Oscar

Program Operations Manager

Oscar

full-time

Posted on:

Location Type: Hybrid

Location: ArizonaFloridaUnited States

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Salary

💰 $105,808 - $138,886 per year

About the role

  • Lead the end-to-end execution and refresh cycles for "Gold Card" and "Provider Incentive" programs.
  • Act as the primary owner of the "Source of Truth" for the Prior Authorization list.
  • Ensure all UM programs meet state and federal mandates.
  • Develop and maintain the Standard Operating Procedures (SOPs) for net-new initiatives.
  • Drive the recurring refresh cycles for auto-approval rules and provider incentive programs.
  • Lead the end-to-end management of cross-functional implementations/projects.
  • Evaluate overall departmental performance by creating, gathering, analyzing and interpreting data and metrics.
  • Collaboratively works with all relevant internal and external stakeholder groups.
  • May oversee team members directly as well as mentors team members.

Requirements

  • 4+ years of experience in program management
  • 3+ years of experience in delivering projects / programs
  • 2+ years of experience in managing prior authorization list process (updates, coordination)
  • Experience in payer/health insurance
Benefits
  • employee benefits
  • participation in Oscar's unlimited vacation program
  • annual performance bonuses
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
program managementproject deliveryprior authorization processdata analysismetrics interpretationStandard Operating Procedures (SOPs)auto-approval rulescross-functional project management
Soft Skills
leadershipmentoringcollaborationstakeholder engagement