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Care Navigation Operations Team Lead

2 days ago Flexible / Remote

Hi, we're Oscar. We're hiring a Care Navigation Operations Team Lead to join our Clinical Operations team.

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:

You will be an expert on clinical team workflows and drive goals and KPIs for the team of support staff to meet business objectives while providing coaching and leadership. You will partner with Oscar's clinicians to assist with care coordination and care routing for members, while partnering with stakeholders appropriately to identify and develop workflow improvements to enhance efficiencies for the team.

You will report into the Senior Manager, Care Navigation.

Work Location: This is a remote position, open to candidates who reside in: Atlanta, Georgia. You will be fully remote; however, our approach to work may adapt over time. Future models could potentially involve a hybrid presence at the hub office associated with your metro area. #LI-Remote

Pay Transparency: The base pay for this role is: $54,000 - $70,875 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities:

  • Own the team's metrics, including productivity, adherence to schedule, and employee satisfaction
  • Provide coaching and leadership to direct reports
  • Manage payroll and attendance
  • Collaborate cross functionally to improve efficiencies for the team
  • Act as an escalation point for team members and case managers
  • Compliance with all applicable laws and regulations
  • Other duties as assigned

Requirements:

  • 2 years of experience leading teams in a healthcare setting
  • Experience implementing process improvements
  • Prior healthcare or health insurance experience
  • Proficiency navigating Googlesheet or Excel and JIRA

Bonus points:

  • Bachelor's Degree
  • Demonstrated experience working with and maintaining compliance with established policies and procedures.
  • Experience in utilization management and/or prior authorization processes.

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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 (accommodations@hioscar.com) 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.

Client-provided location(s): Flexible / Remote, Tempe, AZ
Job ID: 7435317
Employment Type: OTHER
Posted: 2025-12-01T23:32:11

Perks and Benefits

  • Health and Wellness

    • Pet Insurance
    • Mental Health Benefits
    • FSA
    • HSA
    • Fitness Subsidies
    • Health Insurance
    • Dental Insurance
    • Vision Insurance
    • Life Insurance
    • Short-Term Disability
    • Long-Term Disability
  • Parental Benefits

    • Adoption Leave
    • Fertility Benefits
    • Family Support Resources
    • Non-Birth Parent or Paternity Leave
    • Birth Parent or Maternity Leave
    • Return-to-Work Program
  • Work Flexibility

    • Remote Work Opportunities
    • Flexible Work Hours
    • Hybrid Work Opportunities
  • Office Life and Perks

    • Happy Hours
    • Commuter Benefits Program
    • Casual Dress
    • Snacks
  • Vacation and Time Off

    • Personal/Sick Days
    • Paid Holidays
    • Paid Vacation
  • Financial and Retirement

    • Company Equity
    • Performance Bonus
    • Financial Counseling
    • 401(K) With Company Matching
  • Professional Development

    • Internship Program
    • Leadership Training Program
    • Access to Online Courses
    • Mentor Program
  • Diversity and Inclusion

    • Employee Resource Groups (ERG)
    • Diversity, Equity, and Inclusion Program

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