Hi, we're Oscar. We're hiring an Associate, Risk / Compliance to join our Corporate Compliance team.
Oscar is the first health insurance company built around a full stack technology platform and a relentless 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 Associate, Risk / Compliance ensures that Oscar complies with industry specifications, standards, regulations, and laws. They review operational practices, create and enforce policies & procedures, and perform regulatory reviews. You will ensure and enforce compliance where required throughout the facility to ensure complete compliance in all areas of the business.
You will report into the Senior Manager, Corporate Compliance.
Work Location: This position is based in our New York City office, requiring a hybrid work schedule with 3 days of in-office work per week. Thursdays are a required in-office day for team meetings and events, while your other two office days are flexible to suit your schedule. #LI-Hybrid
Pay Transparency: The base pay for this role is: $98,400 - $129,150 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.
Responsibilities:
Communicate with all relevant departments to make sure current compliance levels.
Provide training to team members regarding regulatory compliance.
Ensure that all team members are aware of the procedures to be followed to follow compliance requirements.
Develop and implement compliance improvement plans where required.
Delegate tasks to other departments to bring compliance levels up.
Develop reports to the governing body.
Assist Regulatory Authorities with completing site visits and external audits.
Prepare for, and conduct audits alongside external authorities.
Conduct regular audits in all required areas to make sure compliance levels.
Compliance with all applicable laws and regulations
Other duties as assigned
Requirements:
Bachelor's Degree or equivalent work experience
1+ year experience in health plan compliance
2+ years experience with State DOI health insurance rules and regulations, CMS ACA rules and requirements, CMS requirements
2+ years experience managing high-volume and complicated projects, keeping track of details, and staging work to complete projects on time
Bonus points:
CHC, CCEC, or similar
Fluency with State DOI audit and/or reporting obligations
State DOI audit management experience
Experience in a start-up and/or health tech environment
Experience in a TPA setting
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.
Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.
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 Privacy Policy.
$98.4k-129.2k yearly Auto-Apply 17d ago
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Director, Human Resources
Oscar 4.6
Oscar job in New York, NY
Hi, we're Oscar. We're hiring a Director of Human Resources to join our People team.
Oscar is the first health insurance company built around a full stack technology platform and a relentless 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 Director of HR is responsible for: enabling a culture of consistency with Oscar values, establishing strong employee support models, and leading HR practices with business-oriented pragmatism, while effectively managing the organization's human capital risk. This role will lead and manage core HR functions, including policy development and compliance, employee relations, workplace investigations, HR governance, health and safety, and various administrative duties. The Director of HR serves as a strategic partner to the department's HR business partners and to the company's executive leadership. The ideal candidate is an all-around HR general athlete with strong operational chops, excellent judgement, and the ability to quickly distill the most important information in any situation into a tight executive synthesis.
You will report into the Senior Director, Chief of Staff.
Work Location: This position is based in our New York City office, requiring a hybrid work schedule with 3 days of in-office work per week. Thursdays are a required in-office day for team meetings and events, while your other two office days are flexible to suit your schedule. #LI-Hybrid
Pay Transparency: The base pay for this role is: $180,504-$236,911 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, company equity grants, and annual performance bonuses.
Responsibilities:
Assess, develop and deploy a vision and roadmap to support effective employee relations and HR compliance across the enterprise.
Ensure company-wide compliance with federal, state and local laws and regulations leveraging key legal stakeholders for input and partnership.
Own continuous improvement of employee relations and HR governance process and tools with the ability to provide executive synthesis on complex and high-risk employee matters
Collaborate with relevant stakeholders to develop a strategic and solutions-focused approach, which includes developing scalable, standardized frameworks, and coaching HR & people leaders.
Establish trusted advisory rapport with leaders and colleagues on workplace concerns, and handle highly confidential matters in partnership with in-house and outside counsel.
Be proactive and anticipate change, providing critical and timely input about consequences and implications of local law and best practices to all internal stakeholders
Lead the HR team through strategy execution, and serve as an escalation point
Build and maintain strong relationships with stakeholders and external partners including but not limited to People, IT, Comms, Legal, Security, Finance, and supporting vendors.
Compliance with all applicable laws and regulations
Other duties as assigned
Requirements:
8+ years of progressive HR
4+ years of leadership experience
3+ years of employee relations and policy design experience
Bachelor's degree in Human Resources or commensurate experience
Bonus points:
SHRM-SCP, SPHR or similar HR certifications
Experience it HR Acuity-ER platform
Experience building and presenting on executive level materials
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.
Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.
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 Privacy Policy.
$180.5k-236.9k yearly Auto-Apply 3d ago
Senior Specialist, Marketing
Oscar Health 4.6
Oscar Health job in New York, NY
Hi, we're Oscar. We're hiring a Senior Specialist to join our Marketing team.
Oscar is the first health insurance company built around a full stack technology platform and a relentless 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 Senior Specialist, Marketing helps create engagement and retention strategies for our key audiences both B2B and D2C. The Senior Specialist works with various cross-functional partners to support the development and execution of marketing campaigns to drive engagement and outcomes that support a variety of key initiatives. The Senior Specialist, Marketing helps with campaign execution and program management and reporting, which includes brief development, segment definition, copywriting, workflow development, and reporting & analytics.
You will report into the Associate Director, Product Marketing.
Work Location: This position is based in our New York City office, requiring a hybrid work schedule with 3 days of in-office work per week. Thursdays are a required in-office day for team meetings and events, while your other two office days are flexible to suit your schedule. #LI-Hybrid
Pay Transparency: The base pay for this role is: $76,800- $100,800 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.
Responsibilities:
With support from the leader, contributes to helping define campaign objectives and how they will align with business goals based on understanding of company metrics and marketing acumen.
Support creation of marketing and communication tactics by thinking through segmentation and value propositions, writing copy, designing channel communications, and ensuring the campaign timeline remains on track.
Manage the creation of tactical campaigns that support both consumer experiences that influence workstreams across porters and experiences.
