Utilization Management Manager Regulatory Operations
Job Description
Hi, we're Oscar. We're hiring a UM Manager Regulatory Operations to join our Utilization Management Optimization 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 Manager, UM Regulatory Operations works with a team of leaders, project managers, and Partners to solve business problems related to internal processes. You will identify critical processes and risks to the business, defining the business’ requirements, partnering with Compliance and Legal teams to assess risk, and overseeing the implementation of required changes to process and/or technology. The Manager, UM Regulatory Operations supports our teams in driving an outstanding, service-focused operation by driving strategic compliance with all regulatory requirements.
You will report to the Director UM Optimization.
This is a remote / work-from-home role. You must reside ...
The Real Dill ☘️
Oscar Health might be one of the biggest insurance "startups" you might not have heard about in clinic - they IPO'd in 2021 on the New York Stock Exchange and hired insurance giant Aetna's ex-CEO in 2023. Primarily insuring rural, underserved markets, Oscar Health is still loss-making, but is making 2024's goal of profitability known. There's definitely a need in this space for quality insurance options for rural and underserved communities - here's to hoping Oscar Health changes the game for millions of Americans. (November 2023)
Jon Lee, PT, DPT, OCS, FAAOMPT, MBA
Pickle co-founder
About Oscar Health
Health insurance company built around a full stack technology platform
MissionTo make a healthier life accessible and affordable for all
Wow FactorGrowing its HolaOscar program for Hispanic & Latino communities, reporting a 72 net promoter score, about 184% above the industry average
Pickle is not affiliated with listed companies unless otherwise noted.
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