BPO best practices.
• Creating, tracking, and implementing best practices for Production Management to improve overall member and provider experience through daily queue management, production tracking, and scorecard adherence.
• Take a proactive, forward-thinking and data-driven approach to identify concerns, inefficiencies, and operational improvement initiatives that drive desired cultural and operational outcomes
• Process improvement and change management
• Compliance with all applicable laws and regulations
• Other duties as assigned

Qualifications

• 4+ years of Production Management experience
• Experience in BPO or Call Center environments
• Experience with either vendor management or offshore partnerships
• 4+ years leading, coaching and developing direct reports in a large team fast paced environment
• 3+ years experience with using data and metrics to problem solve and drive root cause analysis

Bonus Points

• Call center experience
• Experience in healthcare
• Bachelor's degree
• Proficiency in Microsoft Office Suite
• Process Improvement or Lean Six Sigma training, certification
• Experience as a leader in a remote environment

Hi, we're Oscar. We're hiring a Manager, Knowledge Management to join our Knowledge Management 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

You will focus on capturing, managing, and promoting the use of data, information, and knowledge across various business functions. In addition, it will include the tactical execution of short- and long-term program objectives through the coordination of activities and individuals with a direct responsibility for results, including costs, operational methods, monitoring, reporting, and overall regulatory compliance and efficacy of the programs. The manager will also provide mentorship, guidance, and career development opportunities to their direct reports.

You will report to the Director, Operational Excellence.

Work Location: 

Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission. 

If you live within commutable distance to our New York City office (in Hudson Square), our Tempe office (off the 101 at University Dr), or our Los Angeles office (in Marina Del Rey), you will be expected to come into the office at least two days each week. Otherwise, this is a remote / work-from-home role.  

You must reside in one of the following states: 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. Note, this list of states is subject to change. #LI-Remote

Pay Transparency:

The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $103,200 - $135,450 per year. The base pay for this role in all other locations is: $92,880 - $121,905 per year. You are also eligible for employee benefits, participation in Oscar’s unlimited vacation program and annual performance bonuses.

Responsibilities

• Assist in the development, maintenance, and continuous improvement of Knowledge Management (KM) Program including system migrations, systems maintenance, fostering continuous systems and program improvement, data integrity and User Experience (UX)
• Collaborate with internal and cross-functional teams to capture and integrate their data, information, and knowledge into the KM system 
• Manage projects including schedule, budget, logistics, and resource planning 
• Evaluate performance metrics against project deliverables, particularly focusing on improving content quality adherence
• Own the oversight, mentorship, and development of a team of colleagues
• Compliance with all applicable laws and regulations 
• Other duties as assigned

Qualifications

• 4+ years of experience in project management
• 4+ years of experience with process improvement, workflow design, and program development
• 3+ years of experience managing cross-functional projects with timelines
• 2+ years of experience establishing partnerships with operational teams
• 2+ years of experience managing people and developing teams
• 2+ years of experience utilizing advanced data analytics to make decisions and drive improvements

Bonus Points

• CCMS and/or KMS work experience, including exposure or expertise in Technical Writing 
• Experience with communicating and presenting complex information in a digestible format for a variety of audiences
• Process Improvement/CI experience (Lean Six Sigma Green Belt or higher)
• Bachelor's degree

Hi, we're Oscar Medical Group. We're hiring a Licensed Mental Health Provider to join our Oscar Primary Care Team.

At Oscar Medical Group, we are refactoring healthcare. We want to help each of our members achieve their healthcare goals in a personalized way. To help us achieve that goal we are looking for innovative leaders who think big and push boundaries to refactor healthcare and the healthcare delivery system.

About the role:

You will provide direct patient care to a panel of Oscar Primary Care patients with Primary Care Providers (PCPs) under the collaborative care model, to deliver high quality, evidence-based, integrated behavioral health care in an integrated primary care setting. You will work as a primary member of a collaborative primary care team that involves the patient's primary care provider, a psychiatric consultant (i.e. psych nurse practitioner) and a behavioral health coordinator (i.e non-licensed team member) in the primary care clinic. You will report into our Behavioral Health Program Supervisor, under the direction of the Oscar Primary Care Medical Director.

