Manager, Provider Process Design

Oscar Health is a health insurance company built around a full stack technology platform focused on serving its members. The Manager, Provider Process Design will work with cross-functional teams to identify and improve internal processes, ensuring operational efficiency and effectiveness.

Responsibilities:

• Be the example of the continuous improvement mindset, providing effective direction and influence, while demonstrating actual results of organizational behavior change in this area
• Demonstrate the proper approach with implementation of Continuous Improvement Tools both internal to the organization and aligned to industry standards and best practices
• Partner cross functionally with various leaders in all areas of the business to support the drive towards core operational improvements
• Utilize and implement programmatic frameworks and tools while adjusting your approach based on measured outcomes across simultaneous operating improvement projects
• Creating and sustaining foundational stability and ensuring scalability within your area of responsibility
• Use process improvement best practices, such and Lean and Six Sigma principles, to engineer/reengineer and implement consistent organizational processes and clear engagement models
• Provide clear context, in the form of Business Requirements Documents (BRDs), process maps, standard operating procedures and policy documents on what is being built and why it's being built
• Compliance with all applicable laws and regulations
• Other duties as assigned

Requirements:

• 4+ years of work experience in provider operations in a payer setting
• Experience and strong understanding of NCQA, CMS, NUCC requirements
• 3+ years of experience using data software such as google platforms, SQL, or other data analytics tools
• 3+ years of experience with end to end project management
• 3+ years of experience in designing and improving workflows as well as standing up accompanying operating and technical procedures
• 3+ years of experience working cross-functionally as a program ownership with vendor engagement and internal teams to achieve operational business objectives/KPIs/OKRs
• Bachelor's degree in Engineering, Business Administration, or other related field
• Lean Six Sigma Green Belt certification or higher
• A bachelor's degree or 4+ years commensurate experience