Program Lead, Payor Connections – Interoperability

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🌵 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

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Oscar

WebsiteLinkedInAll Job Openings

51 - 200 employees

💼 Consulting

🏗️ Construction

🏥 Healthcare

💰 $140M Private Equity Round on 2020-12

Consulting • Construction • Healthcare

Oscar is a world-class specialist STEM recruitment agency that provides industry-leading talent solutions. The company operates across six brands, connecting top talent with companies in various sectors including technology, construction, life sciences, and renewable energy. With offices across the globe, Oscar is recognized as a top-five company to work for and is committed to delivering excellence in staffing services.

📋 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