O

Oscar Health

Tech-driven health insurance with virtual care

Provider Data Operations Lead

Full-TimeUpdated
$55.9k - $73.4k/yr+ Annual performance bonus
Mid
Bachelor's
Remote in USA
RemoteFully remote from a home office; occasional travel for team meetings and company events.
Business & StrategyBusiness Operations

About the job

Requirements
  • At least 2 years of provider data experience with a health insurance company.
  • At least 1 year of direct people management experience.
  • At least 1 year of experience using data and metrics to drive improvements.
  • At least 1 year of experience working with teams in multiple locations and disciplines.
  • Must meet the stated work-location eligibility requirements.
Responsibilities
  • Hire and manage a team, with direct responsibility for performance management, team members’ growth and development, and related human resources administrative tasks.
  • Manage team outcomes, monitor dashboards, track operational key performance indicators, conduct root-cause analysis, and construct action plans when issues arise.
  • Stay connected to the team's daily work and make volume-based decisions that best serve customers.
  • Lead team huddles, connect colleagues to the organization’s mission, vision, and values, and guide and motivate the team to achieve daily operational objectives.
  • Drive team engagement by creating an inclusive culture aligned with the organization's values.
  • Lead and participate in continuous-improvement activities that improve and develop a high-performing production team.
  • Identify and close gaps in existing operational workflows.
  • Collaborate across production and other teams to implement best practices.
  • Comply with applicable laws and regulations.
  • Perform other duties as assigned.
Desired Qualifications
  • A bachelor's degree.
  • Lean Six Sigma or process improvement certification.
  • Prior healthcare or insurance experience.
  • Advanced Google Suite or Microsoft Office capabilities.
  • At least 2 years of experience solving complex inquiries.
  • At least 1 year of experience managing projects.

About the company

O

Oscar Health

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cbWebsite

Oscar Health is a U.S. health insurer that uses technology to simplify health care for individuals, families, and small businesses, offering ACA-compliant and other plans. Its products run on a digital platform with 24/7 virtual care and tools to find in-network doctors, hospitals, and pharmacies, plus cost-management features. It differentiates itself with a tech-driven member experience, high accessibility, round-the-clock telemedicine, and clear access to in-network providers. The goal is to make healthcare simple, accessible, and affordable in the United States by streamlining enrollment, care access, and costs.

Company Size

1,001-5,000

Company Stage

IPO

Headquarters

New York City, New York

Founded

2012

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Simplify's Take

What believers are saying

  • Q2 2026 revenue hit $4.88 billion, up 70%, and operating income reached $388.6 million.
  • Oscar raised 2026 operating guidance to $500 million-$700 million after first-half net income of $1.04 billion.
  • Management says Oswell and AI claims processing drive lower costs, with 98.7% first-pass accuracy.

What critics are saying

  • CMS eligibility reviews threaten 250,000-300,000 retroactive disenrollments, hitting Oscar's 2026 membership base.
  • A Southern District of New York data-breach class action began June 2026 after delayed notice.
  • House Republicans subpoenaed Oscar on February 9, 2026, escalating ACA fraud scrutiny.

What makes Oscar Health unique

  • Oscar's full-stack ACA platform and AI tooling cut SG&A to 15.6%-16.1% in 2026.
  • ICHRAx, launched August 2026, stitches competitors into Oscar's employer-conversion enrollment rails.
  • Oscar's member growth reached 2.96 million by June 30, 2026, validating distribution.

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Benefits

  • Health insurance - That's a given. Employees and their families receive incredible health insurance.
  • Financial benefits - A penny saved....we're talking about a 401K plan, health savings accounts, and more.
  • Well @ Oscar - We care about your wellness with fitness classes and access to mental health support.
  • Work-Life Balance - We offer multiple time-off options, wellness days, and 10+ weeks of parental leave.
  • Learning & Development - We offer everything from mentorship to management training.

