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Oscar Health Insurance
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  • O

    Director, Product Design  

    Oscar Health Insurance
    - Los Angeles
    Apply Now
    Hi, we're Oscar. We're hiring a Director, Product Design to join our P... Read More
    Hi, we're Oscar. We're hiring a Director, Product Design to join our Product Design 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: We are seeking a strategic Product Design Director to lead a team of designers supporting our internal tools and enterprise ecosystem. In this role, you will oversee the designers building mission-critical platforms that power our business operations. Your mission is to ensure our internal users receive the same high-quality, user-centric experiences as our external customers. As Director, you will uphold a rigorous quality bar, ensuring our tools are not only functional but empower employees to deliver exceptional value to the business and our end-users. You will report into the Sr. Director, Product Design. Work Location: This position is based in our Marina del Rey 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: $198,720.00 - $260,820.00 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, company equity grants and annual performance bonuses.   Responsibilities: * Partner with Product and Engineering leads to define area strategy, roadmaps, set measurable goals, and ensure the timely and efficient delivery of high-impact solutions. * Connect the dots across multiple domains: Network Management, Provider Tooling, and Clinical Experiences, to ensure cohesive, end-to-end ecosystems. * Propose and lead design-driven initiatives, facilitating discovery and framing long-term strategic opportunities that align with business goals. * Lead and develop a high-performing team of seasoned designers, fostering a culture of continuous growth and creative excellence. * Own team resourcing, performance management, and prioritization, optimizing workflows to ensure the team is focused on the highest-leverage work. * Effectively represent the product design org in executive forums, articulating the rationale behind design directions and highlighting the impact on the business. * Maintain an uncompromising standard for design execution and craft through direct feedback, design reviews, and hands-on guidance. * Manage stakeholder relationships, driving towards clarity around decision making and influencing direction through informed insights    * Focus on scalability by implementing repeatable design processes and contributing to the evolution of a unified design language across multiple domains. * Contribute to the future of the Product Design and Research function by optimizing our internal workflows, refining our engagement models, and ensuring the team has access to the best-in-class tooling and resources to do great work.   * Compliance with all applicable laws and regulations.  * Other duties as assigned.  Requirements: * 10+ years of experience in product design, building and shipping applications or software across various experiences. * 5+ years of experience in a design leadership role, directly contributing and leading people, process, and product strategies. * Ability to solve difficult problems through past work experience and case studies with evidence of design contributions across power-user interfaces. * Experience shaping design direction and strategic thinking, identifying goals and opportunities, and making impact-based decisions. * Engaging presentation skills and the ability to tell compelling stories to cross-functional audiences. * Ability to analyze and deconstruct complex systems into smaller bits & pieces. * Well-developed design and research skills, ability to give feedback and mentor designers in growing their technical skill-sets. Bonus points: * Ability to solve difficult problems through past work experience and case studies. * Ability to lead with empathy, transparency, and inclusivity, holding a high bar for accountability and outcomes.   This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.  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 (accommodations@hioscar.com) 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. Read Less
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  • O

