Director of Enrollment and Billing Optimization
Hi, we're Oscar. We're hiring a Director of Enrollment and Billing Optimization to join our Concierge 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 Director of Enrollment and Billing Optimization will develop the department's strategy, managing its resources, developing and implementing an operating plan for improving efficiency, scaling operations and ensuring the achievement of departmental performance metrics.
You will report to the Senior Director, Strategy and 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: $176,000 - $231,000 per year. The base pay for this role in all other locations is: $158,400 - $207,900 per year. You are also eligible for employee benefits, company equity grants and annual performance bonuses.
Responsibilities
- Coach and develop a inspired team of managers and their reports
- Provide structure and support for your team, allowing them to keep their focus on delivering important projects
- Develop foundational processes for scaling our eligibility & billing operations
- Lead team to surface data, process, and technology issues through proactive identification, measurement, and monitoring of our operations; partner to develop end-to-end strategy that uses these insights to grow
- Oversee team vision and strategy including quarterly vital setting and multi-year roadmap
- Be a transformation champion across the business while serving as an expert, with an understanding of business operations and automation industry evolution and technologies.
- Develop and maintain relationships to lead multi department collaboration
- Create a data-driven approach to identify trends and process variations which includes performing cost benefit analysis to support transformational programs
- Work with other management areas to ensure operational consistency within the organization and all lines of business.
- Provide direction, feedback and final approval on the setup of different systems to promote accurate membership reporting and reconciliation.
- Promote the use of accepted best practices and innovative strategies.
- Ensure operational compliance with all relevant regulatory agencies.
- Ensure operations meet vendor/customer contractual requirements.
Qualifications
- A bachelor's degree or commensurate 4 years of experience
- 10+ years of work experience in health insurance, consulting, healthcare, or operations
- 5+ years of experience leading and developing a team
- 4+ years experience working in payer enrollment, eligibility and billing
- Experience with E&B technology e.g. EDI 834
- Experience in program management or design or implementation
- Experience success for improving processes and workflows including workflow design and working with product/engineering teams to design tooling
Bonus Points
- Lean / Six Sigma experience
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 in this role are also 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.
Oscar is a health insurance company leveraging a full-stack technology platform to deliver personalized healthcare experiences. It prioritizes member services, aiming to create a seamless, supportive insurance experience akin to having a trusted family doctor. With a focus on ethical practices, Oscar targets individuals who seek a more responsive and customized approach to health insurance.
- Founded
- Founded 2001
- Employees
- 201-500 employees
- Industry
- Professional Services