Growth & Insights and Company News

6 month growth

-1%

1 year growth

-2%

2 year growth

-1%
Yahoo Finance
Oct 27th, 2026
ETFs dump $38.8M of Oscar Health as AVUV cuts stake by 21%

Exchange-traded funds (ETFs) were net sellers of Oscar Health (OSCR) on Friday, with $38.8 million in net selling, even though 10 ETFs bought the stock and only one sold. The selling was concentrated in one fund. AVUV cut its position by 1,266,137 shares, a 21.35% stake change worth $39.2 million, leaving it with 4,664,000 shares. IWM was the largest buyer, adding 9,048 shares worth $0.3 million. Over the last five reported days, ETFs were net sellers on three and net buyers on two. Oscar Health, a health insurer, has a market cap of $9.6 billion. Its shares have returned 116.42% year to date.

DistilInfo
Oct 23rd, 2026
Insurers launch health plans targeting narrower populations.

Insurers launch health plans targeting narrower populations. Insurers are launching new health plans built around narrower populations rather than broad markets, with condition-specific designs, retail partnerships and plans aimed at people in a particular life stage. Centene's Ambetter Health is adding 55 counties and new plans for members with congestive heart failure, while Oscar Health is expanding to 713 counties across 21 states, a 24 percent increase, according to the companies' 2027 marketplace announcements. The common thread is segmentation. With ACA premiums rising at a median proposed 15 percent for 2027 and enrollment down after enhanced subsidies expired, insurers are competing on specific benefit packages for defined groups rather than on price across the whole market. New health plans built around conditions. Ambetter Health's condition-specific Premier plans are the clearest example. For 2027, the insurer is adding congestive heart failure plans in North Carolina and Ohio, where eligible members receive $0 copays for certain heart failure medications, select mental health medications and nicotine replacement therapy, plus up to four $0 cardiologist visits a year. Cholesterol labs, electrocardiograms, cardiac education and nutritional counseling are also covered. The approach is an expansion of an existing line. Ambetter is extending diabetes plans into Louisiana, Mississippi and Indiana, adding to Florida, Tennessee, Texas, Alabama and Oklahoma, and adding Georgia to its asthma and COPD plans alongside North Carolina, Oklahoma and Kentucky. "Our condition-specific plans have delivered strong member satisfaction and primary care engagement," Ambetter Health President Katherine Kirby said. Ambetter serves more than 3.5 million members across 27 states and more than 1,700 counties. Plans for a life stage. Oscar Health's new RetireEase product targets a narrower population: people who retired early and face a gap before Medicare eligibility. It will be available in Arizona, Florida, Ohio, South Carolina and Texas, offering set prices for preventive care, labs, physical therapy, heart care and bone-and-joint care, with no-cost generic medications and support for the Medicare transition. The market rationale is demographic. Adults ages 55 to 64 accounted for more than 22 percent of ACA marketplace plan selections in 2026, according to KFF data cited in published reports. Oscar is also expanding HelloMeno, its menopause-focused plan, to 15 states, and extending its co-branded Hy-Vee Health plan into Nebraska, Missouri and Kansas. "The individual market is built for everyone from entrepreneurs launching businesses to people working part-time," CEO Mark Bertolini said. Retail partnerships in Medicare Advantage. SCAN Health Plan is pursuing a different kind of segmentation, through retail and senior living partners. Its 2027 slate includes a co-branded SCAN Costco Medicare Advantage HMO in 17 California counties and two Nevada counties, with allowances for over-the-counter products and health food at Costco stores. SCAN is also partnering with Walmart on co-branded plans and entering Oregon through a partnership with assisted living operator The Springs Living, bringing its footprint to 38 counties across seven states. The insurer added 127,000 members for 2026, roughly 41 percent growth. "Older adults are looking for less complexity, greater choice, value and a simpler healthcare experience," SCAN Group CEO Sachin Jain, MD, said. Narrow networks for employers. Two launches target employer coverage through network design rather than benefit carve-outs. Mass General Brigham Health Plan is introducing a Value HMO for large employers built on a high-value network of Mass General Brigham hospitals, affiliated providers and other Eastern Massachusetts systems, rather than a broad network. Capital Blue Cross and St. Luke's University Health Network launched Valley Advantage, an EPO initially for employers with more than 100 employees in Lehigh and Northampton counties, Pennsylvania, with availability extending to smaller employers in 2027. Published reports also note that Included Health will offer plans to self-insured employers starting Jan. 1, 2028, following its acquisition of Firefly Health, and that MultiCare Health System and the Muscogee (Creek) Nation are entering Medicare Advantage. What it means for payers and employers. Condition-specific plans raise a design question worth watching: a plan that waives cardiology copays attracts people with heart failure, which is sound if risk adjustment compensates adequately and care management reduces admissions, and costly if it does not. Ambetter's willingness to expand the line suggests the economics have worked so far, though the company has published no outcomes data. For employers, the narrow-network launches reflect a familiar trade: lower premiums in exchange for restricted provider choice, which tends to gain traction when cost pressure is high. For benefits leaders, the practical question with any of these new health plans is whether the enhanced benefits match their population's actual conditions, or simply look appealing in a brochure.