    Director, Managed Business Services  

    Oscar Health Insurance
    - New York City
    Apply Now
    Hi, we're Oscar. We're hiring a Director, Managed Business Services to... Read More
    Hi, we're Oscar. We're hiring a Director, Managed Business Services to join our 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 the primary architect of our global outsourcing strategy and be responsible for the end-to-end health of our outsourced ecosystems. This service covers multiple contact center, business process and configuration functions and works with multiple vendors across several countries. This strategic leadership role designs, implements, and governs external operations to ensure they align with company quality and compliance standards, cost objectives, and customer experience goals. You will report into the SVP, Insurance Operations Work Location: This position is based in our New York City 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: $163,944 - $215,176 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, company equity grants, and annual performance bonuses. Responsibilities: * Lead the ongoing analysis and cross-functional framework to determine which business functions are optimized for outsourcing versus internal retention. * Design and execute an operating model that supports scalability, ongoing risk mitigation, and the execution of critical business initiatives across a matrixed organization. * Drive core business transformation by identifying emerging marketplace trends and shifting the outsourcing model from transactional tasks to transformational outcomes. * Align service provider visions with long-term corporate goals to ensure flexibility and growth as market demands change. * Drive the end to end selection process, in partnership with Procurement and operational leaders, including RFP leadership, vendor vetting, and onboarding of partners that align with company scale and culture. * Partner closely with Procurement to identify and execute optimal Master Service Agreements (MSAs) and Statements of Work (SOWs) while monitoring value delivery and ROI. * Negotiate matters of significance with senior management and external executives to ensure favorable commercial terms and operationally effective programs. * Ensure the establishment and monitoring of rigorous Service Level Agreements (SLAs) and Key Performance Indicators (KPIs) focused on financial accuracy, productivity, and member experience. * Perform ongoing operational governance by preparing consolidated performance reports that provide actionable insights and root-cause identification for issues. * In partnership with finance, track ROI on outsourcing initiatives. Ensure meticulous billing analysis and the identification of opportunities for long-term cost savings. * Set and enforce rigorous standards for all offshore and nearshore sites to ensure total adherence to HIPAA, CMS regulations, SOC2, and data privacy requirements. * Partner with internal Audit, Security, and Compliance departments to lead the operational response to any vendor-side audits or data incidents. * Lead the transition and change management of new work streams, including the creation of documentation, training protocols, and workflow design. * Act as the primary bridge between internal departments and external partners to ensure seamless knowledge transfer and brand consistency. * Create an attractive value proposition for vendor staff to minimize turnover, preserve institutional knowledge, and ensure external teams are educated on company priorities. Requirements: * Bachelor's Degree in Business, Operations or relevant field * 10+ years in Insurance Operations * 8+ years working with teams in multiple locations and within multiple disciplines * 8+ years of coaching and developing leading cross-functional people and teams * 6+ years of experience in LEAN, Six Sigma, or other improvement methodologies * 6+ years of experience leading large-scale implementations or expansion implementations across multiple site locations or business units * 5+ years of experience in procurement processes, including negotiating and contracting BPO services * 5+ years managing 3rd-party BPO/ITO relationships for major functions in insurance operations. * Strong legal and commercial acumen with experience in multi-million dollar contract negotiations. * Ability to influence internal/external and onshore/offshore leadership Bonus points: * MBA or relevant advanced degree * 10+ years of experience on Insurance Payer side * Advanced experience with Procurement or Contract Management functions * Advanced experience in healthcare * Experience managing international teams across different time zones (APAC, LATAM, EMEA). * Proven track record of scaling an outsourcing program from "scratch" to a global footprint. This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.  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 (accommodations@hioscar.com) 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. Read Less
    Apply Now
  • O

    Director, Product Design  

    Oscar Health Insurance
    - New York City
    Apply Now
    Hi, we're Oscar. We're hiring a Director, Product Design to join our P... Read More
    Hi, we're Oscar. We're hiring a Director, Product Design to join our Product Design 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: We are seeking a strategic Product Design Director to lead a team of designers supporting our internal tools and enterprise ecosystem. In this role, you will oversee the designers building mission-critical platforms that power our business operations. Your mission is to ensure our internal users receive the same high-quality, user-centric experiences as our external customers. As Director, you will uphold a rigorous quality bar, ensuring our tools are not only functional but empower employees to deliver exceptional value to the business and our end-users. You will report into the Sr. Director, Product Design. Work Location: This position is based in our New York City 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: $198,720.00 - $260,820.00 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, company equity grants and annual performance bonuses.   Responsibilities: * Partner with Product and Engineering leads to define area strategy, roadmaps, set measurable goals, and ensure the timely and efficient delivery of high-impact solutions. * Connect the dots across multiple domains: Network Management, Provider Tooling, and Clinical Experiences, to ensure cohesive, end-to-end ecosystems. * Propose and lead design-driven initiatives, facilitating discovery and framing long-term strategic opportunities that align with business goals. * Lead and develop a high-performing team of seasoned designers, fostering a culture of continuous growth and creative excellence. * Own team resourcing, performance management, and prioritization, optimizing workflows to ensure the team is focused on the highest-leverage work. * Effectively represent the product design org in executive forums, articulating the rationale behind design directions and highlighting the impact on the business. * Maintain an uncompromising standard for design execution and craft through direct feedback, design reviews, and hands-on guidance. * Manage stakeholder relationships, driving towards clarity around decision making and influencing direction through informed insights    * Focus on scalability by implementing repeatable design processes and contributing to the evolution of a unified design language across multiple domains. * Contribute to the future of the Product Design and Research function by optimizing our internal workflows, refining our engagement models, and ensuring the team has access to the best-in-class tooling and resources to do great work.   * Compliance with all applicable laws and regulations.  * Other duties as assigned.  Requirements: * 10+ years of experience in product design, building and shipping applications or software across various experiences. * 5+ years of experience in a design leadership role, directly contributing and leading people, process, and product strategies. * Ability to solve difficult problems through past work experience and case studies with evidence of design contributions across power-user interfaces. * Experience shaping design direction and strategic thinking, identifying goals and opportunities, and making impact-based decisions. * Engaging presentation skills and the ability to tell compelling stories to cross-functional audiences. * Ability to analyze and deconstruct complex systems into smaller bits & pieces. * Well-developed design and research skills, ability to give feedback and mentor designers in growing their technical skill-sets. Bonus points: * Ability to solve difficult problems through past work experience and case studies. * Ability to lead with empathy, transparency, and inclusivity, holding a high bar for accountability and outcomes.   This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.  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 (accommodations@hioscar.com) 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. Read Less
    Apply Now
  • O

