Senior Specialist, Issue Management

Hi, we're Oscar. We're hiring a Senior Specialist, Issue Management to join our Network Operations team.

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.

The Senior Specialist, Issue Management supports the design, optimization, and implementation of processes and improvements to provider operations in support of achieving organizational goals. The Senior Specialist is responsible for day-to-day oversight of our most critical bottlenecks in Operations being resolved. The lead will implement lean, repeatable and scalable tools and techniques and independently represent the team within the broader organization.

Report to:
Director, Process Improvement.

Tempe, Arizona office (hybrid). 3 days in office per week, with Thursday required for meetings.

Work schedule:

hybrid with flexibility.

Pay Transparency: $67,813 - $89,004 per year. Eligible for employee benefits, participation in Oscar’s unlimited vacation program and annual performance bonuses. Full‑time employees also receive medical, dental, vision, paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, paid wellness time and reimbursements.

• Help identify risks; respond to and resolve issues/errors/escalations through investigation to inform insights for short/medium/long‑term technology‑enabled processes and solutions.
• Coordinate projects and processes to ensure key milestones and service levels are met.
• Partner with leadership to strategize, implement, and manage arrangements aimed at lowering costs or improving outcomes.
• Partner with cross‑functional teams to align action plans with continuous improvement goals, and collaborate with peers and 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, including 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 to Senior Leadership.
• 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.

Oscar is an Equal Opportunity Employer and values a diverse workforce. We do not discriminate on the basis of protected group status under any applicable law.