Manager, UM Authorization Strategy

Hi, we're Oscar. We're hiring a Manager, UM Authorization Strategy to join our UM Authorization Strategy 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 develop a pipeline of investment opportunities that determine and drive our Authorization strategy. You will collaborate with cross-functional internal stakeholders to ideate innovative solutions, prepare comprehensive business cases, and strategically prioritize opportunities that align with company objectives and deliver maximum value. Initially, you will place a heavy emphasis on automation opportunity development and work with our Product & Engineering partners to understand existing capabilities and their application. Your efforts will ensure a focused and impactful investment strategy to meet organizational needs and achieve transformational outcomes for a rapidly scaling business.

You will report to the Director, UM Authorization Strategy.

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: $108,000 - $141,750 per year. The base pay for this role in all other locations is: $97,200 - $127,575 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities

• Design conceptual financial and economic models for authorization strategy
• Support multi-year planning through development of healthy prioritized backlog
• Lead end-to-end discovery conversations with cross-functional leaders, to drive collaboration, edge case mitigation, and completion. 
• Evaluate overall departmental performance by creating, gathering, analyzing and interpreting data and metrics and assisting in development of departmental metrics and implementation of mitigation strategies
• Collaboratively works with all relevant internal and external stakeholder groups to formulate proactive implementation, communications, and program strategies for successful change management and risk mitigation initiatives 
• May oversee team members indirectly and mentors team members and promotes colleagues’ growth and professional development
• Compliance with all applicable laws and regulations
• Other duties as assigned

Qualifications

• 4+ years of experience in management consulting, project consulting, business process consulting, financial strategic analysis, strategic planning, and/or risk management consulting
• 3+ years of experience in delivering projects / programs
• Experience using data and metrics to drive improvements in programs  
• Strong analytical and problem-solving skills, with a data-driven approach
• Proven track record of implementing change in complex organizations
• Demonstrated relationship management skills at the senior level
• Excellent oral and written communication skills

Bonus Points

• Experience / background in a fast-paced operations environment 
• Successfully executed enterprise-wide initiatives: defined project plans, coordinated resources, managed implementation activities, and developed all processes associated with program rollout and ongoing support
• Master’s Degree
• PMP Certifications or Program Management Certifications
• Lean/Six Sigma Certifications
• Healthcare experience (Health Insurance, Health Systems, or Healthcare Consulting)
• Clinical Experience (Utilization Management, Care Management, Claims)

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.