About the role

We're hiring an Associate Director, Authorization Services Operations to join our Insurance Operations team.

About the role:

You will drive the program governance and KPI/operational metrics setting and reporting for the Authorization Services Team. Additionally, you will support the strategy and implementation of special projects and will deploy tactics that allow us to enhance our overall program value.

You will report into the Senior Director, UM Optimization and 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.

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 and annual performance bonuses.

Responsibilities:

Accountable for operational reporting (progress against KPIs and operational metrics) and forecasting (FTEs needed) for all production teams
Identify and monitor progress against all KPIs (leadership level) and operational metrics (more regularly monitoring - IP / OP auth/k, avg case time to resolution, cases/hr, etc.) and driving insights to feed to downstream teams
Set, drive and implement the department strategy to enhance program's overall value including determining and uncovering new opportunities
Identify and drive execution of cost-savings opportunities by collaborating with key departments
Program management of important company and department strategy programs
Continuously evaluate financial and performance metrics dashboards to drive performance improvement and create dashboards for Senior Leadership report outs
Support the budgeting process and the fiscal performance for the team in association with the leadership team
Guide overall program governance and accountability for producing executive leadership materials (e.g., Board, QBR, Strategic Updates, Operational Readouts)
Compliance with all applicable laws and regulations
Other duties as assigned

Requirements:

7+ years experience in healthcare strategy and operations, and/or related field
4+ years of experience managing individual contributors
3+ years project planning experience

Bonus points:

Master's degree
Utilization Management experience
Management Consulting experience with a focus on healthcare
Experience in leading large-scale cross functional initiatives
Experience with Excel and financial modeling 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.

Skills & Tags

go aws ai ios product

Aplyr's read

Oscar Health is a tech-driven health insurer focused on enhancing member experience with digital tools and personalized services. Ideal for tech-savvy professionals in healthcare.
Synthesized from recent postings & public sources

What's promising

•Oscar Health leverages advanced technology to streamline healthcare services.
•The company offers a dynamic work environment with roles in tech and healthcare.
•Oscar Health is committed to improving healthcare accessibility and affordability.

What to watch

•The health insurance market is highly competitive, posing challenges for growth.
•Oscar Health's profitability remains uncertain amid ongoing investments in technology.
•Regulatory changes in healthcare can impact Oscar Health's business operations.

Why Oscar Health

•Oscar Health integrates technology with healthcare for a seamless member experience.
•The company emphasizes personalized services through innovative digital tools.
•Oscar Health's focus on tech-driven solutions differentiates it from traditional insurers.

Aplyr’s read is generated by AI from public sources. Was it useful?

About Oscar Health

Oscar Health

hioscar.com

View company

Oscar is a health insurance company that leverages technology to provide affordable and accessible healthcare solutions. They focus on improving the healthcare experience for their members through innovative digital tools and personalized services.