Full-Time

Manager – UM Authorization Strategy

Confirmed live in the last 24 hours

Oscar Health

Oscar Health

1,001-5,000 employees

Health insurance provider using technology

Fintech
Healthcare

Compensation Overview

$97.2k - $141.8kAnnually

+ Annual Performance Bonuses

Mid, Senior

Los Angeles, CA, USA + 2 more

More locations: Tempe, AZ, USA | New York, NY, USA

Hybrid role requiring in-office presence at least two days a week for those living within commutable distance to New York City, Tempe, or Los Angeles.

Category
Project Management
Strategy Development
Business Development
Business & Strategy
Required Skills
Risk Management
Data Analysis
Financial Modeling
Requirements
  • 4+ years of experience in management consulting, project consulting, business process consulting, financial strategic analysis, strategic planning, and/or risk management consulting
  • 3+ years of experience in delivering projects / programs
  • Experience using data and metrics to drive improvements in programs
  • Strong analytical and problem-solving skills, with a data-driven approach
  • Proven track record of implementing change in complex organizations
  • Demonstrated relationship management skills at the senior level
  • Excellent oral and written communication skills
Responsibilities
  • Design conceptual financial and economic models for authorization strategy
  • Support multi-year planning through development of healthy prioritized backlog
  • Lead end-to-end discovery conversations with cross-functional leaders, to drive collaboration, edge case mitigation, and completion.
  • Evaluate overall departmental performance by creating, gathering, analyzing and interpreting data and metrics and assisting in development of departmental metrics and implementation of mitigation strategies
  • Collaboratively works with all relevant internal and external stakeholder groups to formulate proactive implementation, communications, and program strategies for successful change management and risk mitigation initiatives
  • May oversee team members indirectly and mentors team members and promotes colleagues’ growth and professional development
  • Compliance with all applicable laws and regulations
  • Other duties as assigned
Desired Qualifications
  • Experience / background in a fast-paced operations environment
  • Successfully executed enterprise-wide initiatives: defined project plans, coordinated resources, managed implementation activities, and developed all processes associated with program rollout and ongoing support
  • Master’s Degree
  • PMP Certifications or Program Management Certifications
  • Lean/Six Sigma Certifications
  • Healthcare experience (Health Insurance, Health Systems, or Healthcare Consulting)
  • Clinical Experience (Utilization Management, Care Management, Claims)

Oscar Health provides health insurance plans for individuals, families, and small businesses, aiming to simplify the insurance experience through technology. Their services include 24/7 virtual care, allowing members to consult healthcare providers anytime, which is convenient for those needing immediate medical advice. Oscar also offers tools to help members find in-network doctors, hospitals, and pharmacies, enhancing access to care. Unlike traditional insurers, Oscar focuses on user engagement and digital accessibility, ensuring their services are inclusive for all, including people with disabilities. The company's goal is to make healthcare more accessible and affordable while maintaining high-quality care.

Company Stage

IPO

Total Funding

$1.6B

Headquarters

New York City, New York

Founded

2012

Growth & Insights
Headcount

6 month growth

0%

1 year growth

0%

2 year growth

0%
Simplify Jobs

Simplify's Take

What believers are saying

  • Oscar Health aims to double its membership by 2027, leveraging ACA market position.
  • The partnership with Cigna expands Oscar's market reach and provider network.
  • Oscar's digital campaigns attracted 600,000 new members, showcasing effective customer acquisition.

What critics are saying

  • Oscar's exit from Medicare Advantage led to a loss of 1,800 members.
  • The partnership with Cigna saw a membership decline of nearly 10,000 members.
  • Oscar faces stiff competition in the employer market from larger insurers.

What makes Oscar Health unique

  • Oscar Health uses technology to simplify and humanize the insurance experience.
  • The company offers 24/7 virtual care services for immediate medical consultations.
  • Oscar provides tools to help members find doctors, hospitals, and pharmacies.

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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.