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Senior Specialist, Process Improvement

đŸ”„ 2 minutes ago

đŸ‡ș🇾 United States – Remote

đŸ’” $67.8k - $89k / year

⏰ Full Time

🟠 Senior

⚙ Operations

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Logo of Oscar Health

Oscar Health

1001 - 5000 employees

Founded 2012

⚕ Healthcare Insurance

đŸ„ 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

‱ Conduct SIU intake, triage, and tip research ‱ Provide rapid root cause analysis and training for escalated issues ‱ Identify operational risks and investigate and resolve issues ‱ Scope, prioritize, and deliver solutions based on partner feedback regarding adverse claim outcomes ‱ Use data analysis tools to produce quantitative insights and translate findings into technical business requirements ‱ Identify systemic improvement opportunities through partner submissions, data mining, and process monitoring ‱ Maintain accurate records according to retention policies ‱ Coordinate projects to meet service level agreements and milestones ‱ Implement cost-reduction, outcome-enhancement, and compliance initiatives ‱ Communicate project progress, status updates, and blockers to stakeholders ‱ Perform other duties as assigned ‱ Report to the Director, SIU

🎯 Requirements

‱ A Bachelor's degree or 4+ years of commensurate experience ‱ 2+ years experience in a technical role or a process improvement role (Six Sigma or similar) ‱ 2+ years of experience working with large data sets using Excel or a database language ‱ 1+ years experience deriving business insights from datasets and solving problems ‱ 1+ years experience improving business workflows and processes ‱ 1+ years experience collaborating with internal and/or external stakeholders ‱ Compliance with all applicable laws and regulations

đŸ–ïž Benefits

‱ Employee benefits ‱ 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 ‱ Occasional travel for team meetings and company events

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