Program Associate, Complex Issue Resolution

Hi, we're Oscar. We're hiring a Program Associate to join our Complex Issue Resolution 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 Program Associate, Complex Issue Resolution is responsible for supporting all activities related to program implementations goals to ensure success.  Additionally supports operational improvements for claims quality operations, including proper controls and monitoring, to ensure operational efficiency and effectiveness, supporting the program across the organization.

You will report to the Associate Director, Claims Quality.

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: $93,600 - $122,850 per year. The base pay for this role in all other locations is: $84,240 - $110,565 per year. You are also eligible for employee benefits, participation in Oscar’s unlimited vacation program and annual performance bonuses.

Responsibilities

• Organize and support daily activities based on the goals of the claims issue resolution program
• Identify optimization opportunities to support program objectives
• Support implementations end to end to ensure success
• Lead certain components of the program
• Partner with other departments and various stakeholders to ensure operational excellence 
• Support a successful program end to end through assisting in project plan development, keeping your stakeholders in the loop on status, proactively flagging, managing escalations, tracking and helping to resolve program risks and milestones, and supporting program retros to assess strengths and weaknesses
• Support the tracking and monitoring of controls
• Develop tools and standards to support team programs year over year based on program retros
• Develop meeting materials, track and follow-up on action items, assist with management of all project plans
• Compliance with all applicable laws and regulations
• Other duties as assigned

Qualifications

• 3+ years program and project management 
• 3+ years experience in change management and process improvement
• 3+ years stakeholder management experience
• Healthcare claims experience

Bonus Points

• PMP or Six Sigma Certified