Director, Utilization Management Authorization Strategy

Hi, we're Oscar. We're hiring a Director, Utilization Management Authorization Strategy to join UM Optimization our 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 be responsible for driving the strategy, program design and implementation of a specific department. 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 report to the Director of UM Optimization.

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, 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 - $206,010.00 per year. You are also eligible for employee benefits, participation in Oscar’s unlimited vacation program 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
• 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 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.