支付方连接/互操作性负责人
Program Lead, Payor Connections/Interoperability
你好，我们是Oscar。我们正在招聘一名Program Lead，负责Payor Connections/Interoperability，加入我们的Risk Adjustment团队。
Oscar是第一家围绕完整技术平台和对会员服务的执着追求而建立的健康保险公司。我们于2012年创立Oscar，旨在打造一家我们自己会想要的健康保险公司——一家像家庭医生一样的公司。
关于该职位：
作为Program Lead，Payor Connections/Interoperability，你将负责一个重要的互操作性项目，该职位负责人将代表Risk Adjustment团队的需求和利益。如果你能在模糊性和自主性中茁壮成长，并且能够构建端到端的流程，那么这个职位适合你！你将与内部和外部的Oscar合作伙伴合作，确保从多个提供者系统中准确获取医疗数据。
你将向Risk Adjustment Retrospective的Director汇报工作。
工作地点：这是一个远程职位，面向居住在以下州的候选人：亚利桑那州、佛罗里达州、佐治亚州、伊利诺伊州、爱荷华州、堪萨斯州、密歇根州、密苏里州、内布拉斯加州、新泽西州、纽约州、北卡罗来纳州、俄亥俄州、宾夕法尼亚州、南卡罗来纳州、田纳西州、德克萨斯州和弗吉尼亚州。你将完全远程办公；不过，我们的工作方式可能会随时间调整。未来模式可能涉及在你所在大都会地区的枢纽办公室进行混合办公。#LI-Remote
薪资透明：在新泽西州和纽约州，该职位的基本薪资为：每年101,844至133,670美元。在其他所有地区，该职位的基本薪资为：每年91,659至120,303美元。你还有资格享受员工福利、参与Oscar的无限休假计划以及年度绩效奖金。
职责：
- 领导与提供者的互操作性项目和外联工作
- 与提供者团体合作伙伴和供应商建立关系
- 创建并维护项目计划
- 协助制定运营策略和市场方法
- 在组织内部协作，识别实现改进的行动并监控项目影响
- 指导数据连接的测试和验证，以确保合规性和功能性
- 监督关键运营仪表盘的创建和维护，并根据用户需求的变化进行更新和增强
- 跟踪开发进度，解决与数据质量或集成相关的问题，并确保互操作性项目的持续改进
- TEFCA领域专家
查看英文原文
Hi, we're Oscar. We're hiring a Program Lead, Payor Connections/Interoperability to join our Risk Adjustment 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:
As a Program Lead, Payor Connections/Interoperability, you will be a key owner of an important interoperability initiative, the Program Lead will represent the needs and interests of the Risk Adjustment team. This new role is for you if you thrive with ambiguity and autonomy, and are comfortable building an end-to-end process! You will work with internal and external Oscar partners to ensure accurate acquisition of healthcare data from multiple provider systems.
You will report into the Director, Risk Adjustment Retrospective.
Work Location: This is a remote position, open to candidates who reside in: Arizona, Florida, Georgia, Illinois, Iowa, Kansas, Michigan, Missouri, Nebraska, New Jersey, New York, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas and Virginia. 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 in the states of New Jersey and New York is: $101,844 - $133,670 per year. The base pay for this role in all other locations is: $91,659 - $120,303 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.
Responsibilities:
- 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
- TEFCA subject matter expert
- Compliance with all applicable laws and regulations
- Other duties as assigned
Requirements:
- 3+ years of work experience in health care operations or health insurance; working directly with provider groups
- 2+ years of experience in delivering interoperability projects / programs
- In depth knowledge of TEFCA
- Strong analytical skills
Bonus points:
- Risk Adjustment experience
- Basic SQL or BQ query writing experience
This is an authentic Oscar Health job opportunity.
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.