Hi, we’re Oscar. We’re hiring a Team Lead, Claims Production to join our Claims Production team.

Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.

About the role

You will be responsible for managing the success of multiple Claims Production teams by driving performance, effectiveness, and operational improvements to daily workflows and strategies.

You will report to the Manager, Claims Production.

Work Location: 

Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission. 

This is a remote role. You must reside in one of the following states: Alabama, Arizona, California, Colorado, Connecticut, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, or Washington, D.C. Note, this list of states is subject to change. #LI-Remote

Pay Transparency:

The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $56,880 - $74,550 per year. The base pay for this role in all other locations is: $51,120 - $67,095 per year. You are also eligible for employee benefits, participation in Oscar’s unlimited vacation program, and annual performance bonuses.

Responsibilities

• Guide your team’s metrics, including member and provider satisfaction, quality of care (daily benchmark production) and employee satisfaction
• Coach direct reports through a culture of feedback and development to provide the best member/provider experience and care possible. 
• Serve as a central communicator -- leading team huddles, promoting vision, strategy, company values, and providing feedback to team members and other company associates.
• Manage the daily needs of your team, including hiring, training, inventory levels, and scheduling to ensure an efficient operation .
• Compliance with all applicable laws and regulations 
• Other duties as assigned

Qualifications

• 3+ years of direct experience leading and supporting a claims operations area ( production, adjustments, disputes, reconsiderations)
• 3+ years of medical claims processing experience
• 2+ years reading and using claims data to identify trends; including inventory management

Bonus Points

• 3+ years prior health plan experience in other operational domains such as configuration, provider services or member services
• 2 years experience with claims payment and recoupment processes
• Bachelor’s Degree
• Strong proficiency navigating Google Office Suite, Excel, JIRA, and SQL
• Demonstrated capacity to balance competing priorities and continue to execute projects with excellence