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Manager, Claims Intake

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Hi, we're Oscar. We're hiring a Manager, Claims Intake to join our Claims Production 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, Claims Intake is responsible for the engagement, development, and results of a team driving Claims Production Processing. The Manager plays a critical role in Claims production to ensure that Oscar members' claims are processed in a timely and accurate manner.

You will report to the Associate Director, Claims Production.

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, Arkansas, 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: $88,800 - $116,550 per year. The base pay for this role in all other locations is: $79,920 - $104,895 per year. You are also eligible for employee benefits, participation in Oscar’s unlimited vacation program and annual performance bonuses.

Responsibilities

Accurately ensure all claims, medical records, dispute or other correspondence received are submitted and matched appropriately into claims system and ensuring that all corresponding documentation is properly saved to member files
Oversee and coordinate submission of claims
Ensure correct supporting documentation to each claim as well as accuracy and completeness of work
Learn and effectively use proprietary software programs essential for the job
Ensure team meets daily, monthly and annual production goals and performance objectives for both quality and productivity
Creating, tracking, and implementing best practices for Production Management to improve overall member experience through daily queue management and production tracking.
Utilize frameworks to intentionally develop and coach your team in order to build future leaders within the organization
Take a proactive, forward-thinking and data-driven approach to identify concerns, inefficiencies, and operational improvement initiatives throughout the Claims space that drive desired cultural and operational outcomes
Compliance with all applicable laws and regulations
Other duties as assigned

Qualifications

Bachelor's degree or 4 years of commensurate experience
4+ years of experience leading, coaching and developing direct reports in a healthcare claims production environment
3+ years of experience with using data and metrics to problem solve and drive root cause analysis

Bonus Points

Proficiency in Microsoft Office Suite
Process Improvement or Lean Six Sigma training, certification
Experience as a leader in a remote environment
Experience in BPO or Call Center environments

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

At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.

Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.

Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant’s disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known.

Artificial Intelligence (AI) Guidelines: Please see our AI Guidelines for the acceptable use of artificial intelligence during the interview process at Oscar.

California Residents: For information about our collection, use, and disclosure of applicants’ personal information as well as applicants’ rights over their personal information, please see our Notice to Job Applicants.

Oscar Health Glassdoor Company Review

3.2

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CEO of Oscar Health

Mark Bertolini

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Average salary estimate

$98235 / YEARLY (est.)

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$79920K

$116550K

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What You Should Know About Manager, Claims Intake, Oscar Health

Hey there! We're Oscar, and we're excited to announce that we're looking for a Manager, Claims Intake to join our dynamic Claims Production team. At Oscar, we've created the first health insurance company powered by a full stack technology platform—our mission? To make health insurance feel as friendly as a doctor in the family. As the Manager, Claims Intake, you'll be at the helm of a team dedicated to ensuring that our members' claims are processed swiftly and accurately. You’ll have the chance to lead a passionate group and ensure that everyone has the resources they need to thrive. This role is remote-friendly, but if you're near one of our offices in New York City, Tempe, or Los Angeles, we’d love to have you pop in at least twice a week. You’ll report to the Associate Director of Claims Production and play a pivotal role in fostering a culture of excellence. With a focus on metrics and performance, your day-to-day will involve developing your team, steering operational improvements, and ensuring compliance with regulations. If you have a knack for problem-solving with data, have enjoyed a leadership role in healthcare claims production for 4+ years, and are ready to help create a seamless experience for our members, we’re eager to meet you! Plus, we offer great benefits, an unlimited vacation program, and opportunities for growth. Let’s redefine health care together!

Frequently Asked Questions (FAQs) for Manager, Claims Intake Role at Oscar Health

What are the responsibilities of a Manager, Claims Intake at Oscar?

The Manager, Claims Intake at Oscar is tasked with overseeing claims processing to ensure that all claims are handled efficiently and accurately. This involves managing a team that submits claims, ensuring all required documentation is included, setting and meeting production goals, and employing a data-driven approach to identify operational improvements.