INSURASALES
Oct 20th, 2026
Oscar Health Expands individual health insurance to new markets.

Oscar Health Expands individual health insurance to new markets. * Health * Oct 20, 2026 Share: Oscar Health is set to expand its individual health insurance coverage by entering South Carolina and increasing its reach across 140 additional counties, as competitors withdraw from the market. Oscar Health's strategic expansion will increase its presence to 21 states by 2027, a move that offers growth prospects amid the exit of larger firms from the Affordable Care Act (ACA) marketplace. Cigna's recent announcement to discontinue its individual health insurance affects approximately 369,000 members in 11 states. Similarly, CVS Health's earlier withdrawal impacted around 1 million members across 17 states. For insurance industry professionals, this reshaping of market dynamics presents new opportunities for competitive positioning and market share capture, particularly as the ACA open enrollment period approaches, running from November 1 to December 15, with coverage commencing January 1, 2027. Oscar's market strategy. Oscar's decision to expand comes as part of a broader initiative to enhance its financial performance and diversify its offerings. The company reported over $1 billion in net income for the first half of the year, indicating significant financial improvement. Under the guidance of CEO Mark Bertolini, Oscar has introduced new products like "RetireEase" to ease retirees' transition into Medicare. Additionally, Oscar is expanding its collaboration with Hy-Vee, a major Midwest grocery and pharmacy chain, illustrating a trend toward more personalized and client-centric health insurance solutions. Implications for insurance professionals. Oscar's expansion into new territories and the development of innovative products like the "RetireEase" plan reflect a strategic response to market shifts and consumer needs. Insurance agents, brokers, and underwriters should note the increased focus on individual health reimbursement arrangements, empowering consumers to purchase insurance through specified platforms. The growing partnership with Hy-Vee also highlights opportunities for grocery and pharmacy chains to deepen their role in healthcare delivery, presenting new distribution channels for individual health coverage. Key developments in Oscar Health's expansion. * State Expansion: Oscar enters South Carolina, reaching 21 states by 2027. * Market Exit of Competitors: Cigna and CVS Health withdraw from individual health segments. * Financial Growth: Reported over $1 billion in net income in the first half. * Innovative Products: Launches "RetireEase" for Medicare transition. * Partnerships: Expands collaboration with Hy-Vee across the Midwest. Under the leadership of Bertolini, the former Aetna CEO, Oscar focuses on technology-driven, user-friendly healthcare solutions, positioning itself as a key player in the evolving individual insurance market landscape. For insurance professionals, understanding these strategic shifts and leveraging new opportunities can be crucial in navigating the competitive marketplace.

Fortune
Oct 16th, 2026
Let's Talk Menopause and Oscar Insurance join forces to break the silence around menopause.

