Jobs at Oscar Health

Leads planning and operating mechanisms for the Chief Health Officer’s Clinical organization. Responsibilities include managing leadership cadences, organizational priorities, performance reporting, risks, dependencies, budgets, and executive decision-making. The role partners with senior leaders, translates priorities into goals and timelines, improves workflows, summarizes complex information, and drives cross-functional accountability. It also supports financial planning and may develop direct reports.

Lead planning and operating mechanisms for the Chief Health Officer’s Clinical organization. Manage leadership cadences, priority and performance tracking, executive reporting, budgeting, resource planning, and cross-functional accountability. Partner with senior leaders to identify risks and dependencies, facilitate decisions, improve workflows, and translate organizational priorities into measurable goals. Support executive-level initiatives and develop direct reports as applicable.

Leads planning and operating mechanisms for the Chief Health Officer’s Clinical organization. Responsibilities include leadership cadences, priority and performance tracking, executive reporting, annual planning, budgeting, resource tracking, cross-functional coordination, risk management, decision facilitation, and accountability. The role partners with senior clinical leaders, improves organizational workflows, summarizes complex information into recommendations, and supports team development.

Leads planning and operating mechanisms for the Clinical organization and Chief Health Officer’s office. Responsibilities include leadership cadences, priority and performance tracking, executive reporting, organizational planning, budgeting, resource tracking, workflow improvement, and cross-functional accountability. Partners with senior leaders to identify risks, manage dependencies, support decision-making, and translate complex information into recommendations. Also develops direct reports and supports professional development.

Leads Oscar’s corporate development and inorganic growth strategy, including M&A, investments, divestitures, partnerships, market mapping, valuation, financial modeling, due diligence, negotiations, transaction execution, and integration planning. Partners with executives and operators on strategic initiatives, capital allocation, financial plans, synergy targets, and post-close governance. Requires extensive corporate development, financial modeling, executive communication, and healthcare or financial services experience.

Leads Oscar’s corporate development and inorganic growth agenda, including market mapping, target sourcing, M&A, investments, divestitures, strategic partnerships, valuation, financial modeling, due diligence, negotiation, transaction execution, and integration planning. Partners with executives and operators on growth initiatives, capital allocation, market entry evaluations, synergy targets, post-close KPIs, and governance. Presents recommendations to senior leadership, C-suite executives, and the Board.

Leads Oscar’s corporate development and inorganic growth strategy, including market mapping, target sourcing, M&A, investments, divestitures, partnerships, valuation, financial modeling, due diligence, negotiations, transaction execution, and integration planning. Partners with executives and operators on strategic initiatives, capital allocation, financial planning, synergy targets, and post-transaction performance.

Leads Oscar’s corporate development and inorganic growth agenda, including M&A, investments, divestitures, partnerships, market mapping, valuation, financial modeling, due diligence, negotiation, transaction execution, and integration planning. Develops enterprise financial and capital models, evaluates strategic initiatives and market entries, and presents recommendations to executive leadership and the Board. Requires extensive corporate development, finance, modeling, valuation, and executive stakeholder experience.

Owns and executes full-cycle executive searches, including sourcing strategy, candidate development, hiring-manager calibration, assessments, client updates, interviews, reference checks, and complex executive compensation negotiations. The recruiter will lead VP-level searches, advise hiring leaders using data insights, develop staffing strategies, and support the Senior Director of Executive Recruiting. The role is hybrid in New York City.

Supports payment integrity through claims research, coding and reimbursement policy expertise, issue resolution, root cause analysis, process improvement, and business requirements development. Investigates claim outcomes, evaluates internal and vendor edits, identifies opportunities using data and process monitoring, and collaborates with stakeholders to implement solutions. The role also responds to policy disputes, supports escalated issues, and ensures regulatory compliance.

Supports provider network development for a health insurer by recruiting, engaging, and educating providers; targeting network adequacy needs; assessing provider capabilities; conducting outreach and meetings; maintaining CRM data; guiding providers through network participation; and improving workflows while ensuring regulatory compliance. The role is remote but field-based and requires travel of up to 75%.

Manages provider operations teams, including coaching, hiring, performance management, KPI reporting, data analysis, root-cause analysis, process improvement, change management, and risk mitigation. Partners with stakeholders to improve productivity, client satisfaction, operational efficiency, and compliance while ensuring team outputs meet departmental objectives.

Manages business development and strategic relationships with CHOICE Arrangements administrators, brokers, and distribution partners. Serves as a subject matter expert on ICHRA products, regulations, and value propositions; delivers partner education, supports sales enablement, reports market performance, communicates partner feedback, and represents Oscar at industry events. Ensures compliant product distribution while driving adoption and growth across national markets.

Investigate and verify coordination of benefits for medical and pharmacy claims, conduct payment integrity audits, and identify reimbursement opportunities. The role develops and improves COB workflows, analyzes claims data, performs root-cause research, translates findings into business requirements, collaborates with stakeholders, responds to policy inquiries, and supports training and issue resolution while ensuring regulatory compliance.

Leads claims compliance operations and a team of analysts investigating regulatory inquiries and market conduct exams. Partners with regulators, legal, audit, compliance, and insurance operations teams to ensure adherence to state and federal requirements. Translates claims strategy into business plans, improves workflows, manages departmental initiatives, supervises and trains staff, and drives regulatory performance through data-informed decisions.

Leads claims compliance operations and a team of analysts investigating regulatory inquiries and market conduct exams. Partners with regulators, legal, audit, and internal teams to ensure adherence to state and federal requirements. Develops responses, improves claims processes and workflows, translates strategy into operational plans, manages performance goals, and drives cross-functional initiatives. Supervises and trains staff while influencing compliance strategy and resolving complex claims issues.

Leads claims compliance operations and a team of analysts investigating regulatory inquiries and market conduct exams. Partners with regulators, legal, audit, and insurance operations to ensure adherence to state and federal requirements. Oversees claims processes, develops responses, translates strategy into operational plans, manages cross-functional initiatives, improves workflows, and drives regulatory performance through data-informed decision-making.

Leads claims compliance operations and a team of analysts handling regulatory inquiries, market conduct exams, and external responses. Partners with regulators, legal, audit, compliance, and insurance operations teams to ensure adherence to state and federal requirements. Develops claims processes, business plans, workflows, KPIs, and corrective solutions while supervising and training staff and influencing departmental strategy.

Manage end-to-end coordination of benefits and payer eligibility data to support accurate claims processing. Initiate recovery of overpaid claims, contact providers regarding findings and disputes, document recovery activities, and escalate questions as needed. The role also supports prioritization and solution delivery, maintains regulatory compliance, and requires familiarity with healthcare claims, medical billing, insurance regulations, and spreadsheet tools.

Resolve high-visibility executive and social media complaints from members and providers. Manage escalated case timelines, communicate resolutions, review workflows, identify trends, and provide operational feedback to leadership. Draft executive-level summaries, root-cause analyses, and action plans while guiding service representatives across communication channels and ensuring regulatory compliance.