Manager, Provider Process Design

1 hour, 24 minutes ago
Full-time
Senior
Project and Program Management
Oscar

Oscar

Oscar is a health insurance company that offers plans for individuals, families, and small businesses. With a focus on humanizing health care through technology, design, and data, Oscar provides easy-to-understand bills, 24/7 access to doctors, and a p...

Insurance
1K-5K
Founded 2012

Description

  • Work with cross-functional leaders, project managers, and business stakeholders to solve internal process problems.
  • Identify critical business processes and define business requirements for improvement initiatives.
  • Map processes, assess their effectiveness and efficiency, and recommend improvements.
  • Develop new processes or reengineer existing ones and support implementation.
  • Own the end-to-end development and delivery of assigned programs.
  • Design and guide operational frameworks and ideologies that support a best-in-class, service-focused operation.
  • Lead continuous improvement efforts and drive measurable organizational behavior change.
  • Apply Lean and Six Sigma principles and other continuous improvement tools to standardize and scale processes.
  • Create business requirements documents, process maps, standard operating procedures, and policy documents.
  • Ensure compliance with all applicable laws and regulations.

Requirements

  • 4+ years of work experience in provider operations in a payer setting.
  • Strong understanding of NCQA, CMS, and NUCC requirements.
  • 3+ years of experience using data software such as Google platforms, SQL, or other data analytics tools.
  • 3+ years of end-to-end project management experience.
  • 3+ years of experience designing and improving workflows and building related operating and technical procedures.
  • 3+ years of experience working cross-functionally with vendors and internal teams to achieve operational business objectives, KPIs, or OKRs.
  • Bachelor's degree in Engineering, Business Administration, or a related field is preferred.
  • Lean Six Sigma Green Belt certification or higher is preferred.
  • A bachelor's degree or 4+ years of commensurate experience is preferred.

Benefits

  • Base salary of $105,818 to $138,886 per year.
  • Eligible for employee benefits.
  • Unlimited vacation program.
  • Annual performance bonuses.
  • Medical, dental, and vision insurance.
  • 11 paid holidays and paid sick time.
  • Paid parental leave.
  • 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.

Interested in this position?

Apply directly on the company website

Apply Now

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