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Job Description Hi, we're Oscar. We're hiring a Full-Time Customer Service Representative to join our Member and Provider Services 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. About the role: This role is a volume-driven customer service and production-based role that handles the daily activities involved in running a health insurance company including customer interactions and back office tasks following standard operating procedures. You will report into the Concierge Operations Manager. Schedule: Monday - Friday: 7:30 am - 4:00 pm CST Work Location: Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission. This is a remote role. You must reside in Arizona, Florida, Georgia, or Texas. #LI-Remote Pay Transparency: he set pay rate for this role is $19.00 per hour. You are also eligible for employee benefits and monthly vacation accrual at a rate of 15 days per year. • Develop a comprehensive understanding of the current processes, procedures, and tools associated with the Oscar business model., • Work with members, brokers, providers, and Oscar vendors through multiple channels according to assignment needs, • Manage an assigned caseload, maintaining service delivery, productivity, and quality expectations, • Form working relationships with all partners., • Support the leadership team by identifying issues through established escalation pathways, • Monitor and track the health of all assigned work-in-progress issues., • Escalate and resolve issues to ensure appropriate turnaround times, • Participate in process improvement projects, • Comply with all operational, regulatory, and compliance standards relating to member Personal Health Information (PHI), • Compliance with all applicable laws and regulations, • 1+ years of experience in a high-volume or customer-focused setting., • 1+ years of healthcare experience, • Strong quantitative or analytical skills focused on identifying or solving problems, • Must be bilingual in Spanish and English with full professional proficiency in reading, writing, and speaking., • Experience manipulating and entering accurate data 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 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. Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts. Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team () to make the need for an accommodation known. California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.

Job Description Hi, we're Oscar. We're hiring a Lead, Member and Provider Services to join our Member and Provider Services 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. About the role: You will be an expert on production team workflows and drive goals and KPIs for the team of support staff to meet business objectives while providing coaching and leadership. You will partner with stakeholders to identify and develop workflow improvements to enhance efficiencies for the team. You will report into the Manager, Member and Provider Services. Work Location: 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, while your other two office days are flexible to suit your schedule. #LI-Hybrid 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, • Lead and participate in continuous improvement activities that drive or influence the improvement and development of a high performing production team, • Identify 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, • 2+ years experience in a fast-paced operations or customer service environment, • 2+ years of direct people management experience, • 2+ years of experience using data and metrics to drive improvements, • Strong verbal and written communication skills, • Bachelor's degree, • Prior healthcare and/or insurance experience, • Advanced Google Suite or Microsoft Office capabilities, • 2+ years experience solving complex inquiries, • 1+ years managing projects 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 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. Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts. Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team () to make the need for an accommodation known. California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.

Job Description We're hiring a Team Lead, Member and Provider Services to join our Member and Provider Services 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. About the role: You will be an expert on production team workflows and drives goals and KPIs for the team of support staff to meet business objectives while providing coaching and leadership. You will partner with stakeholders to identify and develop workflow improvements to enhance efficiencies for the team. You will report into the Manager, Member and Provider Services. Work Location: 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, while your other two office days are flexible to suit your schedule. #LI-Hybrid 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, • 2+ years experience in a fast-paced operations or customer service environment, • 2+ years of direct people management experience, • 2+ years of experience using data and metrics to drive improvements, • Experience in LEAN practices, • Strong verbal and written communication skills, • 1+ year working with BPO vendors, • Bachelor's degree, • Prior healthcare and/or insurance experience, • Advanced Google Suite or Microsoft Office capabilities, • 2+ years experience solving complex inquiries 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 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. Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts. Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team () to make the need for an accommodation known. California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.