Think through campaign testing and A/B testing strategies that optimize campaigns over time
Analyze campaign results, pulling out insights to share with cross-functional teams
Act as a subject matter expert in the marketing organization and in your area, understanding membership, core Oscar products, provider experience, and what tactics move key metric, as well as, understanding the holistic experience, metrics, and tactics utilized to reach our audiences.
Compliance with all applicable laws and regulations
Other duties as assigned
Requirements:
Bachelor's degree or 4+ years commensurate experience
2+ years of experience engaging consumers and driving digital engagement within marketing
1+ years experience working closely with cross functional teams (ie brand strategy, creative teams, marketing strategy, and/or CRM teams)
1+ years experience using data to inform decision making
1+ years experience managing partners and projects cross functionally within tight timelines
Bonus points:
1+ years experience with measurement and analytics and overseeing campaign tests/set up
Experience using AI, automation and driving innovation
4 year degree in marketing, business, economics or finance
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.
Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.
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 .
$76.8k-100.8k yearly Auto-Apply 48d ago
Lead Data Scientist
Oscar 4.6
Oscar job in New York, NY
Hi, we're Oscar. We're hiring a Lead Data Scientist to join our Data team.
Oscar is the first health insurance company built around a full stack technology platform and a relentless 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 Lead Data Scientist, Claims will drive modeling and analytics for the core of our technology - our claims payment system. In this role, you will:
Partner with operations and technology leaders in the design and implementation of initiatives to improve claims system performance
Use sophisticated measurement and data mining techniques to drive deep and rapid insights
Use data to achieve our goal of being the most automated and efficient insurer in the industry
You will report into the Senior Director, Data Science.
Work Location: This position is based in our New York City office, requiring a hybrid work schedule with 3 days of in-office work per week. Thursdays are a required in-office day for team meetings and events, while your other two office days are flexible to suit your schedule. #LI-Hybrid
Pay Transparency: The base pay for this role is: $174,400 - $228,900 per year. You are also eligible for employee benefits, company equity grants, and annual performance bonuses.
Responsibilities:
Translates business goals into plans and tactics for the team
Works with more senior leaders to establish longer term strategies and roadmaps
Participates in team-wide technical and operations management responsibilities
Interacts and collaborates closely with data and business management across functional areas
Leads the research, development, and maintenance of data pipelines, statistical/ML models, and/or advanced analyses
Compliance with all applicable laws and regulations
Other duties as assigned
Requirements:
6+ years of industry or other quantitative technical fields (which may include academia)
4+ years of work experience working with SQL, R, and/or Python to query, manipulate and analyze data
4+ years experience building data models, using more advanced analytics methods, statistical modeling, and/or data processing
Bonus points:
Advanced degree in a quantitative or technical field
Experience in the healthcare, finance and/or insurance industries
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.
Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.
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 Privacy Policy.
$174.4k-228.9k yearly Auto-Apply 35d ago
Associate, Medical Economics
Oscar 4.6
Oscar job in New York, NY
Hi, we're Oscar. We're hiring an Associate, Medical Economics to join our Medical Economics team.
Oscar is the first health insurance company built around a full stack technology platform and a relentless 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 Associate, Medical Economics, is part of our Medical Cost Analytics team within the Medical Economics department. The Associate reports to the Senior Director, Medical Economics, and is part of a team that analyzes medical costs to understand trend drivers, project financial outcomes, monitor programs, and identify cost savings opportunities. You will partner with Medical Economics leadership, Data Science, Finance, Payment Integrity, and other analytic support responsibilities to ensure accurate projections are reflected in management reporting.
You will report into the Senior Director, Medical Economics.
Work Location: This position is based in our New York City office, requiring a hybrid work schedule with 3 days of in-office work per week. Thursdays are a required in-office day for team meetings and events, while your other two office days are flexible to suit your schedule. #LI-Hybrid
Pay Transparency: The base pay for this role is: $131,200 - $172,200 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.
Responsibilities:
Work under the guidance of the Senior Director, Medical Economics.
Maintain sophisticated models to forecast the financial impact of proposed changes to clinical and payment policies. Conduct sensitivity analyses and stress testing on models to understand the range of potential outcomes under multiple utilization and cost scenarios.
Develop knowledge of industry best practices and work to drive innovation.
Perform in-depth analysis of integrated claims and operational data (medical, pharmacy, lab, auths) to identify cost and trend drivers.
Provide proactive financial guidance on latest clinical trends and their potential impact on our financial performance.
Accomplish retrospective studies to measure the actual financial and clinical outcomes of implemented policies, comparing results against initial projections.
Build repeatable analytic processes that scale across programs.
Create executive-ready visualizations tailored to different stakeholder audiences (clinical vs. financial).
Promote and shape Oscar best practices concerning automation and documentation. Contribute to department initiatives around automation, AI use, and tooling improvements.
Compliance with all applicable laws and regulations
Other duties as assigned
Requirements:
College degree in a STEM field: e.g. Economics, Actuarial Science, Health Economics, Biostatistics, Health Informatics, Health Services Research.
4+ years of quantitative analysis experience using SQL.
Demonstrable track record of building analytics that drive business decisions and actions.
Bonus points:
Associate or Fellow of the Society of Actuaries (SOA), or on the track to become one.
Excellent communication, collaboration, and relationship-building skills.
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.
Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.
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 Privacy Policy.
$131.2k-172.2k yearly Auto-Apply 60d+ ago
Associate, Payment Policy
Oscar 4.6
Oscar job in New York, NY
Hi, we're Oscar. We're hiring a Payment Policy Associate to join our Payment Integrity team.
Oscar is the first health insurance company built around a full stack technology platform and a relentless 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 Payment Policy Associate manages and executes all payment policy activities, including organizing, scoping, investigating, and resolving payment policy issues. Responsibilities also involve delegating and prioritizing project tasks effectively. This work relies on internal team research and a thorough understanding of Oscar's claim infrastructure to draft and update payment policies accurately.
You will report into the Manager, Payment Policy.