You will report into the Supervisor, Integrated Behavioral Health Program.

Work Location:

Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission. 

This is a remote / work-from-home role. You must reside in one of the following states: Arizona, California, Colorado, Florida, Georgia, Illinois, Massachusetts, Michigan, Nevada, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Texas, or Virginia. Note, this list of states is subject to change. #LI-Remote

Pay Transparency:

The base pay for this role is: $64,000 - $84,000 per year. You are also eligible for employee benefits, and annual vacation grant of up to 18 days per year and annual performance bonuses.

Responsibilities:

• Manage a panel of patients with mild to moderate behavioral health conditions in close collaboration with the primary care provider (200-250 per month for 1.0 FTE = 40 hrs / week)
• Provide brief interventions using evidence-based techniques such as Behavioral Activation, Problem-Solving Treatment, Motivational Interviewing, or other treatments appropriate for primary care settings.
• Support psychotropic medication management prescribed by PCPs, focusing on treatment adherence, side effects and other complications, and effectiveness of treatment.
• Perform assessments, and brief, short-term treatment interventions to patients meeting program criteria
• Work with medical assistants, behavioral health coordinators and PCPs to support care plans
• Document patient progress and treatment recommendations so they can be easily shared with PCPs, the psychiatric consultant, and other treating providers
• Facilitate treatment plan changes and referrals for patients not improving/progressing or needing a higher level of care
• Participate in ongoing care collaboration, through team-based case conferences, maintaining a patient registry, electronic communication channels, and with provider partners.
• Additional responsibilities may include presenting on behavioral health topics at staff meetings, and covering for the supervisor in clinical support of non-licensed staff when needed.

Requirements:

• LCSW with 2+ years of outpatient work experience 
• Experience with brief, structured intervention techniques (e.g., Motivational Interviewing, Behavioral Activation, Problem Solving Treatment).
• Must be licensed in Georgia

Bonus points:

• Experience in an integrated primary care setting
• Spanish language fluency
• Screening skills, assessment, and knowledge for common mental health and substance use disorders
• Basic awareness and familiarity of psychopharmacology for common mental health disorders
• Willingness to obtain licensure in current + expansion states if not licensed (CT, FL, OK, TX, NY, CA)
• Understand primary care pace and focus on patient access
• Understanding of Counseling Compact licensing requirements in 2024

Hi, we're Oscar. We're hiring a Director to join our Provider Operations 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 Director, Provider Operations builds, scales and optimizes Oscar's provider data management, contracting, and credentialing processes. This role is responsible for setting the vision and strategy for provider operations and data functions, and designing processes that improve Oscar's capabilities in serving members and providers. The role does this by working with partners and stakeholders cross-functionally to take ideas from vision to implementation.

You will report to the Senior Director, Provider Operations.

Work Location: 

Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission. 

If you live within commutable distance to our New York City office (in Hudson Square), our Tempe office (off the 101 at University Dr), or our Los Angeles office (in Marina Del Rey), you will be expected to come into the office at least two days each week. Otherwise, this is a remote / work-from-home role.  

You must reside in one of the following states: 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. Note, this list of states is subject to change. #LI-Remote

Pay Transparency:

The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $158,400 - $207,900 per year. The base pay for this role in all other locations is: $142,560 - $187,110 per year. You are also eligible for employee benefits, participation in Oscar’s unlimited vacation program, company equity grants and annual performance bonuses.

