Associate, Inquiries and Investigations

This is a fully remote position, open to applicants in United States.

📋 Description

• Collaborate effectively with both business and technical stakeholders at Oscar to address data process challenges.

• Advocate for departmental priorities in company-wide strategic initiatives.

• Manage end-to-end cross-functional implementations and projects, which includes creating project plans, engaging stakeholders, mitigating edge cases, and ensuring timely completion.

• Implement data corrections that significantly affect directory accuracy and filing submissions.

• Assess departmental performance by developing, gathering, analyzing, and interpreting data.

• Define key departmental metrics and execute mitigation strategies to maintain quality and financial discipline.

• Analyze risks and escalations to devise proactive strategies.

• Collaborate across teams on continuous improvement action plans leading to final production release.

• Provide mentorship to team members and support the professional development of colleagues.

• Adhere to all relevant laws and regulations.

• Carry out additional tasks as assigned.

⛳️ Requirements

• A bachelor's degree or at least 3 years of relevant experience.

• A minimum of 3 years of professional experience in provider data or provider network operations within a health insurance organization.

• At least 2 years of experience utilizing data software such as Excel, SQL, or other data analytics tools.

• A minimum of 2 years of experience in comprehensive project management.

• At least 2 years of experience in designing and enhancing workflows, along with establishing related operating and technical procedures.

• A minimum of 2 years of experience in developing and delivering information and recommendations targeted at Senior Leadership.

• Compliance with all relevant laws and regulations.

🏝️ Benefits

• Employee benefits.

• Unlimited vacation program.

• Annual performance bonuses.

• Medical benefits.

• Dental benefits.

• Vision benefits.

• 11 paid holidays.

• Paid sick time.

• Paid parental leave.

• Participation in a 401(k) plan.

• Life and disability insurance.

• Paid wellness time and reimbursements.