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SalaryHi, we're Oscar. We're hiring a Senior Manager, Recovery Services to join our Payment Integrity 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
The SeniorManager, Recovery Servicesidentifies and prioritizes overpayment recovery opportunities, sets and holds teams accountable to performance, and influences and implements strategic plans to achieve overall payment integrity goals.
You will report to the Vice President, Payment Integrity.
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 Ave), 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, California, Colorado, Connecticut, Florida, Georgia, Illinois, Iowa, Kentucky, Maryland, Massachusetts, Michigan, Minnesota, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, 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: $119,200 - $156,450 per year. The base pay for this role in all other locations is: $107,280 - $140,805 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.
Responsibilities
- Translate a strategic vision for the team and outline clear and measurable performance metrics / OKRs.
- Be the subject matter expert for Recovery Services as a function within the payment integrity department. This requires a thorough knowledge of check collection practices and claim offset methodologies and ability to build operational processes for both.
- Liaison to finance department in establishing workflows for confirming vendor fee arrangements (contingency, transactional, etc.) and recurring invoices.
- Coach, develop and lead a team to achieve identified outcomes.
- Provide leadership in complex, cross-functional initiatives focused on payment integrity conversion improvement. Partners with claims department and finance department in pursuit of conversion improvement.
- Manage a portfolio of initiatives and deliverables and proactively identify areas of opportunity to improve key performance indicators.
- Compliance with all applicable laws and regulations
- Other duties as assigned
Qualifications
- 6+ years experience in operations, healthcare, data analytics and/or consulting
- 4+ years of experience leading and developing a team
- 4+ years experience designing, implementing and improving business workflows
- 4+ years in payment integrity
- Experience managing recovery or collections operations
Bonus Points
- Experience with healthcare claims processing
- Experience managing in a healthcare claims organization
- Experience managing recovery or collections operations
- Experience with healthcare claims adjudication systems
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.
