Jobs at Oscar Health

Lead execution of insurance product lifecycle overseeing regulatory filing, quality assurance, and operational governance. Collaborate with cross-functional teams and vendors to ensure compliance and effective product implementation.

The role involves driving innovation in insurance product development, managing pilot programs, and collaborating across teams to enhance healthcare solutions.

Develops market-level strategies for growth, retention, competitive positioning, expansion, and portfolio optimization across health insurance markets. Leads market-entry analyses, business cases, strategic initiatives, and multi-year planning while evaluating competitive, provider, regulatory, and financial dynamics. Translates complex market intelligence into executive-ready recommendations and partners with cross-functional leaders to support strategic decision-making and execution.

Manage and negotiate provider contracts for assigned markets to build and maintain a provider network, analyze provider performance and financials, support network growth and provider recruitment, ensure compliance with regulations and meet contracting SLAs while collaborating with cross-functional teams.

Negotiate and manage contracts with hospitals, health systems, and individual providers to develop networks. Analyze provider performance, reimbursement rates, and claims data to inform decisions. Support onboarding, provider issue resolution, and cross-functional collaboration. Monitor network performance metrics, ensure regulatory compliance, and participate in process improvement and cost-saving initiatives.

Support payment integrity disputes and issue resolution for claims. Scope, triage, investigate, and implement process improvements. Translate claim infrastructure and stakeholder friction into business requirements, collaborate cross-functionally, perform root cause analysis, and provide training and documentation to reduce adverse claim outcomes and improve reimbursement accuracy.

The Senior Director, Markets Strategic Advisory & Intelligence leads market strategy and analytics for product development, overseeing research, performance assessments, and strategic recommendations to support market expansion and optimize the product portfolio.

The Manager, Insurance Product Market Research conducts market research, analyzes health trends, and provides strategic insights to support product strategy and decisions.

The Manager will develop health insurance plans, ensuring compliance and accuracy, and partner with various teams for efficient product lifecycle from design to launch.

The Associate Director oversees employer-subsidized product strategy, leading growth, market integration, and compliance across health insurance solutions.

Support ACA market pricing and plan design modeling, produce regulatory filings, provide actuarial guidance across cross-functional teams, maintain pricing models and documentation, and onboard analysts to ensure actuarially sound pricing.

The Senior Manager, Insurance Product Intelligence will lead intelligence programs, support strategic decision-making, and improve product performance through market insights and analysis.

The Market Manager supports membership growth by ensuring stakeholders have the information needed for optimal member care while analyzing trends for quality outcomes and developing partnerships.

The Sales Executive will drive sales by identifying and qualifying leads, educate prospects on ICHRA, and set up meetings for enrollment.

Manage and coach associate recruiters and network specialists to execute local provider recruitment strategies. Balance personal recruiting with team coaching, lead negotiations and lead generation, ensure accurate recruitment data and compliance reporting, act as super user for network development tools, and maintain high-value provider relationships. Remote, field-based role with frequent travel.

Partner with business units to scope, analyze, and monitor financial and utilization metrics. Independently execute analytical requests, generate insights, build dashboards and models to identify healthcare inefficiencies, and present findings to non-technical leadership. Own stakeholder relationships and track impact of initiatives.

You will analyze data, support business teams with insights, enhance dashboards, and manage stakeholder relationships to improve operational efficiency.

Partner with business teams to scope and execute analyses, generate actionable insights from large healthcare datasets, build dashboards and models, present findings to leadership, own stakeholder relationships for a major business unit, and monitor impact of improvement initiatives.

Partner with business teams to scope, run, and present analytical projects that monitor financial and utilization metrics. Own insights generation for a major business unit, build dashboards and models to surface healthcare inefficiencies, maintain stakeholder relationships, and support strategic projects to drive improvements and measure impact.

Support ACA risk adjustment operations including medical record retrieval, provider outreach, inventory tracking, reporting, and process improvement. Monitor deliverables, assist management with decisions, ensure compliance, and collaborate with internal and external partners to meet CMS/HHS deadlines.