    Senior Product Designer  

    Oscar Health Insurance
    - New York City
    Apply Now
    Hi, we're Oscar. We're hiring a Senior Product Designer to join our Pr... Read More
    Hi, we're Oscar. We're hiring a Senior Product Designer to join our Product Design 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 Senior Product Designer on the Network Pillar, you will partner closely with product managers, engineers, and operational stakeholders, to design and ship tools that power how Oscar evaluates, manages, and configures its provider network. You will be central to improving operational workflows and decision-making, ensuring internal teams can efficiently assess network adequacy, performance, and provider relationships. The Network Pillar is shaping a suite of new products that bring critical capabilities in-house, helping Oscar ensure its network of providers and services remains comprehensive, high-quality, and accessible to members nationwide. This designer will play a key role in shaping the tools that enable Oscar's teams to maintain and grow strong partnerships with providers, all while driving a consistent, scalable, and intuitive experience across the company's network management ecosystem. The ideal candidate brings strong systems thinking, experience designing SaaS or internal tools, and the ability to work autonomously from discovery through delivery-balancing speed, clarity, and user empathy across complex technical domains. You will report into the Senior Director, Product Design. Work Location: This position is based in our New York City 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: $149,040.00 - $195,615.00 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, company equity grants and annual performance bonuses.   Responsibilities: * Own the end-to-end design process (from blue sky thinking to quality specs), balancing polish with speed to execution, with minimal oversight, across various Oscar surfaces.   * Develop an expert understanding of the users and business domain, informing product strategy and solutions throughout the design process.   * Collaborate closely with other product designers, product managers, marketers, brand designers, engineers, researchers and others.  * Play a large role in defining team goals and strategy, connecting the dots between user and business needs.   * Manage stakeholder relationships, driving towards clarity around decision making.   * Lead workshops, vision activities or presentations as needed. * Bring strong visual and interaction design craft, setting a new quality bar for experiences, the wider team, and our design systems. * Weave the Oscar brand across product experiences. * Compliance with all applicable laws and regulations.  * Other duties as assigned. Requirements: * 6+ years of experience in Product/UX Design.  * Concrete examples of designing and shipping complex interfaces.  * 3+ years managing stakeholders directly.  Bonus points: * Experience with the healthcare space. * Storytelling techniques such as animated prototypes or user flow diagrams.   * Interest in design ethics, accessibility, and other topics relevant to the healthcare space. * Genuine and inquisitive, humble yet determined. * Evidence of design contributions across high-performing web, mobile, or internal tool products. * Excitement in elevating team through thoughtful coaching and collaboration. * Proven record of navigating technical constraints to deliver design solutions.    * Experience with user research and prototyping.  * Ability to translate requirements, goals, and research into simple and useful UI.   This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.  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 (accommodations@hioscar.com) 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. Read Less
    Apply Now
  • O