Responsibilities

• Lead, coach and develop a high-performing team of managers and their reports
• Provide structure and support for the team, allowing them to keep their focus on delivering key initiatives
• Using industry best practices, ensure the processes and tools designed are extensible, efficient and scalable using the most up to date technologies
• Partner closely with operations, product, technical and market stakeholders to deliver the next generation of provider operations capabilities.
• Become a trusted partner to our cross-functional business partners, enabling delivery of growth and expansion targets
• Develop foundational processes for our scaling provider data and contracting
• Lead team to surface data, process, and technology issues through proactive identification, measurement, and monitoring of our operations; partner cross functionally to develop end-to-end strategy that leverages these insights to meet expectations of a lead health plan in the industry
• Identify automation opportunities where stable processes have been implemented and are sustainable to gain efficiencies by adding technical tooling in place of human intervention.
• Identification of administrative expense savings through process improvement, tooling investments, offshoring or vendor partnerships.
• Compliance with all applicable laws and regulations
• Other duties as assigned

Qualifications

• A bachelor's degree or 5+ years of operating experience
• 10+ years of work in operations within health insurance
• 5+ years of experience building, coaching and developing operational teams
• 5+ years experience with network operations, provider data management and contracting processes
• 5+ years prior successful experience developing and managing large scale initiatives coordinating with internal and external stakeholders
• 5+ years of experience designing and improving business process for optimization as well as standing up accompanying operating and technical procedures
• 5+ years of experience using data to influence business decisions
• 5+ years of experience program management

Bonus Points

• Experience with strategic programs that required successful presentation of business cases to obtain C-suite leadership agreement.
• Process Improvement, Lean Six Sigma, or SQL
• Experience in understanding and enhancing data model/management processes
• Experience with service operations organizations.

Hi, we're Oscar. We're hiring a Senior Analyst, Medical Economics to join our Data 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

As the Senior Analyst, Medical Economics, you will be responsible for understanding cost and utilization trends in your assigned market, with a relentless focus on identifying top trend drivers and proactively spotting emerging cost flares. You will combine technical expertise with creative solutioning to help shape and scope new total cost of care (TCoC) opportunities, leveraging deep domain expertise pertaining to your market.

The Senior Analyst, Medical Economics will collaborate with leaders across Finance and Data Science and business leaders across Clinical and Market P&L to segment and analyze claim data, including sizing opportunities to reduce avoidable spend, measuring and monitoring outcomes.

You will report to the Associate Director, Data Analytics.

Work Location: 

Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission. 

If you live within commutable distance to our New York City office (in Hudson Square), our Tempe office (off the 101 at University Dr), or our Los Angeles office (in Marina Del Rey), you will be expected to come into the office at least two days each week. Otherwise, this is a remote / work-from-home role.  

You must reside in one of the following states: 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, or Washington, D.C. Note, this list of states is subject to change. #LI-Remote

Pay Transparency:

The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $80,800 - $106,050 per year. The base pay for this role in all other locations is: $72,720 - $95,455 per year. You are also eligible for employee benefits, participation in Oscar’s unlimited vacation program, and annual performance bonuses.

Responsibilities

• Serve as the data lead for one of Oscar’s medium-sized ACA markets, analyzing cost and utilization trends to identify key drivers and uncover root causes of emerging developments
• Build, maintain, and enhance KPI frameworks to closely monitor financial performance, proactively detecting emerging signals or deviations from expected results
• Conduct deep-dive analyses of performance flares, identify root causes, and present findings to both analytical and operational leadership with actionable insights
• Leverage creative problem-solving and technical expertise to shape and scope new affordability opportunities based on deep market knowledge
• Measure and monitor the outcomes of TCoC initiatives
• Create models and tools that generate insights to detect healthcare inefficiencies and recommend actions to mitigate them
• Effectively communicate complex  information clearly and concisely, both in written reports and verbal presentations, to leadership and key stakeholders
• Other duties as assigned

Qualifications

• 1+ years of technical work experience using analytical tools and writing reports
• 1+ years of demonstrated experience working with large datasets and distilling analyses into relevant insights using a structured and systematic thought process
• Experience in SQL, with the ability to filter, aggregate, and build CTEs, or proficiency in R or Python, including experience with Pandas, for loops, and statistical tests
• 1+ years experience in healthcare, finance or the insurance industry
• Strong communication skills, verbal and written, around business reporting impact and requirements, as demonstrated by experience on at least 2 reporting projects requiring communication between technical and non-technical users
• Proficiency in Google Sheets or Excel skills, with ability to use VLookup, nested if statements and connected Sheets