Work Location: This position is based in our New York city office, requiring a hybrid work schedule with 3 days of in-office work per week. Thursdays are a required in-office day for team meetings and events, while your other two office days are flexible to suit your schedule. #LI-Hybrid
Pay Transparency: The base pay for this role is: $91,908 - $120,629 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.
Responsibilities:
Provide subject matter expertise and in-depth understanding of Payment Integrity internal claims processing edits, external vendor edits and Oscar reimbursement policies.
Analyze data mining and process monitoring to pinpoint claims payment issues, then define the scope and steps for policy remediation.
Examine industry standards to confirm claim payments align with industry best practices, internal policies, and regulations-both industry-wide and Oscar-specific.
Respond to internal and external inquiries and disputes regarding policies and edits.
Document industry standard coding rules and draft recommendations on reimbursement policy language and scope.
Ideate payment integrity opportunities based on a deep knowledge of industry standard coding rules. Translate into business requirements; submit to and collaborate with internal partners to effectuate change.
Attend regulation update meetings and relay information to team members, providing training and education as needed.
Perpetuate a culture of transparency and collaboration by keeping stakeholders well informed of progress, status changes, blockers, completion, etc.; field questions as appropriate.
Support Oscar run state objectives by providing speedy research, root cause analysis, training, etc. whenever issues are escalated and assigned by leadership.
Compliance with all applicable laws and regulations
Other duties as assigned
Requirements:
A bachelor's degree or 4+ years of commensurate experience
4+ years of experience in claims processing, coding, auditing or health care operations
4+ years experience in medical coding
Medical coding certification through AAPC (CPC, COC) or AHIMA (CCS, RHIT, RHIA)
Experience with reimbursement methodologies, provider contract concepts and common claims processing/resolution practices.
3+ year(s) ability to work independently to drive projects to completion
Bonus points:
3+ years of experience working with large data sets using excel or a database language
Knowledge management, training, or content development in operational settings
Process Improvement or Lean Six Sigma training
Experience using SQL
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.
Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.
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 Privacy Policy.
$91.9k-120.6k yearly Auto-Apply 7d ago
General Application
Oscar 4.6
Oscar job in New York, NY
Didn't find what you were looking for?
Submit your resume here.
As we continue to bring the Oscar experience to new members, new states, and new markets, we're always looking for people to help us change healthcare for good. We'll keep your information on file and we'll reach out if there's a role that fits your interests and experience.
We also encourage you to keep an eye on our website as new roles are added all the time.
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.
Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.
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.
$40k-64k yearly est. Auto-Apply 60d+ ago
Manager, Clinical Operations
Oscar 4.6
Oscar job in New York, NY
Hi, we're Oscar. We're hiring a Manager to join our Clinical Operations team.
Oscar is the first health insurance company built around a full stack technology platform and a relentless 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 oversee the day to day operations of a virtual clinical practice. You will be responsible for managing medical assistants, administrative assistants, and workforce management analysts to ensure efficient workflow, exceptional patient experience, and reliable provider support. You should be process driven, people focused and thrive in a fast paced, technology enabled care environment.
You will report into the Director, Clinical Operations.
Work Location: This position is based in our NYC office, requiring a hybrid work schedule with 3 days of in-office work per week. Thursdays are a required in-office day for team meetings and events, while your other two office days are flexible to suit your schedule. #LI-Hybrid
Pay Transparency: The base pay for this role is: $98,400 - $129,150 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.
Responsibilities:
Lead day to day operations of a virtual clinical practice, overseeing medical assistants, administrative assistants, and workforce management analysts.
Ensure staffing level, scheduling coverage, and workflow execution meet clinical and operational KPI's.
Provide direct supervision, coaching, and performance management for all assigned team members.
Partner with workforce analysts to forecast volumes, optimize staffing models, and ensure adherence to schedule productivity targets.
Monitor operational dashboards and queue performance; identify trends and implement process improvements.
Serve as the operational point of contact between clinical support teams, providers and clinical leadership.
Support onboarding, training and ongoing competency development of staff.
Collaborate with cross-functional teams such as provider operations, licensing/credentialing, and quality to ensure seamless clinic operations.
Compliance with all applicable laws and regulations
Other duties as assigned
Requirements:
4+ years of experience in healthcare operations, clinical administration, or similar environment
Prior leadership experience managing clinical or administrative staff
Strong understanding of clinical workflows, virtual care operations, and scheduling/workforce management practices.
Proficiency with virtual care platforms, EHRs, and operational tools
Bonus points:
Experience in Virtual Primary Care, Urgent Care or telehealth environments
Experience leading multi-disciplinary teams (Medical Assistants, Admin Assistants, Workforce Management)
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.
Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.
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 Privacy Policy.
$98.4k-129.2k yearly Auto-Apply 50d ago
Associate, Actuarial
Oscar 4.6
Oscar job in New York, NY
Hi, we're Oscar. We're hiring an Associate, Actuary to join our Actuarial team.
Oscar is the first health insurance company built around a full stack technology platform and a relentless 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 Associate, Actuarial supports pricing for several ACA markets and leads efforts to maintain pricing and plan design modeling. The Associate is a critical partner to Market P&L, Insurance Product and other Analytic support functions for consultation of regional specific pricing, network and product strategy. They also support the regulatory submission process, support plan design compliance, and will ensure pricing is actuarially sound.
You will report into the Associate Director, Actuarial.
Work Location: This position is based in our New York City office, requiring a hybrid work schedule with 3 days of in-office work per week. Thursdays are a required in-office day for team meetings and events, while your other two office days are flexible to suit your schedule. #LI-Hybrid
Pay Transparency: The base pay for this role is: $113,600 - $149,100 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.
Responsibilities:
Maintain core pricing and plan design models. Ensure consistency and standardization across team users.
Important contributor in developing and submitting regulatory filings, and developing a viewpoint and recommendation for strategic pricing decisions.
Provide an actuarial viewpoint across cross-functional teams for Oscar's ACA-compliant Individual and Small Group markets as we grow in our markets.
Promote and shape Oscar actuarial best practices concerning automation and documentation.
