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Oscar Health Insurance logo
Oscar Health Insurance

Operating on the belief that healthcare is broken, Oscar Health Insurance is on a mission to reinvent and humanize the industry by combining technology, design,

Project Manager, Contracting Integrity & Compliance

Location

United States

Posted

115 days ago

Salary

$100.6K - $132.0K / year

Seniority

Lead

No structured requirement data.

Job Description

Project Manager, Contracting Integrity & Compliance

Oscar Health Insurance

Role Description Hi, we're Oscar. We're hiring a Project Manager to join our Network Operations, Governance & Oversight team. This is a not a tech or IT role; this position will be project management focused. You will lead activities related to Network Operations and initiatives to support Network Contracting functions at Oscar to ensure success. Your responsibilities include: - Organize and lead daily activities for your programs. - Identify, develop and implement program strategy, optimizations and tooling that support the organization's objectives. - Meet with stakeholders to discuss program status and goals. - Oversee implementations end to end to ensure program success. - Drive end-to-end operational excellence to ensure efficient, repeatable processes leading to a sound program. - Leverage subject matter expertise to drive targeted program standardization, operationalization, and issue resolution and/or root cause analysis efforts. - Lead, oversee, and coordinate projects and strategic initiatives related to network operations and contracting. - Manage cross-functional work groups that support and optimize end-to-end Network Contracting processes. - Partner with other departments and various stakeholders to ensure operational excellence. - Analyze program risks; anticipate risks and issues, manage escalations, and help resolve risks and issues. - Ensure proper controls and monitoring are in place for your program. - Work with leadership and program stakeholders to lead program retros and assess program strengths and weaknesses. - Ensure proper metrics are in place to measure program success. - Compliance with all applicable laws and regulations. - Other duties as assigned. Qualifications - 4+ years of program and project management in the health insurance space. - 4+ years experience in change management and process improvement. - 2+ years in provider relations/provider contracting space. Requirements - Health Insurance experience (bonus points). - PMP or Six Sigma certification (bonus points). - Experience working within a rapidly scaling organization (bonus points). - Training new functionality and building training materials (bonus points). Benefits - Base pay for this role is: $100,602 - $132,040 per year. - Eligible for employee benefits, participation in Oscar's unlimited vacation program, and annual performance bonuses. - 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.

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