Program Lead, Payor Connections – Interoperability

🕒 August 5

🌵 Arizona, Florida, +15 more states – Remote

🌵 Arizona – Remote 🐊 Florida – Remote 🌽 Illinois – Remote 🌾 Iowa – Remote 🌪️ Kansas – Remote 🌾 Nebraska – Remote 🏖️ New Jersey – Remote 🗽 New York – Remote 🌲 North Carolina – Remote 🏈 Ohio – Remote 🚗 Michigan – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote 🌴 South Carolina – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⚔️ Virginia – Remote

💵 $101.8k - $133.7k / year

⏰ Full Time

🟠 Senior

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 8%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Oscar Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2012

⚕️ Healthcare Insurance

🏥 Healthcare

💰 $355M Post-IPO Debt - Oscar Health on 2025-09

Healthcare Insurance • Healthcare

Oscar Health is a technology-driven health insurance company that provides individual, family, and small-group health plans in multiple U. S. states. Oscar combines traditional insurance underwriting with digital-first services — a consumer-facing app, 24/7 virtual urgent care, prescription delivery (including $3 meds in many plans), and dedicated Care Teams — and also operates Oscar Primary Care in some markets. The company emphasizes accessible, affordable, high-quality care and uses AI to improve member experience and care delivery. Insurance policies are underwritten by Oscar's state insurance subsidiaries and the company offers both HMO and other plan types across its markets.

📋 Description

• Lead interoperability projects with provider outreach • Develop relationships with provider group partners and vendors • Create and maintain project plans • Help develop operational strategy and market approach • Collaborate across the organization to identify actions to achieve improvements and monitor initiative impact • Direct the testing and validation of data connections to ensure compliance and functionality • Oversee the creation and maintenance of essential operational dashboards, and update and enhance them as our user's needs evolve • Track development progress, resolve issues related to data quality or integration, and ensure continuous improvement in interoperability programs • Serve as a TEFCA subject matter expert • Ensure compliance with all applicable laws and regulations • Perform other duties as assigned • Report to the Director, Risk Adjustment Retrospective

🎯 Requirements

• 3+ years of work experience in health care operations or health insurance, working directly with provider groups • 2+ years of experience delivering interoperability projects or programs • In-depth knowledge of TEFCA • Strong analytical skills • Risk Adjustment experience is a bonus point • Basic SQL or BQ query writing experience is a bonus point

🏖️ Benefits

• Employee benefits • Unlimited vacation program • Annual performance bonuses • Medical benefits • Dental benefits • Vision benefits • 11 paid holidays • Paid sick time • Paid parental leave • 401(k) plan participation • Life insurance • Disability insurance • Paid wellness time • Wellness reimbursements