Senior Utilization Management Analyst

2 weeks ago


Tempe, Arizona, United States Oscar Health Full time
Senior Analyst - Utilization Management Regulatory Operations

Oscar Health is a pioneering health insurance provider dedicated to enhancing member experiences through advanced technology solutions. We are in search of a Senior Analyst to become an integral part of our Utilization Management Regulatory Operations division.

Role Overview

The Senior Analyst will play a crucial role in the development, enhancement, and execution of operational processes aimed at fulfilling organizational objectives. Key responsibilities include assessing risks, managing projects, and collaborating with leadership to optimize costs and improve service delivery.

Key Responsibilities
  • Assess and mitigate risks while addressing challenges
  • Oversee project coordination to ensure timely completion
  • Collaborate with leadership to implement cost-reduction strategies
  • Drive initiatives for process enhancement
  • Ensure adherence to regulatory standards
  • Offer insights for financial prudence
  • Support the achievement of operational efficiency and performance benchmarks
Required Qualifications
  • Minimum of 1 year of experience in healthcare operations or a related discipline
  • Proficient in utilizing data and metrics for operational improvements
  • Experience in process optimization and workflow development
  • Skilled in presenting findings to Senior Leadership
Preferred Qualifications
  • Experience with ACA marketplace or claims processing
  • Background in management consulting
  • Familiarity with Continuous Process Improvement or Lean Six Sigma methodologies
  • Experience in project management
  • Knowledge of RFP development and execution

Oscar Health is committed to fostering an inclusive and diverse workplace. We value the unique perspectives and experiences that each individual brings to our mission of transforming healthcare.



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