Utilization Management Manager Regulatory Operations - Remote
Hi, we're Oscar. We're hiring a UM Manager Regulatory Operations to join our Utilization Management Optimization 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
The UM Manager, Process Improvement works with a team of leaders, project managers, and Partners to solve business problems related to internal processes. You will identify critical processes to the business, defining the business’ requirements, process mapping and assessing the effectiveness of the process, developing new or reengineering existing processes, and supporting implementation. The Manager, Process Improvement supports our teams in driving an outstanding, service-focused operation by designing and guiding the use of operational frameworks and ideologies.
You will report to the Director UM Optimization.
This is a remote / work-from-home role. You must reside in one of the following states: Arizona, California, Colorado, Connecticut, Florida, Georgia, Illinois, Iowa, Maryland, Massachusetts, Michigan, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, Tennessee, Texas, Utah, Virginia, Washington, or Washington, D.C. Note, this list of states is subject to change. #LI-Remote
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 - $127,575per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.
Responsibilities
- Be the example of the continuous improvement mindset, providing direction and influence, …
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Benefits/Perks11 paid holidays 401(k) plan participation Annual performance bonuses Employee benefits Life and Disability insurance Medical, dental, and vision benefits Paid holidays Paid parental leave Paid sick time Paid wellness time and reimbursements Performance bonuses Unlimited Vacation Unlimited vacation program
SkillsCompliance Data analysis Engineering Excel Lean Six Sigma Operations Process Improvement Project Management Python SQL
Tasks- Compliance
- Compliance with regulations
- Continuous Improvement
- Data Analysis
- Other duties as assigned
- Project management
3+ years
Education CertificationsLean Six Sigma Green Belt Six Sigma
RestrictionsMust reside in specified states