Bonus Points

• Bachelor’s degree in a STEM field, or 4 years commensurate experience
• 1+ years of experience developing dashboards and working with Looker or other business intelligence/data visualization tools
• 1+ years of medical economics experience in the healthcare industry
• Exposure to ACA-specific healthcare laws, regulations, and compliance requirements

Hi, we're Oscar. We're hiring a Senior Actuarial Analyst to join our Actuarial 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 Senior Analyst, Actuarial contributes in supporting Oscar’s forecasting, strategy, and pricing efforts across multiple Affordable Care Act (ACA) markets. You will focus on analyzing network-related performance trends to inform budget planning, pricing strategies, and overall company direction. You will be responsible for building and refining analytical models that evaluate both historical and current performance, providing insights into Oscar’s network-focused programs. By bringing an actuarial perspective to these analyses, you will help shape network strategies and ensure data-driven decision-making.

You will report to the Sr. Manager, Actuarial.

Work Location:

Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission.

If you live within commutable distance to our New York City office (in Hudson Square), our Tempe office (off the 101 at University Dr), or our Los Angeles office (in Marina Del Rey), you will be expected to come into the office at least two days each week. Otherwise, this is a remote / work-from-home role.

You must reside in one of the following states: 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, or Washington, D.C. Note, this list of states is subject to change. #LI-Remote

Pay Transparency:

The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $93,600 - $122,850 per year. The base pay for this role in all other locations is: $82,240 - $110,565 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities

• Help develop models, applying tools, and conducting benchmarking analyses to guide total cost of care (TCoC) strategies, using insights to support the creation and promotion of high-performing networks.
• Provide actuarial expertise to teams for Oscar’s ACA-compliant individual markets, supporting growth in both existing and new markets.
• Analyze the causes of observed trends to deliver relevant insights that inform financial planning, including budgeting, pricing, and strategic programs for network and member engagement.
• Advocate for and establish best practices in actuarial processes, emphasizing automation and documentation. 
• Foster relationships and communicate with internal and external stakeholders.
• Support the onboarding of new analysts by facilitating their integration into established processes.
• Compliance with all applicable laws and regulations.
• Other duties as assigned.

Qualifications

• Bachelor's degree in a STEM field.
• Associate or Fellow of the Society of Actuaries (SOA), or on the track to become one.
• 3+ years of experience in a related field.

Bonus Points

• Knowledge of core health insurance concepts and experience with actuarial applications.
• Technical with an enthusiasm to apply tech-forward methods in actuarial models.

Hi, we're Oscar. We're hiring a Senior Software Engineer, IAM to join our Engineering 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 Senior Software Engineer is responsible for designing, developing, and maintaining high-quality software solutions with a focus on identity management and authentication. This role requires a deep understanding of Python or other languages, as well as expertise in web backends like flask,  and  identity protocols such as SAML, OIDC, and SCIM. The Senior Software Engineer will work closely with cross-functional teams to implement and manage identity tooling and governance engines.

You will report to the Senior Engineering Manager.

Work Location: 

Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission. 

If you live within commutable distance to our New York City office (in Hudson Square), our Tempe office (off the 101 at University Dr), or our Los Angeles office (in Marina Del Rey), you will be expected to come into the office at least two days each week. Otherwise, this is a remote / work-from-home role.  

You must reside in one of the following states: 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, or Washington, D.C. Note, this list of states is subject to change. #LI-Remote

Pay Transparency:

The base pay for this role is: $174,400 - $228,900 per year. You are also eligible for employee benefits, participation in Oscar’s unlimited vacation program, company equity grants, and annual performance bonuses. 

