Program Lead, Payor Connections​/Interoperability

About the role:

As a Program Lead, Payor Connections/Interoperability, you will be a key owner of an important interoperability initiative, the Program Lead will represent the needs and interests of the Risk Adjustment team. This new role is for you if you thrive with ambiguity and autonomy, and are comfortable building an end-to-end process! You will work with internal and external Oscar partners to ensure accurate acquisition of healthcare data from multiple provider systems.

You will report into the Director, Risk Adjustment Retrospective.

This position is based in our Tempe, AZ 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, while your other two office days are flexible to suit your schedule. #LI-Hybrid

The base pay for this role is: $91,659 - $120,303 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

• Lead interoperability projects with provider outreach
• Develop relationships with provider group partners and vendors
• Create and maintain project plans
• Help develop operational strategy and market approach
• Collaborate across the organization to identify actions to achieve improvements and monitor initiative impact
• Direct the testing and validation of data connections to ensure compliance and functionality
• Oversee the creation and maintenance of essential operational dashboards, and update and enhance them as our user's needs evolve
• Track development progress, resolve issues related to data quality or integration, and ensure continuous improvement in interoperability programs
• TEFCA subject matter expert
• Compliance with all applicable laws and regulations
• Other duties as assigned

• 3+ years of work experience in health care operations or health insurance; working directly with provider groups
• 2+ years of experience in delivering interoperability projects / programs
• In depth knowledge of TEFCA
• Strong analytical skills

• Risk Adjustment experience
• Basic SQL or BQ query writing experience

Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.

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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.