Maintain relationships, partnership, and lines of communication with both internal and external stakeholders.
Aid in the onboarding of analysts by collaborating and integrating them into existing processes.
Compliance with all applicable laws and regulations
Other duties as assigned
Requirements:
College degree in a STEM field.
Associate or Fellow of the Society of Actuaries (SOA), or on the track to become one.
4+ years of quantitative analysis experience.
Bonus points:
Excellent communication, collaboration, and relationship-building skills.
Strong understanding of health insurance concepts and nuances.
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.
Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.
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 Privacy Policy.
$113.6k-149.1k yearly Auto-Apply 1d ago
Medical Director, Clinical Regulatory Affairs
Oscar 4.6
Oscar job in New York, NY
Hi, we're Oscar. We're hiring a Medical Director to join our Clinical Affairs team.
Oscar is the first health insurance company built around a full stack technology platform and a relentless 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 build and oversee the Clinical Policy, Regulatory, and Compliance functions within the Office of Clinical Affairs. You will ensure our clinical operations meet healthcare laws and standards, develop and maintain regulatory policies, manage compliance risks, and guide policy-related submissions. You will advise senior leadership and work closely with teams across the organization to ensure clinical operations align with policy and regulatory intent.
You will report into the VP, Clinical Affairs
Work Location: This position is based in our NYC office, requiring a hybrid work schedule with 3 days of in-office work per week. Thursdays are a required in-office day for team meetings and events, while your other two office days are flexible to suit your schedule. #LI-Hybrid
Pay Transparency: The base pay for this role is: $218,592 - $286,902 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, and annual performance bonuses.
Responsibilities:
Lead and grow the Clinical Policy & Regulatory Affairs team.
Build and manage processes that ensure clinical policy compliance and quality.
Develop and maintain BIPs, SOPs, and other clinical policy documents aligned with QMS.
Serve as a regulatory compliance expert and maintain strong relationships with key clinical teams.
Deliver executive briefings on regulatory and policy impacts.
Advise the CMO and senior leaders on compliance risks and strategy.
Support interactions with federal and state regulators (FDA, CMS, state DOI).
Oversee the Clinical Coding Center of Excellence and clinical credentialing.
Promote a culture of compliance through training and education.
Collaborate effectively with stakeholders across the organization.
Requirements:
Active, unrestricted MD or DO license
10+ years of experience in healthcare or the health insurance industry
5+ years of experience in clinical policy compliance or clinical regulatory/government affairs
5+ years applying state and federal health insurance laws and regulations (Marketplace, MA, reporting, and audit requirements)
5+ years preparing and presenting reports to boards of directors
5+ year of team leadership and people development experience
Bonus points:
JD or other legal training/certification
Experience with ACA or commercial health plans
Experience working in a fast-paced, collaborative environment
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.
Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.
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 Privacy Policy.
$218.6k-286.9k yearly Auto-Apply 3d ago
Associate, Payment Integrity, IBR
Oscar 4.6
Oscar job in New York, NY
Hi, we're Oscar. We're hiring an Associate, Itemized Bill Review to join our Payment Integrity team.
Oscar is the first health insurance company built around a full stack technology platform and a relentless 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 Associate, Payment Integrity, Itemized Bill Review (IBR) will be responsible for executing internal payment integrity solutions requiring billing and coding expertise with and continual improvement and development of the solutions. You will ensure claims are paid accurately and timely with the highest quality. This is accomplished by leveraging a deep understanding of Oscar's claim infrastructure, workflows, workflow tooling, platform logic, data models, etc., to work cross-functionally to understand and translate friction from stakeholders into actionable opportunities for improvement.
You will report into the Manager, Payment Integrity (Pre-Pay).
Work Location: This position is based in our New York City office, requiring a hybrid work schedule with 3 days of in-office work per week. Thursdays are a required in-office day for team meetings and events, while your other two office days are flexible to suit your schedule. #LI-Hybrid
Pay Transparency: The base pay for this role is: $91,908 - $120,629 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, and annual performance bonuses.
Responsibilities:
Perform line-by-line review of high-dollar facility itemized bills and corresponding claim forms (e.g., UB-04s)
Proactively identify and document potential billing errors, including duplicate billing of items, services, or procedures as improper unbundling of services (e.g., separating components that should be billed together) and charges for non-covered or non-rendered services
Compare billed charges against both payor-specific contracts and industry guidelines to confirm appropriate billing practices.
Apply working knowledge of national coding systems (e.g., CPT, HCPCS, ICD-10, MS-DRGs) to validate the accuracy of codes used for services billed.
Review claims eligible under specific reimbursement scenarios: a percentage of charges or those exceeding stop-loss levels, ensuring the claim exceeds the minimum dollar threshold set by the payor
Prepare clear, concise, and professional documentation of all findings, including savings identified, policy violations, and recommended claim adjustments
Contribute to the refinement of internal audit processes and tools to enhance efficiency and accuracy in identifying claim inaccuracies
Serve as a subject matter expert for internal and external stakeholders regarding complex billing issues, coding guidelines, and payor policies
Provide subject matter expertise and in-depth understanding of Payment Integrity internal claims processing edits, external vendor edits and Oscar reimbursement policies
Identify claims payment issues from data mining, process monitoring, etc., provide scoping and action steps needed to remediate the issue
Respond to internal and external inquiries and disputes regarding policies and edits.
Document industry standard coding rules and provide recommendations on reimbursement policy language and scope
Ideate payment integrity opportunities based on a deep knowledge of industry standard coding rules. Translate into business requirements; submit to and collaborate with internal partners to effectuate change
Provide training and education to team members when necessary
Perpetuate a culture of transparency and collaboration by keeping stakeholders well informed of progress, status changes, blockers, completion, etc.; field questions as appropriate
Support Oscar run state objectives by providing speedy research, root cause analysis, training, etc. whenever issues are escalated and assigned by leadership
Compliance with all applicable laws and regulations
Other duties as assigned
Requirements:
A bachelor's degree or 4+ years of commensurate experience
2+ years of bill / coding audit experience with a focus on hospital or facility billing (UB-04)
4+ years experience in medical coding
Medical coding certification through AAPC (CPC, COC) or AHIMA (CCS, RHIT, RHIA)
Experience with reimbursement methodologies, provider contract concepts and common claims processing/resolution practices
Bonus points:
3+ years of experience working with large data sets using excel or a database language
Knowledge management, training, or content development in operational settings
Process Improvement or Lean Six Sigma training
Experience using SQL
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.
Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.
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 Privacy Policy.
$91.9k-120.6k yearly Auto-Apply 7d ago
Staff Software Engineer
Oscar 4.6
Oscar job in New York, NY
Hi, we're Oscar. We're hiring a Staff Software Engineer to join our Engineering 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
As a Staff Software Engineer you'll join our distributed team, leading the design and development of enhancements to our next-generation claims and payment processing systems. You will work on a broad problem space spanning contract and pricing configuration, system extensibility through our internally developed DSL, and data pipeline architecture and efficiency. You'll selective apply AI to solve hard problems, automating and improving processes that previously tedious and error-prone. Your focus will be on building scalable and reliable systems that ensure the accuracy and efficiency of our claims and payment processes.
You will report to the Director, Software Engineering.
Work Location: This position is based in our New York City office, requiring a hybrid work schedule with 3 days of in-office work per week. Thursdays are a required in-office day for team meetings and events, while your other two office days are flexible to suit your schedule. #LI-Hybrid
Pay Transparency:
The base pay for this role is: $192,000 - $252,000 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, company equity grants, and annual performance bonuses.
Responsibilities
Serve as the subject matter expert on business and technical domains.
Lead the planning, execution and release of complex technical projects across multiple teams, including owning medium to large features or infrastructure projects from technical design through completion
Work with partners, product managers, and designers to solve challenging problems.
Lead and mentor engineers and engineering teams to improve technology, apply best practices and set overall team direction.
Responsible for ensuring the team's delivery of large or complex technology capabilities (set of components or services) within their team's domain or spanning multiple domains.
Facilitate, encourage, and enhance a culture of collaboration within the engineering team and its internal customers; recognizing when cross-team projects are at risk and actively mitigate risk to deliver on time.
Prolific contributor to the objectives of their functional group, and plays a key role in driving outcomes for organization-wide projects.
Work with leadership to assign prioritization of technical roadmap and influence prioritization of product roadmap and process enhancements within their area and across related areas.
Actively identifies and reduces failure domains while working with their team to do the same.
Builds software to minimize effort and business impact during maintenance and failures.
Guide the development of Service-Level Objectives (SLOs) for systems they and their team are responsible for.
Compliance with all applicable laws and regulations
Other duties as assigned
Qualifications
7+ years of professional software engineering experience
5+ years of experience as a leader of cross-pod or cross-company deliverables
5+ years of experience leading technical contributions, improving the quality of what your teams create
5+ years of experience with practical application of CS concepts within their team.
5+ years of experience setting and enforcing the standard for writing stable, correct, and maintainable code
5+ years of experience leading technical teams including mentoring and training more junior engineers.
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.
Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.
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 Privacy Policy.
$192k-252k yearly Auto-Apply 60d+ ago
Director, Corporate Strategy
Oscar 4.6
Oscar job in New York, NY
Hi, we're Oscar. We're hiring a Director, Corporate Strategy to join our Corporate Strategy.
Oscar is the first health insurance company built around a full stack technology platform and a relentless 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:
As a Director, Corporate Strategy you will play a critical role in shaping the company's corporate strategy, helping to determine the course the company will take to maximize enterprise value and growth. You will leverage their expertise in strategic finance and business development to evaluate and complete key initiatives, including M&A, partnerships, and other cross-functional strategic projects. This position is perfect for a strategic leader who excels at building robust business cases and translating complex analyses into actionable financial strategies.
You will report into a Senior Director, Corporate Strategy.
Work Location: This position is based in our New York City office, requiring a hybrid work schedule with 3 days of in-office work per week. Thursdays are a required in-office day for team meetings and events, while your other two office days are flexible to suit your schedule. #LI-Hybrid
Pay Transparency: The base pay for this role is: $192,000 - $252,000 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, company equity grants and annual performance bonuses.
Responsibilities:
Execute strategic initiatives including M&A, partnerships, and new business initiatives, from initial evaluation to successful integration.
Conduct in-depth financial analysis and modeling, including scenario analysis, economic modeling, and financial projections to inform capital allocation and decision-making.
Create and present compelling strategic recommendations to the executive team, detailing the financial and operational rationale behind major corporate initiatives.
Partner with cross-functional teams (Finance, Legal, Operations) to structure and negotiate deals, ensuring financial and strategic alignment.
Monitor market trends, competitive trends, and the healthcare innovation landscape to identify new growth opportunities.
Define and track key performance indicators to measure the success of strategic initiatives post-execution.
Serve as a key point of contact for external partners and advisors.
Compliance with all applicable laws and regulations.
Other duties as assigned.
Requirements:
Bachelor's degree in Finance, Economics, or a related field or 4+ years of commensurate experience.
8+ years of experience in a corporate strategy, strategic finance, banking, or related role within the healthcare industry.
Demonstrated experience in developing complex business cases and financial models to support major corporate decisions.
Demonstrated experience directly influencing and advising at the executive level on major financial and strategic initiatives.
Bonus points:
MBA or Master's degree from a top-tier program.
Proven track record of successfully contributing to and executing significant strategic transactions and growth initiatives.
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.
Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.
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 Privacy Policy.
$192k-252k yearly Auto-Apply 60d+ ago
Manager, Data Analytics
Oscar 4.6
Oscar job in New York, NY
Hi, we're Oscar. We're hiring a Manager, Data Analytics to join our Network team.