Responsibilities

• Design, develop, and maintain software applications using Python & Javascript
• Experience with modern web back and frontend React, Flask, Twisted, and similar technologies
• Implementation of identity protocols such as SAML, OIDC, OAUTH2 and SCIM
• Work, and collaborate with cross-functional teams, on customer identity tools and integrations such as (FusionAuth, Auth0, Ory, Keycloak, Zitadel, Stytch, Propelauth, Clerk, Frontegg, or Supertokens).
• Work, and collaborate with cross-functional teams, on governance engines such as IIQ
• Integrate and optimize workforce identity tools like Okta into SAAS tools
• Deploy, monitor and manage the deployment of tools in Kubernetes
• Assist in creating training and user documentation, and maintain ongoing documentation for processes
• Troubleshoot and resolve issues related to identity management and authentication tools.
• Perform additional tasks related to software development as needed.
• Other duties as assigned.

Qualifications

• 6+ years of software engineering experience with ideally a focus on identity management and authentication.
• 3+ years of experience with Python, React, etc.
• Strong understanding of identity protocols such as SAML, OIDC, and SCIM.

Bonus Points

• Experience with identity tools such as FusionAuth, Auth0, Ory, Keycloak, Zitadel, Stytch, Propelauth, Clerk, Frontegg, or Supertokens.
• Experience with identity governance engines like SailPoint IdentityIQ (IIQ).
• Experience with Java
• Knowledge of best practices in identity management and data security.
• Experience in the healthcare or health insurance industry

Hi, we're Oscar. We're hiring a Manager, Risk Adjustment Retrospective to join our Risk Adjustment Retrospective 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 Manager, Risk Adjustment Retrospective works with internal and external Oscar partners and represents the needs and interests of the Risk Adjustment team in company wide programs.

You will report to the Director, Risk Adjustment.

Work Location:

Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission.

If you live within commutable distance to our New York City office (in Hudson Square), our Tempe office (off the 101 at University Dr), or our Los Angeles office (in Marina Del Rey), you will be expected to come into the office at least two days each week. Otherwise, this is a remote / work-from-home role.

You must reside in one of the following states: 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, or Washington, D.C. Note, this list of states is subject to change. #LI-Remote

Pay Transparency:

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, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities

• Management of Retrospective Risk Adjustment operations (non-coding) including implementations/projects, project plan creation, stakeholder engagement, vendor management, subject matter expertise and managing cross-functional relationships to lead collaboration.
• First-hand experience of the Medical Record Retrieval process
• Track to Medical Record Retrieval goals
• Understanding of ACA line of business and RADV process
• Collaboratively work with all relevant partner groups to create proactive implementation, communications, and program strategies for successful change management and risk mitigation programs 
• Oversee team members directly and mentors team members and promotes colleagues’ growth
• Compliance with all applicable laws and regulations
• Other duties as assigned

Qualifications

• 4+ years of experience in Risk Adjustment program management/strategy
• 3+ years of experience providing projects / programs 
• 3+ years of team management experience

Bonus Points

• Vendor management experience
• Experience using data to improve programs  
• PMP Certifications or Program Management Certifications
• Lean/Six Sigma Certifications
• Healthcare experience (Health Insurance, Health Systems, or Healthcare Consulting)

Hi, we're Oscar. We're hiring a Associate, Affordability to join our Clinical Review 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 Associate, UM Affordability works cross functionally with Oscar stakeholders and representing the needs and interests of the department in company wide initiatives. You will manage the scoping and execution of Utilization Management Affordability initiatives. You will project manage individual Affordability initiatives end-to-end, driving engagement and accountability across all stakeholders to the successful execution of the initiatives. We ask that you project management, implementation and communication skills with an ability to work across disparate initiatives and stakeholders at the same time.

You will report to the Senior Medical Director.

Work Location:

Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission.

If you live within commutable distance to our New York City office (in Hudson Square), our Tempe office (off the 101 at University Dr), or our Los Angeles office (in Marina Del Rey), you will be expected to come into the office at least two days each week. Otherwise, this is a remote / work-from-home role.

