Jobs at Oscar Health

Manage and negotiate contracts with hospitals and large ancillary providers to build a high-performing network. Analyze provider performance and financial data, support national network strategy, ensure regulatory compliance, collaborate with provider services, and meet SLAs and cost-saving objectives.

Perform end-to-end claims coding audits and repayment quality reviews using CPT/HCPCS/ICD-10 guidelines; document findings, create reference guides, support provider communications, train teammates, and drive process improvements for payment integrity.

Partner with cross-functional teams to analyze large healthcare datasets, build models and dashboards, and surface insights to reduce medical waste. Scope, run, and present analyses, monitor performance metrics, and support initiatives to improve financial and utilization outcomes.

The UM Program Operations Manager is responsible for executing high-impact programs, ensuring compliance, managing updates to Prior Authorization lists, and overseeing team performance.

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

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 VP, Market Management leads profitable growth strategies for Oscar in their markets, managing teams and external relationships while ensuring market compliance and operational excellence.

The Provider Network Associate supports network accessibility, recruitment, and education functions while collaborating with internal and external partners to meet growth and quality targets.

The Senior Analyst will support payment integrity disputes, investigate solutions, collaborate cross-functionally, and improve processes in claims operations.

The Senior Specialist audits medical records and claims to assess FWA trends in healthcare, communicating findings, and training team members.