Senior Manager of Enrollment and Billing System Optimization Job at Oscar Health
Hi, we're Oscar. We're hiring a Senior Manager of Enrollment and Billing Systems to join our Member Lifecycle Strategy and Optimization team.
Oscar is the first health insurance company built around a full stack technology platform and a 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 Senior Manager – Enrolling and Billing (E&B) System Optimization gathers and documents business system and functional requirements, influences system design to increase support and ensure solutions meet the our goals and requirements. You will complete and coordinate implementation of design and requirements, testing, operational readiness, and then transition to the appropriate production support team. You will understand department, segment, and organizational strategy and operating goals, including their linkages to related areas.
You will make decisions regarding own work methods and receive guidance where needed. You will be the subject matter expert for E&B in enterprise wide projects and work cross collaboratively to support the remediation of audit findings from Federal, State and Private entities.
You will report to the Director of Enrollment and Billing Optimization
This is a remote / work-from-home role. You must reside in one of the following states: Arizona, California, Colorado, Connecticut, Florida, Georgia, Illinois, Iowa, Maryland, Massachusetts, Michigan, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, Tennessee, Texas, Utah, Virginia, Washington, or Washington, D.C. Note, this list of states is subject to change. #LI-Remote
The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $132,000 - $173,250 per year. The base pay for this role in all other locations is: $118,800 - $155,925 per year. You are also eligible for employee benefits and annual performance bonuses.
Responsibilities
- Lead E&B Optimization team responsible for oversight of accuracy of member and billing data
- Provide expertise to departmental leadership by taking on important ad-hoc projects
- Be the departmental advocate and reference point for Senior Leadership
- Build team vision and strategy including quarterly vital updates to Senior Leadership
- Develop monitoring controls related to audits and maintain them.
- Create a data-driven approach to identify and process variations which includes performing cost benefit analysis to support transformational projects
- Maintain the principles of process improvement to support the Production team in E&B
- Coordinate and help develop enhancements to existing systems or creations of new systems to increase efficiency to enrollment and billing:
- Requirement gathering
- Compliance analysis
- Capacity modeling
- Risk management
Qualifications
- 6+ years of experience in health insurance, consulting, healthcare, or operations
- 5+ years of leadership experience
- 2+ years experience working in payer enrollment, eligibility and billing
- Experience with E&B technology e.g. EDI 834
- Experience with system data flow & system architecture for member data
- Experience driving Senior Leadership decision-making using data
- Experience in program management, design or implementation
- Experience implementing enterprise-wide programs: defined project plans, coordinated resources, managed implementation activities, and developed all processes associated with program rollout and ongoing support
Bonus Points
- Bachelor's degree
- Lean/Six Sigma Certifications
- Technical experience (SQL, Python)
This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.
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, paid holidays, paid vacation and sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.
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 (accommodations@hioscar.com) to make the need for an accommodation known.
To protect the health and safety of our employees, we require any employee conducting in-person work* to be fully vaccinated against COVID-19 by their start date. If you are unable to be vaccinated due to medical or protected religious reasons, please reach out to our Benefits team at accommodations@hioscar.com to submit an accommodations request.
- Note: In-person work includes: employees required to work from our offices, employees conducting sales work in the field and employees conducting at-home or in-person visits with members.
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