You must reside in one of the following states: 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, or Washington, D.C. Note, this list of states is subject to change. #LI-Remote

Pay Transparency:

The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $98,400 - $129,150 per year. The base pay for this role in all other locations is: $88,560 - $116,235 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities

• Leads the end-to-end management of cross-functional implementations/projects, including project plan creation, stakeholder engagement, managing cross-functional relationships to drive collaboration, edge case mitigation, and on-time completion. 
• Evaluates overall departmental performance by creating, gathering, analyzing and interpreting data and metrics as well as assisting in development of departmental metrics and implementation of mitigation strategies
• Collaboratively works with all relevant internal and external stakeholder groups to formulate proactive implementation, communications, and program strategies for successful change management and risk mitigation initiatives 
• Mentors team members and promotes colleagues’ growth and professional development
• Compliance with all applicable laws and regulations 
• Other duties as assigned

Qualifications

• 3+ years of experience in program management
• 2+ years of experience in delivering projects / programs independently and within a team environment

Bonus Points

• Experience using data and metrics to drive improvements in programs  
• Experience / background in a fast-paced operations environment 
• Successfully executed enterprise-wide initiatives: defined project plans, coordinated resources, managed implementation activities, and developed all processes associated with program rollout and ongoing support
• Certified Medical Coder, with CPC or similar certification
• Master’s Degree
• PMP Certifications or Program Management Certifications
• Lean/Six Sigma Certifications
• Healthcare experience (Health Insurance, Health Systems, or Healthcare Consulting))

Hi, we're Oscar. We're hiring a Director of SIU to join our SIU 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 Director, Special Investigations Unit (SIU) executes on Oscar’s fraud prevention program by setting and meeting operational and financial targets while upholding legal and regulatory obligations. 

You will report to the VP of Compliance.

Work Location:

Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission.

If you live within commutable distance to our New York City office (in Hudson Square), our Tempe office (off the 101 at University Dr), or our Los Angeles office (in Marina Del Rey), you will be expected to come into the office at least two days each week. Otherwise, this is a remote / work-from-home role.

You must reside in one of the following states: 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, or Washington, D.C. Note, this list of states is subject to change. #LI-Remote

Pay Transparency:

The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $158,400 - $207,900 per year. The base pay for this role in all other locations is: $142,560 - 187,110 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, company equity grants and annual performance bonuses.

Responsibilities

• Work with senior leadership to maintain and revise procedures, fraud, waste, and abuse plans, annual audit work plans, including department guidance memos, and training and educational materials.
• Drive the development of improvement strategies through the audit process and provide recommendations for system enhancement to enhance investigative outcomes and performance.
• Oversee the tracking, reporting, and follow ups on overpayments and recoveries; Maintain current, in-depth knowledge of all Oscar benefits, payment policies, provider network, configuration issues, and industry billing practices.
• Provide direct accountability for SIU case inventory management ensuring all recoveries are processed and promptly; Leads business requirement process and reporting to ensure notification of case activity to the appropriate regulatory and/or law enforcement agency.
• Lead the engagement and escalation framework for SIU Identifies, and escalates issues.
• Ensure investigations progress with minimal delays and in adherence with state and/or federal requirements. 
• Manage external engagements and related to requests from federal, state, and local law enforcement agencies in the investigation and prosecution of healthcare fraud and abuse matters.
• Partner with other department leaders and Oscar senior leaders in the planning, and coordination of department specifics and programs.
• Manage SIU team including hiring, training, professional development, performance management, work allocation, scheduling, and related supervisory activities.
• Facilitate team meetings and may lead and represent the SIU in various state and/or federal FWA related regulatory meetings.
• Develop and oversee the production of standard KPIs to monitor and report on overall department metrics and inventory management.
• Ensure that Oscar meets its legal and regulatory obligations related to FWA; Make referrals to, and maintain relationships with, regulatory and law enforcement officials
• Compliance with all applicable laws and regulations
• Other duties as assigned

