Program Lead, Payor Connections/Interoperability

Hi, we're Oscar. We're hiring a Program Lead, Payor Connections/Interoperability to join our Risk Adjustment 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:

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.

Work Location: This is a remote position, open to candidates who reside in: Arizona, Florida, Georgia, Illinois, Iowa, Kansas, Michigan, Missouri, Nebraska, New Jersey, New York, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas and Virginia. You will be fully remote; however, our approach to work may adapt over time. Future models could potentially involve a hybrid presence at the hub office associated with your metro area. #LI-Remote

Pay Transparency: The base pay for this role in the states of New Jersey and New York is: $101,844 - $133,670 per year. The base pay for this role in all other locations 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.

Responsibilities:

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

Requirements:

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