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Lead, Member and Provider Services

Remote / Online - Candidates ideally in
Elizabeth, Union County, New Jersey, 07201, USA
Listing for: Oscar Health
Full Time, Remote/Work from Home position
Listed on 2026-10-29
Job specializations:
  • Management
    Operations Management, Healthcare Management
Salary/Wage Range or Industry Benchmark: 55890 - 73355 USD Yearly USD 55890.00 73355.00 YEAR
Job Description & How to Apply Below

Hi, we're Oscar. We're hiring a Lead, Member and Provider Services to join our Network Operations.

Oscar is the first health insurance company built around a full stack technology platform and a relentless 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 Lead, Provider Services is a provider data and production workflow expert within a payor healthcare environment. This role is responsible for creating, implementing, and optimizing production workflows while driving team performance against established goals and KPIs. The Lead provides day-to-day coaching and leadership to support staff and partners with cross-functional stakeholders to develop workflow solutions that improve operational efficiency, data accuracy, quality, and overall team performance.

You will report into the Manager, Provider Data Operations.

Work Location:

This is a remote position, open to candidates who reside in:
Arizona;
Florida;
Georgia; or Texas. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events. #LI-Remote

Pay Transparency:

The base pay for this role is: $55,890 - $73,355 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities:
  • Hire and manage a team of Oscar colleagues with direct responsibility for performance management, their growth and development, and associated HR administrative tasks
  • Manage your team's outcomes, monitor dashboards, and track operational KPIs, conducting root-cause analysis and constructing action plans when issues arise
  • Understand and be connected to the type of work your team does on a daily basis, being able to make volume-based decisions that best serve our customers.
  • Serve as a central communicator by leading team huddles with Oscar colleagues, connecting colleagues to the mission, vision, and values of Oscar, and providing guidance and motivation to achieve daily operational objectives
  • Be a culture carrier, driving engagement with your team by creating an inclusive and inviting culture that aligns with Oscar's core values
  • Actively lead and participate in continuous improvement activities that drive or influence the improvement and development of a high performing production team
  • Identifying and closing gaps on existing operational workflows
  • Work collaboratively across production and other Oscar teams to implement best practice
  • Compliance with all applicable laws and regulations
  • Other duties as assigned
Requirements:
  • 2+ years experience of provider data experience with a health insurance company
  • 1+ year of direct people management experience
  • 1+ years of experience using data and metrics to drive improvements
  • 1+ years of experience working with teams in multiple locations and multiple disciplines
  • Work according to the Work Location section above.
Bonus points:
  • Bachelor's degree
  • Lean Six Sigma or Process Improvement certification
  • Prior healthcare and/or insurance experience
  • Advanced Google Suite or Microsoft Office capabilities
  • 2+ years experience solving complex inquiries
  • 1+ years managing projects

This is an authentic Oscar Health job opportunity.

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…

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