Provider Data Operations Lead

Posted 2 Days Ago
Be an Early Applicant
Hiring Remotely in USA
Remote
56K-73K Annually
Junior
Healthtech • Insurance
Give people power over their healthcare.
The Role
Leads provider data operations within a health insurance environment, managing staff performance, workflows, KPIs, data accuracy, and continuous improvement. The role includes hiring and coaching team members, monitoring dashboards, conducting root-cause analysis, closing workflow gaps, leading team communications, and collaborating across departments to improve operational efficiency and service quality. Candidates need provider data experience in health insurance, people management experience, and experience using metrics to drive improvements.
Summary Generated by Built In

Hi, we're Oscar. We're hiring a Provider Data Operations Lead to join our Network Operations.

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:

The Provider Data Operations Lead is a provider data and production workflow expert within a payor healthcare environment. This role is responsible for creating, implementing, and optimizing production workflows while driving team performance against established goals and KPIs. The Lead provides day-to-day coaching and leadership to support staff and partners with cross-functional stakeholders to develop workflow solutions that improve operational efficiency, data accuracy, quality, and overall team performance.

You will report into the Manager, Provider Data Operations.

Work Location: This position is fully remote and open to candidates residing in the U.S., excluding Alaska; Delaware; Hawaii; Louisiana; Montana; North Dakota; Oklahoma; West Virginia; Wyoming; and U.S. Territories. Daily work is completed from your home office, with occasional travel required for team meetings and company events. #LI-Remote

Pay Transparency: The base pay for this role is: $55,890 - $73,355 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities:

  • Hire and manage a team of Oscar colleagues with direct responsibility for performance management, their growth and development, and associated HR administrative tasks
  • Manage your team's outcomes, monitor dashboards, and track operational KPIs, conducting root-cause analysis and constructing action plans when issues arise
  • Understand and be connected to the type of work your team does on a daily basis, being able to make volume-based decisions that best serve our customers.
  • Serve as a central communicator by leading team huddles with Oscar colleagues, connecting colleagues to the mission, vision, and values of Oscar, and providing guidance and motivation to achieve daily operational objectives
  • Be a culture carrier, driving engagement with your team by creating an inclusive and inviting culture that aligns with Oscar's core values
  • Actively lead and participate in continuous improvement activities that drive or influence the improvement and development of a high performing production team
  • Identifying and closing gaps on existing operational workflows
  • Work collaboratively across production and other Oscar teams to implement best practice
  • Compliance with all applicable laws and regulations
  • Other duties as assigned

Requirements:

  • 2+ years experience of provider data experience with a health insurance company
  • 1+ year of direct people management experience
  • 1+ years of experience using data and metrics to drive improvements
  • 1+ years of experience working with teams in multiple locations and multiple disciplines
  • Work according to the Work Location section above.

Bonus points:

  • Bachelor's degree
  • Lean Six Sigma or Process Improvement certification
  • Prior healthcare and/or insurance experience
  • Advanced Google Suite or Microsoft Office capabilities
  • 2+ years experience solving complex inquiries
  • 1+ years managing projects

This is an authentic Oscar Health job opportunity.

At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.

Pay Transparency:  Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.

Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.

Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant’s disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team ([email protected]) to make the need for an accommodation known.

California Residents: For information about our collection, use, and disclosure of applicants’ personal information as well as applicants’ rights over their personal information, please see our Privacy Policy.

Skills Required

  • 2+ years of provider data experience with a health insurance company
  • 1+ year of direct people management experience
  • 1+ year of experience using data and metrics to drive improvements
  • 1+ year of experience working with teams in multiple locations and multiple disciplines
  • Reside in an eligible U.S. location and work according to the specified remote work location requirements
  • Bachelor's degree
  • Lean Six Sigma or Process Improvement certification
  • Prior healthcare and/or insurance experience
  • Advanced Google Suite or Microsoft Office capabilities
  • 2+ years of experience solving complex inquiries
  • 1+ year of experience managing projects

Oscar Health Compensation & Benefits Highlights

The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Oscar Health and has not been reviewed or approved by Oscar Health.

  • Healthcare Strength — Employer-sponsored medical coverage for employees and their families with mental-health support is prominently offered. Wellness programming and digital care access add to perceived strength.
  • Parental & Family Support — Paid parental leave of 10+ weeks, backup care, and family-forming support (including fertility and adoption benefits) are part of the package. Reproductive‑loss leave is also noted.
  • Leave & Time Off Breadth — Multiple time‑off options, wellness days, and an unlimited vacation program for some roles are described. Paid holidays, paid sick time, and a long‑tenure sabbatical broaden time‑away choices.

Oscar Health Insights

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The Company
HQ: New York, NY
2,400 Employees
Year Founded: 2012

What We Do

Oscar Health, Inc. (NYSE: OSCR) is a leading consumer health company that gives people power over their healthcare. Oscar Health serves millions of consumers, employers, brokers, and partners through Oscar Insurance, Lucie Health Marketplace, and Trove Group. Together these businesses deliver exceptional lifestyle products and technology platforms that make healthcare easy to choose, use, and experience.

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