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Senior Specialist, Issue Management

2 weeks, 1 day ago
United States
Full-time
Junior
Operations Specialist
Project and Program Management
Apply Now
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
View All Jobs 70

Description

  • Support the design, optimization, and implementation of processes and improvements to provider operations.
  • Oversee day-to-day resolution of critical operational bottlenecks.
  • Identify risks and respond to issues, errors, and escalations through investigation.
  • Coordinate projects and processes to help ensure key milestones and service levels are met.
  • Partner with leadership to strategize, implement, and manage cost-lowering or outcome-improving arrangements.
  • Collaborate with cross-functional teams and stakeholders to align action plans with continuous improvement goals.
  • Manage and analyze data to support compliant and effective business operations.
  • Provide recommendations that support financial discipline and quality.
  • Identify and implement process improvement initiatives to improve operational efficiency and performance.
  • Ensure compliance with all applicable laws and regulations.

Requirements

  • 1+ years of professional experience in payer or provider operations, provider network management, healthcare operations, or a related field.
  • 1+ years of experience using data and metrics to drive improvements.
  • 1+ years of experience in process improvement and workflow design.
  • 1+ years of experience developing and presenting information and recommendations to senior leadership.
  • Experience in ACA marketplace, provider network, claims, healthcare quality, or provider data is preferred.
  • Management consulting experience is preferred.
  • Training or experience applying Continuous Process Improvement or Lean Six Sigma principles is preferred.
  • Experience with project coordination or management in a matrixed organization is preferred.
  • Experience supporting RFP development and implementation of software or service solutions is preferred.

Benefits

  • Remote work for candidates residing in Atlanta, Georgia.
  • Base salary of $67,813 to $89,004 per year.
  • Eligibility for annual performance bonuses.
  • Unlimited vacation program.
  • Medical, dental, and vision benefits.
  • 11 paid holidays.
  • Paid sick time and 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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