Director, Provider Operations Process Improvement

Summary

Join Oscar as our Director, Process Improvement and lead a team in implementing process improvements while ensuring compliance and meeting contractual goals. Develop and implement an operating plan to enhance efficiency, scale operations, and achieve departmental performance metrics. Deliver key strategic initiatives to optimize workflows and maintain market competitiveness. Report to the Vice President, Network Operations. This role offers a blended work culture with a remote option, contingent on location and state of residence. Competitive salary and benefits are included, such as unlimited vacation, company equity grants, and annual performance bonuses.

Requirements

• 10+ years experience in end-to-end provider data management, including data integrity, data governance, reporting and analytics, and provider network adequacy support
• 5+ years experience collaborating with business & technical teams to support provider operations
• 6+ years of leadership experience
• 2+ years of experience in program management and/or process design or implementation

Responsibilities

• Lead, coach and develop a high-performing team of managers and their reports
• Provide structure and support for your team, allowing them to keep their focus on delivering key initiatives
• Develop and improve foundational processes
• Ensure operational compliance with all relevant regulatory/ accreditation agencies and meet contractual requirements
• Lead team to surface data, process, and technology issues through proactive identification, measurement, and monitoring of operations; partner cross functionally to develop end-to-end strategy that leverages these insights to scale
• Manage, develop and maintain relationships cross-functionally to drive multi department collaboration to drive results for strategic initiatives
• Own team vision and strategy including quarterly vital setting and multi-year roadmap
• Compliance with all applicable laws and regulations
• Other duties as assigned

Preferred Qualifications

• Master's degree
• Health Insurance, or Management Consulting experience with a focus on healthcare
• Lean / Six Sigma experience
• Financial modeling experience

Benefits

• Medical, dental, and vision benefits
• 11 paid holidays
• Paid sick time
• Paid parental leave
• 401(k) plan participation
• Life and disability insurance
• Paid wellness time and reimbursements