    Manager, Strategy & Operations  

    Oscar Health Insurance
    - New York City
    Apply Now
    Hi, we're Oscar. We're hiring a Manager, Strategy & Operations to join... Read More
    Hi, we're Oscar. We're hiring a Manager, Strategy & Operations to join our Utilization Management Optimization and 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: You will turn departmental goals into functional workflows, ensuring the team maintains high standards of accuracy and efficiency. You will manage the implementation of new clinical protocols, oversee organizational changes, and resolve technical or regulatory challenges to provide a seamless experience for members and providers. You will report into the Senior Director, UM Optimization and Strategy. Work Location: This position is based in our New York City 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: $117,576 - $154,318 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, and annual performance bonuses. Responsibilities: * Lead end-to-end management of cross-functional projects and strategic initiatives, including the creation of project plans, development of executive-level presentations, and performance of ROI analysis to ensure alignment with business goals. * Evaluate departmental performance by gathering and interpreting data to develop metrics, track progress on priorities, and implement mitigation strategies for new needs. * Collaborate with internal and external stakeholders to formulate communication and program strategies, ensuring clarity and visibility for senior leadership while managing the most effective information channels. * Independently advance strategic initiatives by identifying potential roadblocks and navigating obstacles with a high degree of autonomy to meet tight deadlines. * Manage the design and facilitation of organization-wide events and programming, including Quarterly Townhalls and special projects. * Mentor team members and may directly oversee staff to promote professional growth and ensure consistent departmental execution. * Compliance with all applicable laws and regulations * Other duties as assigned Requirements: * 4+ years of strategic planning or management consulting experience in the healthcare payer or provider space. * 3+ years of experience in delivering projects / programs * Executed enterprise-wide initiatives: defined project plans, coordinated resources, managed implementation activities, and developed all processes associated with program rollout and ongoing support * Experience using data and metrics to drive improvements in programs Bonus points: * Experience with Prior Authorization lifecycles, medical benefits management, and the operational nuance of Utilization Management * Master's Degree * PMP Certifications or Program Management Certifications * Lean/Six Sigma Certifications This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.  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 (accommodations@hioscar.com) 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. Read Less
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  • O

    Senior Director, Operational Excellence  

    Oscar Health Insurance
    - New York City
    Apply Now
    Hi, we're Oscar. We're hiring a Senior Director, Operational Excellenc... Read More
    Hi, we're Oscar. We're hiring a Senior Director, Operational Excellence to join our Insurance 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. About the role: You will be a leader and oversee the architectural integrity and performance of Oscar's core insurance service pillars. Reporting to the SVP, Insurance Operations, you will lead a sophisticated organization through four key pillars covering Managed Services, Workforce Management, Process Optimization, and Quality Management. You will design for a "consultant-operator"-someone who pairs a rigorous management consulting background with deep experience running large-scale shared services in a healthcare environment. You will be the primary architect of Oscar's operational engine, ensuring these four different functions work in lockstep to deliver a tech-enabled, seamless member experience. Your mission is to balance rapid scalability with lean efficiency, ensuring that as Oscar grows, our operational quality and member satisfaction remain industry-leading. You will report into the SVP, Insurance Operations. Work Location: This position is based in our New York City 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: $198,720 - $260,820 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, company equity grants, and annual performance bonuses. Responsibilities: * Set the organizational tone, strategy, and tenor for the Operational Excellence organization, fostering a culture of high accountability, empathy, and relentless improvement that aligns with Oscar's mission. * Provide strategic direction and horizontal oversight for the four primary operational pillars: Managed Services (BPO/Vendor Mgmt), Workforce Management, Operational Excellence (Process/Execution), and Quality Management. * Directly manage, coach, and enhance a team of leaders of Associate Directors and Directors ensuring cross-functional alignment and breaking down silos between the operational sub-units. * Optimize the shared services model to support Oscar's diverse lines of business, ensuring that centralized resources are deployed with maximum efficiency and high ROI. * Synthesize complex operational data into high-level insights for senior leadership. Simultaneously, craft a compelling vision for the broader organization that drives buy-in, alignment, and a shared sense of purpose across all four pillars. * Apply a management consulting lens to diagnose complex operational friction points within the healthcare payer space, designing end-to-end solutions that improve throughput and member outcomes. * Leverage deep healthcare experience to ensure all operational workflows meet or exceed stringent regulatory requirements (CMS, NCQA) and internal Total Quality Management (TQM) standards. * Oversee the strategy for offshore and outsourced partners, ensuring BPO performance is indistinguishable from internal quality and intergrate into Oscar's culture. * Direct the Workforce Management and Forecasting teams to build high-precision capacity models that account for healthcare seasonality and rapid member growth. * Champion a culture of data-driven process optimization, utilizing Lean or Six Sigma methodologies to drive down the "cost-to-serve" while improving the "quality-to-member." * Act as the lead operational stakeholder for Product and Engineering teams, translating operational pain points into technical requirements for internal tool development. * Manage a significant operational budget and provide the SVP, Insurance Operations with clear, data-backed visibility into the health, scalability, and financial performance of the organization. * Compliance with all applicable laws and regulations * Other duties as assigned Requirements: * 12+ years of healthcare industry experience, with at least 7 years specifically in a Managed Care operations environment. * 8+ years leading Shared Services functions, with a proven track record across BPO, Workforce Management, and Quality Management. * 8+ years of strategic leadership, specifically driving cross-functional transformations across Clinical, Product, and Tech/Engineering teams. * 7+ years of executive vendor management, with demonstrated success scaling and integrating multi-shore BPO partners. * 5+ years of experience as a "manager of managers," overseeing mid-to-senior level leaders and complex matrixed teams. * 5+ years of financial accountability, including direct ownership of departmental budgets and high-precision capacity models. * Proven management consulting background (internal or external), with a focus on structured problem-solving and operational frameworks. Bonus points: * MBA, MPH or similar preferred * Experience in consulting, either through a top-tier management consulting firm or an internal strategy & operations function. This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.  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 (accommodations@hioscar.com) 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. Read Less
    Apply Now
  • O