Oscar is the first health insurance company built around a full stack technology platform and a relentless 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:
As a Manager, Data Analytics, you will work closely across and outside the organization to solve complex data issues. You will work collaboratively to triage data related issues, understand the root cause of those issues, and partner with the engineering, data, and customer success teams to implement solutions. You will understand the use, flow, and generation of data within a complex ecosystem of business processes and be able to articulate your findings to audiences with varying degrees of technical knowledge.
You will work both independently and with customers and with teammates to dig deeply and fully understand these issues within data. You'll drive the scoping & execution of analytical requests, including working with stakeholders to define key questions, scope methodologies, and drive results. You may, at times, be called upon to speak to prepared analyses internally and externally.
You will report into the Group Product Manager, Network.
Work Location: This position is based in our New York City office, requiring a hybrid work schedule with 3 days of in-office work per week. Thursdays are a required in-office day for team meetings and events, while your other two office days are flexible to suit your schedule. #LI-Hybrid
Pay Transparency: The base pay for this role is: $119,200 - $156,450 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.
Responsibilities:
Partner closely with function leaders on the Network team to define ambiguous analytics/reporting concepts and creating clear approach to delivery
Responsible for reporting dashboards, business performance KPIs, insights generation and follow-up analytics in support of Oscar's Network technology organization
Analyze data to support Oscar's Network and Contracting teams in making better informed, data-driven decisions
Use data to tell a story that non-technical colleagues will be able to understand, including packaging and presenting findings in a clear, concise and compelling manner. For example, describing the operations of Oscar's contracting teams from first contact through being live in our provider directories.
Partner with engineering and data teams to find solutions to data issues within a complex system architecture that prioritize accuracy, customer satisfaction, and scalability
Recognize the need to develop essential operational and analytical dashboards, and define the requirements to enhance them as our user's needs evolve. For example, after being informed of new regulatory requirements, updating dashboards and tooling to reflect necessary enhancements.
Identify opportunities to create models and tools that produce relevant insights to identify healthcare or business inefficiencies and generate insights to remove inefficiencies
Collaborate across the organization, including owning stakeholder relationships with managers & senior managers, to identify actions to achieve improvements and monitor initiative impact
Collaborate closely with Oscar's Engineering team to build reporting which supports Network product releases and provides transparency into impacted operational processes
Support other strategic projects as assigned to meet business needs
Compliance with all applicable laws and regulations
Other duties as assigned
Requirements:
4+ years of technical work experience using analytical tools and writing analytical reports
4+ years in a client-facing role with experience managing issues externally
2+ years demonstrated ability to work with large datasets and distill analyses into relevant insights with a structured and systematic thought process
5+ examples/projects of strong communication skills, verbal and written, around business reporting impact and requirements
2+ years experience in SQL, with the ability to filter, aggregate, and build CTEs, or proficiency in R or Python, including experience with Pandas, for loops, and statistical tests
1+ years experience, including proficiency in Google Sheets or Excel skills, with ability to use VLookup, nested if statements and connected Sheets
1+ years experience in healthcare, finance or the insurance industry
Bonus points:
2+ years experience in preparing healthcare analytics, reporting, and data management
Experience with ticketing system (such as Jira)
2+ years experience developing dashboards and working with Looker, or other business intelligence/data visualization tools
2+ years experience managing value-based contracts at a payer or a provider organization (ACO, CIN, MSO etc.)
Exposure to healthcare contract negotiations, risk adjustment, ACA marketplace, quality of care, and/or population health experience
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.
Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.
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 Privacy Policy.
$119.2k-156.5k yearly Auto-Apply 32d ago
Manager, Treasury
Oscar 4.6
Oscar job in New York, NY
Hi, we're Oscar. We're hiring a Treasury Manager to join our Strategic Finance.
Oscar is the first health insurance company built around a full stack technology platform and a relentless 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 Treasury Manager is an individual contributor responsible for managing Oscar Health's important treasury operations and daily liquidity. You will provide critical daily execution of cash management activities, optimizes cash usage across subsidiaries, and guides operational efficiencies in banking and treasury systems.
The Manager will be a critical partner to the Treasury organization, driving the execution of cash management strategies in a capital-intensive insurance environment. You have a deep, operational understanding of Treasury practices.
You will report into the Senior Director, Assistant Treasurer.
Work Location: This position is based in our NYC office, requiring a hybrid work schedule with 3 days of in-office work per week. Thursdays are a required in-office day for team meetings and events, while your other two office days are flexible to suit your schedule. #LI-Hybrid
Pay Transparency: The base pay for this role is: $108,000 - $141,750 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.
Responsibilities:
Liquidity Management & Optimization: Recommend and monitor minimum cash balances required at subsidiaries, based on forecasts from the Capital Planning team, to ensure safety and liquidity while optimizing excess cash for investment. Guide the efficient use of cash across the Parent and Subsidiaries.
Cash Flow Reporting & Forecasting: Responsible for updating actual cash flows for each subsidiary and synchronizing with the Capital Planning team to ensure forecasted outflows are current. Updated cash forecasts and variances to the broader finance team.
Reconciliation and Performance Analysis: Reconcile actual cash balances reported from Accounting with Treasury forecasts to true-up balances. Describe actual versus forecast variances, and update Net Investment Income (NII) actuals related to cash and short-term holdings.
Operational Oversight & Execution: Build all critical treasury operations and daily banking activities. This includes ensuring accurate daily funds settlement, bank account maintenance, processing signatory updates, and the administration of bank portal systems (e.g., CashPro, JPM Access, WF Vantage).
Risk & Fee Analysis: Measure banking service fees paid to financial institutions. Analyze counterparty risk exposures related to cash and bank balances.
Operational Efficiency & Projects: Assist with project management, process improvement programs (e.g., RFPs, accounts/services rationalization), and implementing technology to enhance cash management and reporting functions.
Audit and Compliance Support: Provide comprehensive operational support for all internal and external audits, SOX compliance controls, and state regulatory examinations, ensuring all processes are documented.
Banking Relations: Serve as an important operational interface with external banking partners to resolve daily issues, manage service levels, and support routine operational tasks.
