Program Lead, Payor Connections – Interoperability

Oscar

Oscar Health program lead managing interoperability projects and provider relationships. Ensuring accurate healthcare data acquisition, connection validation, and operational improvement.

Posted 8/5/2026full-timeRemote • Arizona, Florida, Illinois, Iowa, Kansas, Missouri, Montana, New Jersey, New York, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Virginia • 🇺🇸 United StatesSenior💰 $101,844 - $133,670 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in leading interoperability projects, developing provider relationships, and ensuring compliance with TEFCA regulations. Proficient in creating operational strategies and enhancing data connections to improve healthcare operations.

Highest-signal resume keywords

Interoperability Project ManagementTEFCA Subject Matter ExpertiseHealthcare Operations ExperienceAnalytical SkillsSQL Query Writing

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Interoperability Project ManagementHealthcare OperationsData ValidationProject PlanningOperational Strategy DevelopmentData Quality ImprovementDashboard Creation and MaintenanceCompliance AssuranceRisk AdjustmentBasic SQL

Soft Skills

Relationship DevelopmentCollaborationProblem SolvingAnalytical ThinkingCommunication

Tools & Technologies

Operational DashboardsData Integration Tools

Industry Keywords

TEFCAProvider GroupsHealth InsuranceHealthcare ComplianceInteroperability

Tech Stack

Tools & technologies

SQL

About the role

Key responsibilities & impact

Lead interoperability projects with provider outreach
Develop relationships with provider group partners and vendors
Create and maintain project plans
Help develop operational strategy and market approach
Collaborate across the organization to identify actions to achieve improvements and monitor initiative impact
Direct the testing and validation of data connections to ensure compliance and functionality
Oversee the creation and maintenance of essential operational dashboards, and update and enhance them as our user's needs evolve
Track development progress, resolve issues related to data quality or integration, and ensure continuous improvement in interoperability programs
Serve as a TEFCA subject matter expert
Ensure compliance with all applicable laws and regulations
Perform other duties as assigned
Report to the Director, Risk Adjustment Retrospective

Requirements

What you’ll need

3+ years of work experience in health care operations or health insurance, working directly with provider groups
2+ years of experience delivering interoperability projects or programs
In-depth knowledge of TEFCA
Strong analytical skills
Risk Adjustment experience is a bonus point
Basic SQL or BQ query writing experience is a bonus point

Benefits

Comp & perks

Employee benefits
Unlimited vacation program
Annual performance bonuses
Medical benefits
Dental benefits
Vision benefits
11 paid holidays
Paid sick time
Paid parental leave
401(k) plan participation
Life insurance
Disability insurance
Paid wellness time
Wellness reimbursements