    Director, Managed Business Services  

    Oscar Health Insurance
    - Dallas
    Apply Now
    Hi, we're Oscar. We're hiring a Director, Managed Business Services to... Read More
    Hi, we're Oscar. We're hiring a Director, Managed Business Services to join our 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 the primary architect of our global outsourcing strategy and be responsible for the end-to-end health of our outsourced ecosystems. This service covers multiple contact center, business process and configuration functions and works with multiple vendors across several countries. This strategic leadership role designs, implements, and governs external operations to ensure they align with company quality and compliance standards, cost objectives, and customer experience goals. You will report into the SVP, Insurance Operations Work Location: This is a remote position, open to candidates who reside in: Dallas, Texas. 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 is: $147,549 - $193,658 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, company equity grants, and annual performance bonuses. Responsibilities: * Lead the ongoing analysis and cross-functional framework to determine which business functions are optimized for outsourcing versus internal retention. * Design and execute an operating model that supports scalability, ongoing risk mitigation, and the execution of critical business initiatives across a matrixed organization. * Drive core business transformation by identifying emerging marketplace trends and shifting the outsourcing model from transactional tasks to transformational outcomes. * Align service provider visions with long-term corporate goals to ensure flexibility and growth as market demands change. * Drive the end to end selection process, in partnership with Procurement and operational leaders, including RFP leadership, vendor vetting, and onboarding of partners that align with company scale and culture. * Partner closely with Procurement to identify and execute optimal Master Service Agreements (MSAs) and Statements of Work (SOWs) while monitoring value delivery and ROI. * Negotiate matters of significance with senior management and external executives to ensure favorable commercial terms and operationally effective programs. * Ensure the establishment and monitoring of rigorous Service Level Agreements (SLAs) and Key Performance Indicators (KPIs) focused on financial accuracy, productivity, and member experience. * Perform ongoing operational governance by preparing consolidated performance reports that provide actionable insights and root-cause identification for issues. * In partnership with finance, track ROI on outsourcing initiatives. Ensure meticulous billing analysis and the identification of opportunities for long-term cost savings. * Set and enforce rigorous standards for all offshore and nearshore sites to ensure total adherence to HIPAA, CMS regulations, SOC2, and data privacy requirements. * Partner with internal Audit, Security, and Compliance departments to lead the operational response to any vendor-side audits or data incidents. * Lead the transition and change management of new work streams, including the creation of documentation, training protocols, and workflow design. * Act as the primary bridge between internal departments and external partners to ensure seamless knowledge transfer and brand consistency. * Create an attractive value proposition for vendor staff to minimize turnover, preserve institutional knowledge, and ensure external teams are educated on company priorities. Requirements: * Bachelor's Degree in Business, Operations or relevant field * 10+ years in Insurance Operations * 8+ years working with teams in multiple locations and within multiple disciplines * 8+ years of coaching and developing leading cross-functional people and teams * 6+ years of experience in LEAN, Six Sigma, or other improvement methodologies * 6+ years of experience leading large-scale implementations or expansion implementations across multiple site locations or business units * 5+ years of experience in procurement processes, including negotiating and contracting BPO services * 5+ years managing 3rd-party BPO/ITO relationships for major functions in insurance operations. * Strong legal and commercial acumen with experience in multi-million dollar contract negotiations. * Ability to influence internal/external and onshore/offshore leadership Bonus points: * MBA or relevant advanced degree * 10+ years of experience on Insurance Payer side * Advanced experience with Procurement or Contract Management functions * Advanced experience in healthcare * Experience managing international teams across different time zones (APAC, LATAM, EMEA). * Proven track record of scaling an outsourcing program from "scratch" to a global footprint. This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.  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 (accommodations@hioscar.com) 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. Read Less
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    Senior Product Manager, Authorization Services  

