Teams at Oscar Health

Leads the Member and Provider Escalations team, resolving complex grievances and appeals, managing daily operations, mentoring employees, and improving service processes. The role analyzes trends and data, applies Lean methodologies, establishes escalation procedures, partners cross-functionally, and mitigates operational and reputational risks while improving compliance, efficiency, and customer experience.

Leads and develops a Member and Provider Escalations team within health insurance operations. Responsibilities include managing grievances and appeals, resolving complex cases, monitoring performance, mentoring employees, partnering cross-functionally, identifying operational trends, applying Lean methodologies, improving processes, enforcing escalation procedures, and using data to reduce complaints and enhance customer experience while maintaining regulatory compliance.

Leads and develops a Member and Provider Escalations team, managing daily operations, performance, engagement, grievances, appeals, and complex high-visibility cases. Partners cross-functionally to resolve root causes, reduce complaints, improve customer experience, maintain compliance, and implement Lean-based operational improvements. The role also establishes escalation procedures, analyzes operational trends, and collaborates with executive leadership to mitigate risk.