Hi, we're Oscar. We're hiring a Director of Case Management Operations to join our Clinical Care 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
You will drive and oversee the Case Management team's business strategy, program design, and outcomes. You will be accountable to program success, and the financial performance of the department, both from an administrative efficiency and affordability standpoint. You will direct and influence teams involved in building net-new programs, and optimizing existing Case Management programs to deliver medical cost savings to Oscar, and healthier outcomes to its members.
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You will report to the Senior Director, Virtual Care
Work Location:
Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission.
If you live within commutable distance to our New York City office (in Hudson Square), our Tempe office (off the 101 at University Dr), or our Los Angeles office (in Marina Del Rey), you will be expected to come into the office at least two days each week. Otherwise, this is a remote / work-from-home role.
You must reside in one of the following states: Alabama, Arizona, Arkansas, California, Colorado, Connecticut, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, or Washington, D.C. Note, this list of states is subject to change. #LI-Remote
Pay Transparency:
The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $174,400 - $228,900 per year. The base pay for this role in all other locations is: $156,960 - $206,010 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, company equity grants, and annual performance bonuses.
Responsibilities
- Set, drive and execute on the Case Management department strategy and vision to deliver meaningful affordability outcomes for Oscar's population
- Develop direct reports, ensuring the team's responsibilities are clear, and owners are accountable to outcomes
- Develop and maintain playbooks on how we approach novel ideas via programs and build scalable and repeatable processes to manage down trend
- Understand the competitive landscape of the department and act as a thought leader for the particular SME the department runs
- Work cross functionally with other departments to bring new ideas to life and hold accountable through indirect management (e.g. reducing friction with Member Experience, Med Econ sizing of opportunities)
- Program management of key company and department strategy initiatives
- Own and continuously evaluate financial and outcome performance of the department
- Drive the budgeting process and the fiscal performance for the team
- Report to Senior Leadership on the health of the business
- Compliance with all applicable laws and regulations
- Other duties as assigned
Qualifications
- 10+ years experience in healthcare strategy and operations, and/or related field
- 6+ years of management experience
- 5+ years of program design experience, with specific experience around Case Management program design
- 3+ years of Case Management experience driving medical cost savings and health outcomes
- 3+ years experience in leading large-scale cross functional initiatives
- Clinical licensure (clinical social worker, pharmacist, RN)
- Experience modeling in Excel / Google Sheets
Bonus Points
- Master's degree
- Management Consulting experience with a focus on healthcare
- Experience in a growth-stage company
- Population Health background
- Experience delivering programs specifically for an ACA population
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, 11 paid holidays, paid 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.
Artificial Intelligence (AI) Guidelines: Please see our AI Guidelines for the acceptable use of artificial intelligence during the interview process at Oscar.
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 Notice to Job Applicants.