    Oscar Health Insurance
    - Los Angeles
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    Hi, we're Oscar. We're hiring a Senior Product Manager, Authorization... Read More
    Hi, we're Oscar. We're hiring a Senior Product Manager, Authorization Services to join our Product 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: Oscar is looking for a Senior Product Manager to help transform how healthcare authorizations work-one of the most complex, costly, and frustrating parts of the payer ecosystem. Today, prior authorization creates friction across the system: members face delays in care, providers navigate administrative burden, and payers incur significant operational cost. Our mission is to fundamentally redesign this experience. You will be part of the Authorization Services team, which is rethinking utilization management from a reactive approval process into a proactive, intelligent system that guides members to the right care-while minimizing or eliminating the need for manual authorization altogether. This is a high-impact, high-visibility role at the center of Oscar's next phase of innovation-and one of the highest-leverage opportunities at Oscar to apply AI to core healthcare workflows. You'll build and scale decisioning systems (e.g., auto-approvals, intelligent routing, proactive guidance) that improve member and provider experience and drive meaningful cost efficiency. For PMs looking to develop as AI-first product leaders, this is a unique opportunity to work on high-stakes applications of AI in healthcare. You will report into a Staff Product Manager. Work Location: This position is based in our Los Angeles (Marina del Rey) 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: $163,944.00 - $215,176.50 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, company equity grants and annual performance bonuses.   Responsibilities: * Develop product strategy: Define the vision and roadmap for Authorization Services, identifying opportunities to improve member experience, reduce provider burden, and drive payer efficiency. * Lead discovery: Partner with Operations, Clinical, and Provider teams to deeply understand user needs, identify high-impact problems, and validate solutions. * Execute development: Work closely with Engineering, Design, and Data Science to build and launch high-quality, scalable products, including AI-driven decisioning systems. * Drive cross-functional collaboration: Collaborate with Operations, Legal, Compliance, and external partners to ensure solutions are operationally viable, compliant, and effectively delivered. * Measure and iterate: Define success metrics (e.g., auto-approval rate, turnaround time, operational efficiency), generate insights with Data partners, and continuously refine the product strategy. * Shape the future of the platform: Contribute to how AI and decisioning systems are applied across Oscar's core insurance workflows. * Compliance with all applicable laws and regulations.  * Other duties as assigned.  Requirements: * 6+ years of experience collaborating cross-functionally among engineers, designers, operations experts, and others in a Product Management or Product Management-adjacent role. * 4+ years of experience in driving rigorous prioritization processes. * 4+ years of experience with tech systems and understanding basic technology infrastructure such as backend services, database relationships, and leveraging database tools such as SQL. * 2+ years of experience leading complex, cross-domain initiatives. * 2+ years of experience root-causing ambiguous problems, building roadmaps towards a solution, and successfully executing against that roadmap. * Compliance with all applicable laws and regulations.  * Other duties as assigned.    Bonus points: * Technical background or experience working on complex, technical systems. * Experience in healthcare, particularly payer or provider workflows. * Experience building or scaling AI/ML-driven products.   This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.  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 (accommodations@hioscar.com) 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. Read Less
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    Director, Process Improvement  

