Director, Utilization Management Authorization Strategy
Remote
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 ourselvesāone 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 Oscarās unlimited vacation program and annual performance bonuses.
Responsibilities
- Set, drive and execute on the department strategy and vision to enhance programās 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 runsĀ
- Work cross functionally with other departments to bring new ideas to life and hold accountable through indirect managementĀ
- Program management of ā¦
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RestrictionsArizona 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/Perks11 paid holidays Annual performance bonuses Dental Disability Insurance Employee benefits 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
- Implementation
- Manage cross-functional initiatives
- Other duties as assigned
- Program management
- Report to senior leadership
Budgeting C Clinical Compliance Consulting Cross-functional Leadership Design Excel Financial Evaluation Google Sheets Healthcare Healthcare Strategy Health Insurance Leadership Management Management consulting Operations Professional Development Program Design Program Management Strategy Team Development Technology Technology Platform Utilization management
Experience10 years
Education