Project Manager, Contracting Integrity & Compliance

Oscar Health is a health insurance company built around a full stack technology platform focused on serving its members. The Project Manager will lead activities related to Network Operations and support Network Contracting functions to ensure operational efficiency and effectiveness while driving improvements and overseeing program management across the organization.

Responsibilities:

• Organize and lead daily activities for your programs
• Identify, develop and implement program strategy, optimizations and tooling that support the organization's objectives
• Meet with stakeholders to discuss program status and goals
• Oversee implementations end to end to ensure program success
• Using a cross-functional lens and subject matter expertise, drive end-to-end operational excellence to ensure efficient, repeatable processes leading to a sound program
• Leverage subject matter expertise to drive targeted program standardization, operationalization, and issue resolution and/or root cause analysis efforts while collaborating with key internal stakeholders to optimize efficiency, including training resources and other key process decisions
• Lead, oversee, and coordinate projects and strategic initiatives related to network operations and contracting. This includes supporting the development of technical tools
• Manage cross-functional work groups that support and optimize end-to-end Network Contracting processes
• Partner with other departments and various stakeholders to ensure operational excellence
• Analyze program risks; ability to anticipate risks and issues. This includes proactive flagging of issues, managing escalations, and tracking and helping to resolve risks and issues
• Ensure proper controls and monitoring are in place for the your program
• Work with leadership and the program stakeholders to lead program retros and assess program strengths and weaknesses
• Ensure proper metrics are in place to measure program success
• Compliance with all applicable laws and regulations
• Other duties as assigned

Requirements:

• 4+ years of program and project management in the health insurance space
• 4+ years experience in change management and process improvement
• 2+ years in provider relations/provider contracting space
• Health Insurance experience
• PMP or Six Sigma certification
• Experience working within a rapidly scaling organization
• Training new functionality and building training materials