    Oscar Health Insurance
    - New York City
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    Hi, we're Oscar. We're hiring a Director, Process Improvement to join... Read More
    Hi, we're Oscar. We're hiring a Director, Process Improvement to join our Insurance Operations. 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 team in implementing process improvement opportunities while ensuring we remain compliant and meet our contractual goals. You will develop and implement an operating plan for improving efficiency, scaling operations and ensuring the achievement of departmental performance metrics and goals. You will lead and execute key strategic initiatives that not only optimize workflows but also allow Oscar to stay competitive in the market. You will report into the SVP, Insurance Operations. Work Location: This position is based in our New York City 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: $180,504- $236,911 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, company equity grants, and annual performance bonuses. Responsibilities: * Lead, coach and develop a high-performing team of managers and their reports * Provide structure and support for your team, allowing them to keep their focus on delivering key initiatives * Develop and continuously improve foundational processes * Ensure operational compliance with all relevant regulatory/ accreditation agencies and meets contractual requirements * Lead team to surface data, process, and technology issues through proactive identification, measurement, and monitoring of operations; partner cross functionally to develop end-to-end strategy that leverages these insights to scale * Manage, develop and maintain relationships cross-functionally to drive multi department collaboration to drive results for strategic initiatives * Own team vision and strategy including quarterly vital setting and multi-year roadmap * Other duties as assigned Requirements: * Bachelor's Degree in related field or 4+ years of commensurate experience * 10+ years experience in healthcare strategy and operations, and or related field * 6+ years of leadership experience * 2+ years of experience in program management and/or process design or implementation Bonus points: * Master's degree * Health Insurance, or Management Consulting experience with a focus on healthcare * Lean / Six Sigma experience * Financial modeling experience This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.  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 (accommodations@hioscar.com) 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. Read Less
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    Associate, Operations Data Analytics  

    Oscar Health Insurance
    - New York City
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    Hi, we're Oscar. We're hiring a Data Analytics Associate to join our S... Read More
    Hi, we're Oscar. We're hiring a Data Analytics Associate to join our Service Operations Data Analytics 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 partner closely across the organization to identify and manage inefficiencies proactively in the business. You will support business units in scoping, analyzing and monitoring performance of key financial and utilization metrics in service of company goals. You will independently drives the scoping & execution of analytical requests, including working with stakeholders to define key questions, scope methodologies and results. You may at times be called upon to speak to prepared analysis both internally and externally. You will report into the Manager, Data Analytics. Work Location: This position is based in our New York City 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: $101,844 - $133,670 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, and annual performance bonuses. Responsibilities: * Responsible for owning insights generation and follow-up for a major business unit, serving as the first point of contract for Sr. Managers and Associate Directors * Analyze data to support business teams in making better informed, data-driven decisions * Use data to tell a story that non-technical colleagues will be able to understand, including packaging and presenting findings in a clear, concise and compelling manner * Recognize the need to enhance essential operational and analytical dashboards, and define the requirements to enhance them as our user's needs evolve * Identify opportunities to create models and tools that produce relevant insights to identify healthcare inefficiencies and generate insights to remove inefficiencies * Collaborate across the organization, including owning stakeholder relationships with managers & senior managers , to identify actions to achieve improvements and monitor initiative impact * Support other strategic projects as assigned to meet business needs * Compliance with all applicable laws and regulations * Other duties as assigned Requirements: * 3+ years of technical work experience using analytical tools and writing analytical reports * 2+ years demonstrated ability to work with large datasets and distill analyses into relevant insights with a structured and systematic thought process * Strong communication skills, verbal and written, around business reporting impact and requirements, as demonstrated by 5+ examples / projects of presenting analysis to Leadership (Director+) * 2+ years experience in SQL, with the ability to filter, aggregate, and build CTEs * 2+ years in building robust data models * 1+ years experience, including proficiency in Google Sheets or Excel skills, with ability to use VLookup, nested if statements and connected Sheets * 1+ years experience developing dashboards and working with Looker, or other business intelligence/data visualization tools Bonus points: * Experience using Python or R * 2+ years experience in healthcare or insurance industry * Exposure to healthcare contract negotiations, risk adjustment, ACA marketplace, quality of care, and/or population health experience * Prior experience in Member Relations or Customer Success environments. * Building data models in dbt * Building reports in Looker Studio Pro * Git workflows This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.  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 (accommodations@hioscar.com) 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. Read Less
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