Healthcare Operations Director

7 days ago


Tempe, Arizona, United States Oscar Health Full time
Job Summary
We are seeking a skilled Healthcare Operations Director to join our team at Oscar Health. In this role, you will be responsible for managing the success of multiple Claims Production teams by driving performance, effectiveness, and operational improvements to daily workflows and strategies.

Your primary responsibilities will include guiding metrics, coaching direct reports, and serving as a central communicator. You will also be responsible for managing the daily needs of your team, including hiring, training, inventory levels, and scheduling to ensure an efficient operation. Additionally, you will need to comply with all applicable laws and regulations.

To succeed in this role, you will need 3+ years of direct experience leading and supporting a claims operations area (production, adjustments, disputes, reconsiderations), 3+ years of medical claims processing experience, and 2+ years reading and using claims data to identify trends; including inventory management. Bonus points will be given if you have prior health plan experience in other operational domains such as configuration, provider services or member services, experience with claims payment and recoupment processes, and strong proficiency navigating Google Office Suite, Excel, JIRA, and SQL.

This is a great opportunity to work with a dynamic team and contribute to our mission to change healthcare. We offer competitive pay, benefits, and unlimited vacation time. The estimated salary for this role is $68,230 - $90,830 per year, depending on location and experience.

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