Record Management and Governance: Responsible for managing all official records and documentation for Treasury Operations (e.g., debt indentures, banking agreements, fee invoices) within the shared file structure. Manage the Treasury Calendar of Events to track critical due dates for reports, payments, compliance filings, and renewals.
Requirements:
Experience: 5+ years of progressive, hands-on experience in Corporate Treasury, Cash Management, or Treasury Operations within the financial services or insurance industry.
Functional Expertise: 3+ years directly managing corporate liquidity, daily cash positioning, and detailed cash flow reporting/forecasting processes.
Operational Systems: Operational experience using major online bank portals (e.g., CashPro, JPM Access, WF Vantage) and managing daily fund movements and settlements.
Communication & Theory: Strong communication and presentation skills with the ability to articulate financial concepts. Must understand core Treasury Operations and cash management principle
Education: Bachelor's degree in Finance, Accounting, Economics, or a related quantitative field.
Bonus points:
Prior experience in Treasury Operations within an insurance or healthcare company.
MBA and/or CTP certification is preferred. CFA designation is a plus
Experience with ERP systems (e.g., Workday) and investment accounting/reporting systems (e.g., Clearwater) for data extraction and analysis; proficiency with Google Suite (Sheets, Docs, Drive) for collaboration and record management is a plus.
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.
Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.
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 Privacy Policy.
$108k-141.8k yearly Auto-Apply 60d+ ago
General Application
Oscar Health Insurance 4.6
Oscar Health Insurance job in New York, NY
Didn't find what you were looking for? Submit your resume here. As we continue to bring the Oscar experience to new members, new states, and new markets, we're always looking for people to help us change healthcare for good. We'll keep your information on file and we'll reach out if there's a role that fits your interests and experience.
We also encourage you to keep an eye on our website as new roles are added all the time.
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.
Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.
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 Privacy Policy.
$40k-64k yearly est. Auto-Apply 60d+ ago
Director, Medical Economics - Corporate
Oscar 4.6
Oscar job in New York, NY
Hi, we're Oscar. We're hiring a Director, Medical Economics - Corporate to join our Actuarial.
Oscar is the first health insurance company built around a full stack technology platform and a relentless 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 Director, Medical Economics - Corporate acts as a specialized internal consultant and narrative architect within the Medical Economics function. Reporting directly to the Senior Director, Medical Economics - Corporate, this leader focuses less on the technical construction of budgets and more on the synthesis, interpretation, and communication of medical cost trends.
While the Senior Director serves as the strategic anchor for financial planning, the Director plays an important role in Quarterly Earnings support and Executive Reporting. You will bridge the gap between technical Actuarial teams and Corporate Finance/Investor Relations, translating complex data into the "company story" for the Board of Directors, executive leadership, and external analysts.
You will report into the Senior Director, Medical Economics.
Work Location: This position is based in our New York City office, requiring a hybrid work schedule with 3 days of in-office work per week. Thursdays are a required in-office day for team meetings and events, while your other two office days are flexible to suit your schedule. #LI-Hybrid
Pay Transparency: The base pay for this role is: $192,000 - $252,000 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, company equity grants and annual performance bonuses.
Responsibilities:
Strategic Narrative & Internal Consulting (35%)
Be the primary "translator" of medical economic results for non-technical partners, converting raw actuarial data into cohesive business narratives that explain the "why" behind cost trends.
Be the internal consultant to Corporate Finance, providing rapid-response insights on emerging risks and opportunities to support decision-making at the Management Committee level.
Partner with Investor Relations to ensure consistency in financial messaging and external guidance.
Quarterly Earnings Cycle Management (30%)
Lead the development of medical economics content for quarterly earnings, including drafting scripts, preparing Q&A talking points for the C-suite, and synthesizing key performance drivers.
Collaborate with analytical leads to distill complex quarterly performance data into clear takeaways for analyst calls.
Executive & Board Reporting (25%)
Lead the creation and delivery of high-impact presentations for the Board of Directors and Operating Committee, focusing on visualizing data to highlight performance drivers.
Design reporting packages that succinctly summarize variance analysis and long-term outlooks, ensuring senior leadership has actionable views on medical expense performance.
Forecasting and Team Leadership (10%)
Support the Senior Director in the corporate budgeting process by pressure-testing assumptions and validating the narrative understanding of the long-term financial outlook.
Mentor analysts in developing "soft skills," specifically regarding business writing, data visualization, and stakeholder influence.
Requirements:
Bachelor's degree in a STEM field, or 4 years commensurate experience.
8+ years of quantitative analysis in the healthcare industry.
3+ years of collaborating and influencing the Executive Leadership Committee.
Proven experience in medical economics, corporate strategy, or a related analytics-driven leadership role.
Bonus points:
Exceptional business writing and storytelling skills; ability to simplify complex actuarial concepts for executive audiences.
Strong familiarity with ACA-specific healthcare dynamics and how they impact external financial reporting.
Previous experience in management consulting or internal corporate strategy is highly desired.
Fellow of the Society of Actuaries (SOA), or on the track to become one.
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.
Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.
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 Privacy Policy.
$192k-252k yearly Auto-Apply 14d ago
Associate, Delegate Oversight
Oscar 4.6
Oscar job in New York, NY
Hi, we're Oscar. We're hiring an Associate, Delegate Oversight to join our Compliance team.
Oscar is the first health insurance company built around a full stack technology platform and a relentless 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 Associate, Compliance Audit and Monitoring supports the enterprise's compliance program and activities. You will assist in the development of all compliance program activities to ensure understanding of healthcare regulatory requirements. You will assess department compliance to laws, regulations, standards, and their procedures by conducting audit and monitoring activities.
You will report into the Sr. Manager, Compliance Audit and Monitoring.
Work Location: This position is based in our New York City office, requiring a hybrid work schedule with 3 days of in-office work per week. Thursdays are a required in-office day for team meetings and events, while your other two office days are flexible to suit your schedule. #LI-Hybrid
Pay Transparency: The base pay for this role is: $98,400 - $129,150 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.