Job Description Hi, we're Oscar. We're hiring a UM Program Operations Manager to join our UM Strategy 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. About the role: The Manager of UM Program Operations is the "Execution Engine" of the UM Strategy team. While our strategists identify what we should do, you own the how. You are responsible for the flawless execution of high-impact programs like Gold Carding, Provider Incentive Programs, and the maintenance of our Prior Authorization (PA) List. You will ensure that every program is operationally sound, regulatory compliant, and scales effectively as our footprint expands. You will report into the Director, UM Authorization Strategy. Work Location: 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, while your other two office days are flexible to suit your schedule. #LI-Hybrid Pay Transparency: The base pay for this role is: $105,808 - $138,886 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, and annual performance bonuses. Responsibilities: • Lead the end-to-end execution and refresh cycles for "Gold Card" and "Provider Incentive" programs. This includes managing provider entry/exit criteria, coordinating the clinical audit framework, and ensuring accurate provider status updates., • Act as the primary owner of the "Source of Truth" for the Prior Authorization list. You will lead the cross-functional governance process to ensure code additions, removals, and modifications are clinically adherent and accurately reflected across all internal systems and public-facing documents., • Ensure all UM programs meet state and federal mandates, including emerging "Gold Card" legislation and transparency requirements. You will be the team's point of contact for Legal and Compliance audits., • Develop and maintain the Standard Operating Procedures (SOPs) for net-new initiatives. You ensure that as the team innovates, the operational "blueprints" exist to make those innovations repeatable., • Drive the recurring refresh cycles for auto-approval rules and provider incentive programs, ensuring they remain current with shifting clinical guidelines and medical policies., • Lead the end-to-end management of cross-functional implementations/projects, including project plan creation, stakeholder engagement, managing cross-functional relationships to drive collaboration, edge case mitigation, and on-time completion., • Evaluate overall departmental performance by creating, gathering, analyzing and interpreting data and metrics as well as assisting in development of departmental metrics and implementation of mitigation strategies., • Collaboratively works with all relevant internal and external stakeholder groups to formulate proactive implementation, communications, and program strategies for successful change management and risk mitigation initiatives, • May oversee team members directly as well as mentors team members and promotes colleagues' growth and professional development, • Compliance with all applicable laws and regulations, • 4+ years of experience in program management, • 3+ years of experience in delivering projects / programs, • 2+ years of experience in managing prior authorization list process (updates, coordination), • Experience using data and metrics to drive improvements in programs, • Experience / background in a fast-paced operations environment, • Experience managing Gold Card programs and updates, • Experience managing the Prior Authorization List process, • Successfully executed enterprise-wide initiatives: defined project plans, coordinated resources, managed implementation activities, and developed all processes associated with program rollout and ongoing support, • Master's Degree, • PMP Certifications or Program Management Certifications, • Lean/Six Sigma Certifications 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 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. Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts. Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team () to make the need for an accommodation known. California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.

Job Description Hi, we're Oscar. We're hiring a Senior Manager Forecasting & Planning to join our Operational Forecasting 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. About the role: You will lead a key component of Oscar's operational forecasting team. You will deliver accurate, data-driven volume and staffing projections across key business lines. You will develop and implement forecasting models, methodologies, and governance to optimize operational efficiency and financial performance. You will oversee a team of associates and partner cross-functionally with Operations, Finance, and Workforce Management to align forecasts with strategic objectives. You will drive continuous improvement in forecast accuracy, analytics capability, and stakeholder confidence through innovation and key collaborative relationships. You will report into the Senior Director, Production Resource Management. Work Location: 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, while your other two office days are flexible to suit your schedule. #LI-Hybrid Pay Transparency: The base pay for this role is: $129,600 - $170,100 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses. Responsibilities: • Manage stakeholder relationships and expectations and actively keeps them informed of the status of open/queued requests. Gathers feedback and drives improvements in the operating model, • Help package multiple analyses into a cohesive recommendation for the business, • Engage with senior leadership at various levels on matters concerning related functional areas and makes recommendations for executive decision-making, • Implement processes and practices that drive improvement in the team's execution, and works with incomplete / ambiguous information, • Drive the strategy and culture for the team to be effective and aligned with the enterprise's objectives, • Understand the use, flow, and generation of data within a complex ecosystem of business processes articulates findings to audiences with varying degrees of technical knowledge, • Manage, coaches, develops a team of high performing data analysts. Drives a positive team culture, high-quality work, accomplishments and recognition, • Help clear strategic and tactical roadblocks for the team and enable timely delivery of high-quality work products to stakeholders, • Project manages the team's analytical deliverables and ensures KPIs/SLAs are met, • Partner with Associate Director / Director in setting vision and goals for the team, • Enhance essential operational and analytical dashboards, and define the requirements to enhance them as our users' needs evolve, • Identify opportunities to create models and tools that streamline processes and overall drive efficiencies within the organization, • Compliance with all applicable laws and regulations, • 4+ years of technical work experience in forecasting and/or modeling, • 2+ years of experience in business/operations planning, • 3+ years in a client-facing role with experience managing issues with stakeholders, • 4+ years demonstrated ability to work with large datasets and distill analyses into relevant insights with a structured and systematic thought process, • 6+ years experience in SQL, with the ability to filter, aggregate, and build CTEs, or proficiency in R or Python, including experience with Pandas, for loops, and statistical tests, • 6+ years experience, including proficiency in Google Sheets or Excel skills, with ability to use VLookup, nested if statements and connected Sheets, • 4+ years experience in preparing healthcare analytics, reporting, and data management, • Experience with ticketing system (such as Jira, Appian), • 2+ years experience developing dashboards and working with Looker, or other business intelligence/data visualization tools, • 3+ years experience in verbal and written communication, of business analysis/reporting impact and requirements 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 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. Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts. Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team () to make the need for an accommodation known. California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.