Qualifications

• A bachelor’s degree in Criminal Justice or a related field, OR 10 years of insurance claims investigation experience and/or professional investigation experience with law enforcement agencies, OR 10 years of professional investigation experience involving economic or insurance-related matters
• 10+ years’ total work experience in insurance, health care, tech, investigations, and/or law enforcement
• 10+ years of experience managing internal teams, external delegates and programs Knowledge of applicable fraud statutes and regulations, and of CMS guidelines

Bonus Points

• Certification applicable to this work i.e., Certified Fraud Examiner (CFE), Accredited Healthcare Fraud Investigator (AHFI), Certified AML [Anti-Money Laundering] and Fraud Professional (CAFP), other coding certifications or similar
• Knowledge of applicable fraud statutes and regulations, and of federal guidelines on recoupments and other anti-FWA activity
• Experience working in health insurance specifically with claims processing, billing, reimbursement, or provider contracting.
• Experience with HIPAA, data privacy, and/or data security processes
• Experience working with regulators governing (public or private) health insurance carriers

Hi, we're Oscar. We're hiring a Director, Corporate Compliance & Privacy/Ethics to join our Corporate Compliance 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 Director, Corporate Compliance & Privacy/Ethics designs and implements a compliance program that focuses on governance, ethics, compliance, and HIPAA. You will lead all compliance efforts for Oscar’s licensed entities delivering Qualified Health Plans (QHPs) in the individual and small group markets. You will use as a foundation for a best in class compliance program the seven elements of a compliance program as published by the Office of the Inspector General (OIG). You will oversee Oscar’s privacy program and lead the privacy team (including the privacy officer) and the implementation and maintenance of the privacy program. The Director also oversees the compliance governance processes ensuring appropriate board and management reporting, including compliance metrics development and monitoring. You will develop, implements, and maintain Oscar’s records management program. You will lead, develops and implement the compliance training and education program.

You will report to the VP of Compliance.

Work Location:

Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission.

If you live within commutable distance to our New York City office (in Hudson Square), our Tempe office (off the 101 at University Dr), or our Los Angeles office (in Marina Del Rey), you will be expected to come into the office at least two days each week. Otherwise, this is a remote / work-from-home role.

You must reside in one of the following states: 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, or Washington, D.C. Note, this list of states is subject to change. #LI-Remote

Pay Transparency:

The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $158,400 - $207,900 per year.  The base pay for this role in all other locations is: $142,560 - 187,110 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, company equity grants and annual performance bonuses.

Responsibilities

• Lead a Compliance team in performing (and evaluating and redesigning and setting a goal and vision for) Compliance functions – including HIPAA, governance, ethics, training & education. Deploy these tasks to support Oscar’s technology as it services our clients and strategic partners.
• Provide advisory, investigatory, and remedial support services – partnering with the Legal Department – to Oscar’s teams.
• Work with others in the Compliance Department, and with the other parts of Oscar’s Risk and Controls function, to manage regulatory risk sustainably but with a focus on growth and progress.
• Structure and implement compliance analytics processes, helping Oscar’s corporate boards fulfill their commercial-side compliance and delegate oversight responsibilities.
• Create productive, longer-term changes that lead Oscar’s compliance activities to exceed industry standards for insurers, tech innovators, and public companies.
• Grow strategy to exceed industry standards for insurers, tech innovators and public companies 
• Lead the Corporate Compliance and Privacy teams including performance management and career development. 
• Compliance with all applicable laws and regulations
• Other duties as assigned

Qualifications

• 10+ years’ experience in a healthcare compliance setting, including managerial experience
• 10+ years’ experience with HIPAA Privacy and OCR expectations for Privacy Programs
• 5+ Experience applying state and federal health insurance statutes, regulations, marketplace, and MA requirements to meet reporting and audit obligations
• 5+ Experience preparing and delivering reports to boards of directors
• 5+ Experience with OIG expectations for compliance programs

Bonus Points

• California DMHC experience
• Development, understanding and interpretation of compliance metrics/analytics
• HIPAA Security experience
• Experience in a start-up and/or health tech environment
• Experience preparing and delivering reports destined for a public company board