Senior Specialist, Process Improvement

Summary

Join Oscar's Claims Optimization team as a Senior Specialist, Process Improvement! This role focuses on improving processes and resolving issues within the claims production environment. You will leverage data analysis and cross-functional collaboration to identify and implement solutions. The position requires experience in process improvement, data analysis, and presenting to senior leadership. While based in NYC, Tempe, or LA, this role offers a blended work culture with remote options. Competitive salary, benefits, and performance bonuses are included. Oscar is committed to diversity and inclusion, fostering a supportive and authentic work environment.

Requirements

• 1+ years experience in a technical role (QA analyst, PM, operations analyst, consulting) or a process improvement role (Six Sigma or similar)
• 1+ years of experience in process improvement and workflow design
• 1+ years of experience using data and metrics to drive improvements
• 1+ years of experience in developing and presenting information and recommendations aimed at Senior Leadership
• Experience using SQL

Responsibilities

• Ingest information from internal and external partners regarding adverse claim outcomes; collaborate with partners to scope, size, prioritize items and deliver solutions
• Utilize data analysis skills and tools to develop accurate, quantitative analyses of issues
• Translate observations, findings and analysis results into detailed–often technical–business requirements; submit to and collaborate with internal partners to effectuate change
• Use insights from partner submissions, data mining, process monitoring, etc., work with the team to proactively identify thematic areas of opportunity to solve problems
• Perpetuate a culture of transparency and collaboration by keeping stakeholders well informed of progress, status changes, blockers, completion, etc.; field questions as appropriate
• Support Oscar run state objectives by providing speedy research, root cause analysis, training, etc. whenever issues are escalated and assigned by leadership
• Compliance with all applicable laws and regulations
• Other duties as assigned

Preferred Qualifications

• An academic and/or professional background in engineering, data, or healthcare
• Experience in a professional healthcare claims organization
• Knowledge management, training, or content development in operational settings
• Training or experience applying Continuous Process Improvement or Lean Six Sigma principles

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
• Annual performance bonuses
• Oscar's unlimited vacation program