Let's Talk Menopause and Oscar Insurance join forces to break the silence around menopause. NEW YORK, NY, October 16, 2026 (EZ Newswire) - For generations, menopause was something women were expected to navigate quietly, often without the information, support, or the medical care they needed to live healthy and fulfilling lives. Today, that conversation is changing. In recognition of World Menopause Day, national nonprofit organization Let's Talk Menopause (LTM) and one of the largest and fastest-growing health insurers dedicated to the individual market, Oscar, are joining forces to help break the stigma surrounding menopause and to help empower millions of American women to advocate for their menopause health. The two-week public service awareness (PSA) campaign, supported by Oscar, aims to normalize conversations about menopause while encouraging women to ask more questions, better understand their symptoms, explore available treatment options, and advocate for the care they deserve. At the heart of the campaign is a simple but powerful message: Get the Facts. Get the Support. Get Talking. "For too long, women have silently navigated the menopause transition, which has left a gap in education, information, and advocacy," said Donna Klassen, co-founder of Let's Talk Menopause. "This campaign encourages women to use their voices to reduce the stigma, elevate the conversation, and ultimately improve education and access to care. We're grateful to Oscar for helping us bring this important message to more women." The multi-faceted, national PSA includes a social media campaign, where women can join the conversation by following Let's Talk Menopause on Instagram, Facebook, and LinkedIn for information and resources on navigating the menopause transition. The campaign will also bring the menopause conversation directly to the streets of New York City, Charlotte, Miami, Fort Lauderdale, and Houston with PSA messaging featured on taxis throughout those cities. "Talking openly about menopause can help women recognize what they're experiencing, ask questions, and seek support," says Janet Liang, President of Oscar Insurance. "At Oscar, we believe women deserve clear information about their health benefits and support in accessing care that meets their needs during all phases of life, including menopause. We're proud to support Let's Talk Menopause and this campaign in helping women prioritize their health, understand their options, and advocate for the care they deserve." About Let's Talk Menopause Founded in 2020, Let's Talk Menopause (LTM) is a national nonprofit committed to transforming the conversation around menopause through education, advocacy, and storytelling so women get the information they need and the healthcare they deserve. LTM's vision for the future is to ensure that all midlife women have access to user-friendly resources and free programming, multi-lingual symptom guides, and access to certified and trained clinicians, regardless of their socio-economic backgrounds. Its goals are to LTM women to navigate all stages of menopause, educate the public about menopause so the topic is no longer taboo, advocate for the medical community to invest in care for women in menopause, and connect women to find community and support throughout menopause. To learn more about the PSA and Let's Talk Menopause, please visit letstalkmenopause.org. About Oscar Insurance Oscar Insurance is one of the largest and fastest-growing health insurers dedicated to the individual market. Oscar serves millions of individuals across the country with innovative products and CHOICE Arrangement solutions (formerly ICHRA) tailored to their life stages, health needs, and budgets. This includes HelloMeno, Oscar's innovative product designed to provide women navigating perimenopause, menopause, and post-menopause with access to affordable, comprehensive care and specialized support. Oscar technology-powered experiences make high-quality care easy to use and feel personal. Oscar is part of Oscar Health, Inc. (NYSE: OSCR). Learn more at HiOscar.com. Media Contact

Yahoo Finance
Oct 15th, 2026
Buy Oscar Health and ConocoPhillips, but sell Trex, as profitability alone isn't enough

StockStory, a stock research platform, named two profitable stocks to buy and one to avoid, arguing that profit alone does not make a good investment. It advises passing on Trex (NYSE:TREX), which makes wood-alternative decking and railing. Sales fell 1.7% annually over two years, and its free cash flow margin dropped 7.3 percentage points over five years. The stock trades at $44.29 per share, or 23.3x forward P/E. It favours Oscar Health (NYSE:OSCR), whose revenue grew 45.5% annually over two years. Earnings per share rose 37.4% annually over five years. The shares trade at $33.88, or 18.5x forward P/E. ConocoPhillips (NYSE:COP) also made the buy list, with 10.1% annual revenue growth over ten years and a $65.28 billion revenue base. Its shares trade at $142.76, or 12.5x forward P/E.