Senior Specialist, Process Improvement

Summary

Oscar Health is hiring a Senior Specialist, Process Improvement for its Authorization Services Process Improvement team. The role partners with business and technical teams to document requirements, manage projects, analyze data, and design and implement scalable process improvements that support organizational goals.

Responsibilities

• With support from leadership, help identify risks; respond to and resolve issues/errors/escalations through investigation to inform insights for short/medium/long-term technology-enabled processes and solutions
• Coordinate projects and processes to help ensure you meet important milestones and service levels
• Partner with leadership to strategize arrangements aimed at lowering overall cost or improving outcomes
• Work with all relevant team member groups to provide support and insight in formulating proactive implementation, communications, and program strategies for successful change management and risk mitigation programs
• Maintain relationships with a variety of teams to achieve results for essential programs
• Translate data analysis into synthesized, visually appealing insights and conclusions
• Provide analytical support to identify opportunities, develop strategies, and prioritize projects based on team or organizational opportunities, growth targets and trends
• Support implementing process improvement projects and mindset shifts, to improve operational efficiency and achieve performance targets
• Compliance with all applicable laws and regulations
• Other responsibilities as assigned

Skills

• * 2+ years of professional experience supporting end-to-end project management and process improvement projects
• * 2+ years of experience analyzing workflows to improve for efficiency, determine causes for process deficiencies and, develop relevant recommendations for resolution
• * 2+ years of experience in process improvement and workflow design
• * 2+ years of experience presenting information and recommendations aimed at Senior Leadership
• * Experience leading and working with team members to get agreement on decision
• * Prior work experience in **Prior Authorizations** or **Insurance Operations**
• * Experience using project management and communication tools like **JIRA, Linear,** and **Slack**
• * ACA marketplace, provider network, claims, healthcare quality, or provider data experience
• * Training experience applying Continuous Process Improvement or Lean Six Sigma principles
• * Experience working with large datasets, data verification, and data management

Qualifications

Must Haves

• * 2+ years of professional experience supporting end-to-end project management and process improvement projects
• * 2+ years of experience analyzing workflows to improve for efficiency, determine causes for process deficiencies and, develop relevant recommendations for resolution
• * 2+ years of experience in process improvement and workflow design
• * 2+ years of experience presenting information and recommendations aimed at Senior Leadership
• * Experience leading and working with team members to get agreement on decision

Nice to Haves

• * Prior work experience in **Prior Authorizations** or **Insurance Operations**
• * Experience using project management and communication tools like **JIRA, Linear,** and **Slack**
• * ACA marketplace, provider network, claims, healthcare quality, or provider data experience
• * Training experience applying Continuous Process Improvement or Lean Six Sigma principles
• * Experience working with large datasets, data verification, and data management

Benefits

• Employee benefits
• Participation in Oscar's unlimited vacation program
• Annual performance bonuses
• 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
• Fully remote work for candidates residing in Dallas, Texas