Remote Program Lead, Payor Connections

Summary

Join Oscar's Risk Adjustment team as a Program Lead, Payor Connections and work with internal and external partners to acquire digital and supplemental data for EDGE submissions.

Requirements

• 2+ years of work experience in operations, health insurance, data analysis, engineering or consulting
• 2+ years of experience providing projects / programs
• 2+ years of experience working with data file transfers (SFTP, API)
• 2+ years experience using SQL to manipulate and analyze large datasets to solve business problems

Responsibilities

• Management of all supplemental data feeds used for ACA Risk Adjustment submissions
• Outreach to new sources (ie. provider groups, vendors) to acquire supplemental data in a standardized format
• Implementing data feeds via SFTP or API
• Review and QA of supplemental data feeds; identify cause for failures
• Track feeds for trends or changes
• Collaborate across the organization to identify actions to achieve improvements and monitor initiative impact
• Develop relationships with provider group partners and vendors
• Help develop operational strategy and market approach
• Oversee the creation and maintenance of essential operational dashboards, and update and enhance them as our user’s needs evolve
• Compliance with all applicable laws and regulations

Benefits

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