FreshRemote.Work

Director, Member & Provider Programs

Remote

Hi, we're Oscar. We're hiring a Director, Member & Provider Program Operations to join our Member & Provider Programs team.

Oscar is the first health insurance company built around a full stack technology platform and a 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 drive the strategy, program design and implementation of company strategy in Provider, Member and Broker Services. The primary responsibility for this role is to set the overall department strategy and deploy tactics that allow us to enhance our overall program value. You will also be responsible for program effectiveness to ensure the strategies we deploy drive intended results.

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. 

If you live within commutable distance to our New York City office (in Hudson Square), our Tempe office (off the 101 at University Dr), or our Los Angeles office (in Marina Del Rey), you will be expected to come into the office at least two days each week. Otherwise, this is a remote / work-from-home role.  

You must reside in one of the following states: Alabama, Arizona, California, Colorado, Connecticut, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, or Washington, D.C. Note, this list of states is subject to change. #LI-Remote

Pay Transparency:

The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $174,400 - $228,900 per year. The base pay for this role in all other locations is: $156,960 - $206,010 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, drive, and execute on the department strategy and vision to enhance program’s overall value including determining and uncovering new opportunities
  • Develop and administer a program effectiveness pillar aimed at ensuring our cross functional business is aligned on outcomes, that we have the right measurement and methodology to demonstrate our success and agreement on accountability in support of our operations in Provider and Member Services.
  • Understand the competitive landscape of the department and act as a thought leader for the particular SME the department runs 
  • Work cross functionally with other departments to bring new ideas to life and hold accountable through indirect management 
  • Program management of key company and department strategy initiatives 
  • Own and continuously evaluate financial and performance of the department
  • Report to  Senior Leadership on the health of the business 
  • Drive the budgeting process and the fiscal performance for the team in association with the leadership team
  • Development and growth of direct reports, ensuring that colleagues are supported in professional development 
  • Compliance with all applicable laws and regulations
  • Other duties as assigned

Qualifications

  • 10+ years experience in healthcare strategy and operations, and/or related field
  • 6+ years of direct management experience 
  • 3+ years experience in leading large-scale cross functional initiatives

Bonus Points

  • Master’s degree 
  • Clinical licensure
  • Management Consulting experience with a focus on healthcare 
  • Experience modeling in Excel / Google Sheets
  • Experience in a growth-stage company

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.

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 Notice to Job Applicants.

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Job Profile

Regions

North America

Countries

United States

Restrictions

Arizona California Colorado Connecticut Florida Georgia Illinois In-office requirement for local residents Iowa Kentucky Maine Maryland Massachusetts Michigan Minnesota Missouri Must reside in one of the following states Must reside in specified states Nevada New Hampshire New Jersey New Mexico New York North Carolina Ohio Oregon Pennsylvania Rhode Island South Carolina Tennessee Texas Utah Vermont Virginia Washington

Benefits/Perks

11 paid holidays 401k plan participation Annual performance bonuses Company equity Company equity grants Dental Disability Insurance Employee benefits Equity grants Life and Disability insurance Medical Medical, dental, and vision benefits Paid holidays Paid parental leave Paid sick time Paid wellness time Paid wellness time and reimbursements Performance bonuses Unlimited Vacation Unlimited vacation program Vision Vision Benefits

Tasks
  • Compliance
  • Compliance with all applicable laws and regulations
  • Develop direct reports
  • Drive strategy
  • Evaluate performance
  • Implementation
  • Manage programs
  • Other duties as assigned
  • Program management
  • Report to leadership
  • Report to senior leadership
Skills

Budgeting C Clinical Compliance Consulting Cross-functional Leadership Data analysis Design Education Equity Excel Financial Performance Google Sheets Healthcare Healthcare Strategy Health Insurance Implementation Leadership Management Management consulting Modeling Operations Professional Development Program Design Program Management Strategy Team Development Technology Technology Platform

Experience

10 years

Education

Business Healthcare Master's degree Related Field Technology

Certifications

Clinical Licensure Program management

Timezones

America/Anchorage America/Chicago America/Denver America/Los_Angeles America/New_York Pacific/Honolulu UTC-10 UTC-5 UTC-6 UTC-7 UTC-8 UTC-9