Project Manager, Contracting Integrity & Compliance

Hi, we're Oscar. We're hiring a Project Manager, Contracting Integrity & Compliance to join our Network Operations, Governance & Oversight team.

Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.

About the role:

You will lead activities related to Network Operations and initiatives to support Network Contracting functions at Oscar to ensure success. Additionally, identifying and driving operational improvements for core operations, including proper controls and monitoring, to ensure operational efficiency and effectiveness, overseeing and coordinating the program across the organization and helping identify and implement project management fundamentals and standards across the organization. This is a not a tech or IT role, this position will be project mangement focus.

You will report into the Director, Network Operations, Governance & Oversight.

Work Location: This position is based in our New York City office, requiring a hybrid work schedule with 3 days of in-office work per week. Thursdays are a required in-office day for team meetings and events, while your other two office days are flexible to suit your schedule.

Pay Transparency: The base pay for this role is: $111,780 - $146,711 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, and annual performance bonuses.

Responsibilities:

• Organize and lead daily activities for your programs


• Identify, develop and implement program strategy, optimizations and tooling that support the organization's objectives.


• Meet with stakeholders to discuss program status and goals


• Oversee implementations end to end to ensure program success


• Using a cross-functional lens and subject matter expertise, drive end-to-end operational excellence to ensure efficient, repeatable processes leading to a sound program


• Leverage subject matter expertise to drive targeted program standardization, operationalization, and issue resolution and/or root cause analysis efforts while collaborating with key internal stakeholders to optimize efficiency, including training resources and other key process decisions


• Lead, oversee, and coordinate projects and strategic initiatives related to network operations and contracting. This includes supporting the development of technical tools.


• Manage cross-functional work groups that support and optimize end-to-end Network Contracting processes


• Partner with other departments and various stakeholders to ensure operational excellence


• Analyze program risks; ability to anticipate risks and issues. This includes proactive flagging of issues, managing escalations, and tracking and helping to resolve risks and issues.


• Ensure proper controls and monitoring are in place for the your program


• Work with leadership and the program stakeholders to lead program retros and assess program strengths and weaknesses


• Ensure proper metrics are in place to measure program success


• Compliance with all applicable laws and regulations


• Other duties as assigned

Requirements:

• 4+ years of program and project management in the health insurance space


• 4+ years experience in change management and process improvement


• 2+ years in provider relations/provider contracting space

Bonus points:

• Health Insurance experience


• PMP or Six Sigma certification


• Experience working within a rapidly scaling organization


• Training new functionality and building training materials