Senior Specialist, Issue Management

Senior Specialist, Issue Management

Network Operations team.

This position is based in our Tempe, Arizona office requiring a hybrid work schedule with 3 days of in‑office work per week. Thursdays are a required in‑office day for team meetings and events; the other two office days are flexible.

Base pay: $67,813 - $89,004 per year. You are eligible for employee benefits, participation in an unlimited vacation program, and annual performance bonuses.

Final offer amounts are determined by factors including relevant skills, education, and experience. Full‑time employees are eligible for the following benefits: medical, dental, and vision coverage; 11 paid holidays; paid sick time; paid parental leave; 401(k) plan participation; life and disability insurance; paid wellness time and reimbursements.

• With support from leadership, help identify risks; respond to and resolve issues, errors, and escalations through investigation to inform insights for short/medium/long‑term technology‑enabled processes and solutions.
• Coordinate projects and processes to help ensure key milestones and service levels are met.
• Partner with leadership to strategize, implement, and manage arrangements aimed at lowering overall cost or improving outcomes.
• Partner with cross‑functional teams to ensure action plans align with continuous improvement goals, and participate in collaboration with peers and other stakeholders.
• Support the management, stewardship, and analysis of data to support compliant and performant business operations.
• Provide recommendations that ensure financial discipline and quality.
• Support identifying and implementing process improvement initiatives, as well as mindset shifts, to optimize operational efficiency and achieve performance targets.
• Ensure compliance with all applicable laws and regulations.
• Other duties as assigned.

• 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 in developing and presenting information and recommendations aimed at senior leadership.

• Experience with ACA marketplace, provider network, claims, healthcare quality, or provider data.
• Management consulting experience.
• Training or experience applying Continuous Process Improvement or Lean Six Sigma principles.
• Experience with project coordination or management in a matrixed organization.
• Experience supporting RFP development and implementation of software or service solutions.

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.