Responsibilities:
Help create a risk-based audit and monitoring plan for the healthcare organization.
Review healthcare regulations, including HIPAA, Medicare, and Medicaid regulations to ensure compliance.
Conduct assigned audits based on departmental audit plans.
Communicate with teams to understand their business operations and test their compliance with regulations.
Evaluate compliance effectiveness and identify areas for improvement.
Draft and complete accurate audit reports, ensuring that the audit findings and conclusions are communicated clearly to the business unit.
Help identify compliance gaps and risks, and contribute to the development of proactive strategies to address them.
Help maintain compliance policies, procedures, and controls in alignment with regulatory requirements.
Provide regular updates to leadership on compliance audit and monitoring activities, findings, and recommendations.
Compliance with all applicable laws and regulations
Other duties as assigned
Requirements:
Bachelor's Degree or equivalent work experience
2+ years experience working in health care or related field
2+ years experience in health plan compliance
2+ years driving compliance with regulatory and accreditation audit/policy requirements
2+ years experience working with regulation and translating into operational procedures
2+ years experience / background in a fast-paced environment
Bonus points:
Certification in Healthcare Compliance (CHC), Certified Compliance and Ethics Professional CCEP, or similar
Fluency with State DOI audit and/or reporting obligations
State DOI audit management experience
Experience in a start-up and/or health tech environment
Experience in a TPA setting
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.
Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.
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 Privacy Policy.
$98.4k-129.2k yearly Auto-Apply 17d ago
Senior Data Scientist, Advanced Risk Modeling
Oscar 4.6
Oscar job in New York, NY
Hi, we're Oscar. We're hiring a Senior Data Scientist to join our Data Team.
Oscar is the first health insurance company built around a full stack technology platform and a relentless 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 Senior Data Scientist, Advanced Risk Modeling, is a senior individual contributor role focused on utilizing advanced machine learning (ML) and artificial intelligence (AI) methodologies on modern ML platforms. This role will build and deploy sophisticated models to help solve complex business problems specifically within Oscar's risk adjustment domain.
You will report into the Director of Data
Work Location: This position is based in our New York office, requiring a hybrid work schedule with 3 days of in-office work per week. Thursdays are a required in-office day for team meetings and events, while your other two office days are flexible to suit your schedule. #LI-Hybrid
Pay Transparency: The base pay for this role is: $158,400- $207,900 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, company equity grants, and annual performance bonuses.
Responsibilities:
Conduct in-depth data analysis and advanced feature engineering using large, complex healthcare datasets to create robust predictors.
Design, develop, and validate advanced ML/AI models (e.g., regression/classification, deep learning, NLP, gradient boosting, LLM experimentations) to solve complex clinical and business problems within the risk adjustment domain.
Leverage modern ML Ops platforms (e.g., Vertex AI) and data science best practices to efficiently train, test, deploy, and maintain production-level models.
Build and maintain the supporting data systems, analytics, and monitoring infrastructure required for complex, production-level AI/ML systems.
Research, develop, and evaluate new AI applications using cutting-edge techniques, including LLM models and agentic frameworks, to solve critical business challenges in risk adjustment.
Work closely with business stakeholders, engineering teams, and product managers to gain a deep understanding of business operations and technical systems.
Build strong partnerships to foster close, effective integrations between data science, engineering, product, and business units.
Partner with leaders to identify high-impact opportunities, translate complex business challenges into data science solutions, and ensure successful model implementation within business workflows.
Requirements:
4+ years of industry or other quantitative technical fields (which may include academia).
3+ years of work experience working with SQL, R, and/or Python to query, manipulate and analyze data
3+ years experience building data models, using more advanced analytics methods, statistical modeling, and/or data processing
Bonus points:
Advanced degree in a quantitative or technical field
Experience in the healthcare, finance and/or insurance industries
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.
Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.
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 Privacy Policy.
$158.4k-207.9k yearly Auto-Apply 31d ago
Senior Manager, Actuarial
Oscar 4.6
Oscar job in New York, NY
Hi, we're Oscar. We're hiring a Senior Manager, Actuarial to join our Actuarial.
Oscar is the first health insurance company built around a full stack technology platform and a relentless 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 Senior Manager, Actuarial leads a team of analysts and is responsible for pricing of several ACA markets. The Senior Manager is a critical partner to Market P&L, Insurance Product, and other analytic support functions for consultation of regional specific pricing, network and product strategy. They also oversee the end-to-end regulatory submission, will understand risks underlying their markets, and will ensure pricing is actuarially sound.
You will report into the Associate Director, Actuarial.
Work Location: This position is based in our New York City office, requiring a hybrid work schedule with 3 days of in-office work per week. Thursdays are a required in-office day for team meetings and events, while your other two office days are flexible to suit your schedule. #LI-Hybrid
Pay Transparency: The base pay for this role is: $158,400 - $207,900 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.
Responsibilities:
Lead team programs to enhance pricing models and methodologies.
Oversee the end-to-end rate development within a specific region for Oscar's ACA markets.
Influence and collaborate with key stakeholders to guide strategic decisions concerning rates.
Have an in-depth understanding of key financial risks and opportunities within each of your markets and more broadly across ACA -- and apply those learnings to guide analytical pricing, prospective pricing strategy, SAE considerations, network strategy, and other unique mitigation strategies.
Provide an actuarial viewpoint across cross-functional teams for Oscar's ACA-compliant Individual and Small Group markets as we rapidly grow in existing and new markets.
Mentor, coach, and provide pricing analysts with regular feedback.
Promote and shape Oscar actuarial best practices with respect to automation and documentation.
Maintain relationships, partnership, and lines of communication with both internal and external stakeholders.
Compliance with all applicable laws and regulations
Other duties as assigned
Requirements:
College degree in a STEM field.
Associate or Fellow of the Society of Actuaries (SOA), or on the track to become one.
7+ years of quantitative analysis experience.
Bonus points:
Excellent communication, collaboration, and relationship-building skills.
Strong understanding of health insurance concepts and nuances.
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.
Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.
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 Privacy Policy.